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Packagestjohn.ambulance-care-summary
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": "2026-06-29T21:23:05.115+00:00",
  "entry": [
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/ImplementationGuide-stjohn.ambulance-care-summary",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ImplementationGuide-stjohn.ambulance-care-summary"
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/AllergyIntolerance-acs-cda-allergy-nka",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "AllergyIntolerance-acs-cda-allergy-nka"
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/Bundle-AmbulanceCareSummaryCdaCompleteExample",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Bundle-AmbulanceCareSummaryCdaCompleteExample",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 81
              },
              {
                "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"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-bundle|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://standards.digital.health.nz/ns/ambulance-care-summary-id'"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.identifier.system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 29
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 87
              },
              {
                "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"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-composition|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://standards.digital.health.nz/ns/ambulance-care-summary-id'"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.identifier.system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 846
              },
              {
                "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": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-composition|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Ambulance Care Summary' for http://loinc.org#74207-2. Valid display is one of 3 choices: 'Prehospital summary Document' (en-US), 'Prehospital summary Document' (en-US) or 'Prehosp summary Doc' (en-US) (for the language(s) 'en')"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.type.coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 857
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 860
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-service-organization|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.encounter"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 91
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-service-organization|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'History of encounters' for http://loinc.org#46240-8. Valid display is one of 3 choices: 'History of Hospitalizations+Outpatient visits Narrative' (en-US), 'History of Hospitalizations+Outpatient visits Narrative' (en-US) or 'Hx of Hospitalizations+OP visits' (en-US) (for the language(s) 'en')"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[0].code.coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 53
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-incident-event, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-incident-location, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-patient-status, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[0].entry[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 59
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-incident-event|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/Observation/acs-cda-event-call-received among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-incident-event, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-incident-location, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-patient-status, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[0].entry[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 62
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-incident-event|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/Observation/acs-cda-event-unit-dispatched among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-incident-event, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-incident-location, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-patient-status, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[0].entry[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 65
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-incident-event|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/Observation/acs-cda-event-unit-responded among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-incident-event, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-incident-location, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-patient-status, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[0].entry[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 68
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-incident-event|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/Observation/acs-cda-event-arrived-scene among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-incident-event, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-incident-location, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-patient-status, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[0].entry[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 71
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-incident-event|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/Observation/acs-cda-event-patient-located among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-incident-event, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-incident-location, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-patient-status, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[0].entry[6]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 74
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-incident-event|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/Observation/acs-cda-event-departed-scene among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-incident-event, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-incident-location, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-patient-status, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[0].entry[7]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 77
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-incident-event|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/Observation/acs-cda-event-arrived-destination among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-incident-event, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-incident-location, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-patient-status, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[0].entry[8]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 80
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-incident-event|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/Observation/acs-cda-event-closed among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-incident-event, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-incident-location, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-patient-status, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[0].entry[9]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 83
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-patient-status|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/Observation/acs-cda-patient-status-scene among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-incident-event, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-incident-location, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-patient-status, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[0].entry[10]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 86
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-patient-status|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/Observation/acs-cda-patient-status-final among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-incident-event, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-incident-location, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-patient-status, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[0].entry[11]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 107
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/RelatedPerson/acs-cda-contact-mother among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-patient-contact"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[1].entry[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 133
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Patient Demographics' for http://loinc.org#45970-1. Valid display is one of 2 choices: 'Demographic information section' (en-US) or 'Demographic information section' (en-US) (for the language(s) 'en')"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[2].code.coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 128
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/Observation/acs-cda-patient-age among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-patient-age"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[2].entry[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 154
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Social history' for http://loinc.org#29762-2. Valid display is one of 3 choices: 'Social history note' (en-US), 'Social history note' (en-US) or 'Social hx note' (en-US) (for the language(s) 'en')"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[3].code.coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 149
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-smoking-status|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/Observation/acs-cda-smoking among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-smoking-status, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-vaping-status"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[3].entry[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 226
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-smoking-status|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Chief complaint' for http://loinc.org#10154-3. Valid display is one of 3 choices: 'Chief complaint Narrative - Reported' (en-US), 'Chief complaint Narrative - Reported' (en-US) or 'Chief complaint Reported' (en-US) (for the language(s) 'en')"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[4].code.coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 170
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-presenting-complaint|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/Observation/acs-cda-presenting-complaint among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-accident-observation, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-encounter-diagnosis, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-history-of-incident, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-presenting-complaint"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[4].entry[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 173
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-history-of-incident|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/Observation/acs-cda-history-of-incident among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-accident-observation, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-encounter-diagnosis, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-history-of-incident, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-presenting-complaint"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[4].entry[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 176
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-encounter-diagnosis|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/Condition/acs-cda-diagnosis-asthma among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-accident-observation, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-encounter-diagnosis, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-history-of-incident, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-presenting-complaint"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[4].entry[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 179
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-encounter-diagnosis|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/Condition/acs-cda-diagnosis-generally-unwell among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-accident-observation, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-encounter-diagnosis, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-history-of-incident, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-presenting-complaint"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[4].entry[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 182
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-accident-observation|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/Observation/acs-cda-accident-mechanism among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-accident-observation, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-encounter-diagnosis, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-history-of-incident, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-presenting-complaint"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[4].entry[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 185
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-accident-observation|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/Observation/acs-cda-accident-sport among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-accident-observation, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-encounter-diagnosis, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-history-of-incident, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-presenting-complaint"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[4].entry[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 188
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-accident-observation|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/Observation/acs-cda-accident-vehicle-type among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-accident-observation, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-encounter-diagnosis, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-history-of-incident, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-presenting-complaint"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[4].entry[6]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 191
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-accident-observation|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/Observation/acs-cda-accident-patient-characteristic among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-accident-observation, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-encounter-diagnosis, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-history-of-incident, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-presenting-complaint"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[4].entry[7]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 194
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-accident-observation|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/Observation/acs-cda-accident-impact-speed among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-accident-observation, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-encounter-diagnosis, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-history-of-incident, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-presenting-complaint"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[4].entry[8]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 197
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-accident-observation|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/Observation/acs-cda-accident-passenger-intrusion among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-accident-observation, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-encounter-diagnosis, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-history-of-incident, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-presenting-complaint"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[4].entry[9]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 200
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-accident-observation|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/Observation/acs-cda-accident-patient-ejected among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-accident-observation, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-encounter-diagnosis, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-history-of-incident, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-presenting-complaint"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[4].entry[10]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 203
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-accident-observation|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/Observation/acs-cda-accident-rollover among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-accident-observation, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-encounter-diagnosis, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-history-of-incident, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-presenting-complaint"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[4].entry[11]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 206
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-accident-observation|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/Observation/acs-cda-accident-end-over-end among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-accident-observation, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-encounter-diagnosis, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-history-of-incident, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-presenting-complaint"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[4].entry[12]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 209
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-accident-observation|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/Observation/acs-cda-accident-airbag among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-accident-observation, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-encounter-diagnosis, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-history-of-incident, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-presenting-complaint"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[4].entry[13]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 212
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-accident-observation|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/Observation/acs-cda-accident-seatbelt among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-accident-observation, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-encounter-diagnosis, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-history-of-incident, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-presenting-complaint"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[4].entry[14]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 215
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-accident-observation|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/Observation/acs-cda-accident-helmet among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-accident-observation, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-encounter-diagnosis, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-history-of-incident, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-presenting-complaint"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[4].entry[15]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 218
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-accident-observation|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/Observation/acs-cda-accident-self-extricated among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-accident-observation, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-encounter-diagnosis, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-history-of-incident, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-presenting-complaint"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[4].entry[16]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 221
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-accident-observation|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/Observation/acs-cda-accident-patient-trapped among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-accident-observation, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-encounter-diagnosis, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-history-of-incident, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-presenting-complaint"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[4].entry[17]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 242
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/Observation/acs-cda-primary-survey among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-primary-survey"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[5].entry[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 263
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-abcd2-stroke-risk-assessment|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/Observation/acs-cda-abcd2-refused among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-abcd2-stroke-risk-assessment, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-fast-stroke-assessment"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[6].entry[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 266
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-abcd2-stroke-risk-assessment|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/Observation/acs-cda-abcd2-completed among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-abcd2-stroke-risk-assessment, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-fast-stroke-assessment"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[6].entry[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 269
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-fast-stroke-assessment|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/Observation/acs-cda-fast-refused among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-abcd2-stroke-risk-assessment, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-fast-stroke-assessment"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[6].entry[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 272
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-fast-stroke-assessment|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/Observation/acs-cda-fast-completed among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-abcd2-stroke-risk-assessment, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-fast-stroke-assessment"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[6].entry[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 293
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/Observation/acs-cda-falls-refused among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-falls-risk-assessment"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[7].entry[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 296
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/Observation/acs-cda-falls-completed among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-falls-risk-assessment"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[7].entry[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 325
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'History of past illness' for http://loinc.org#11348-0. Valid display is one of 3 choices: 'History of Past illness note' (en-US), 'History of Past illness note' (en-US) or 'Hx of Past illness note' (en-US) (for the language(s) 'en')"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[8].code.coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 317
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/Condition/acs-cda-medical-history among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-last-oral-intake, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-past-medical-history"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[8].entry[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 320
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/Observation/acs-cda-last-oral-intake among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-last-oral-intake, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-past-medical-history"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[8].entry[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 346
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Allergies and adverse reactions' for http://loinc.org#48765-2. Valid display is one of 3 choices: 'Allergies and adverse reactions Document' (en-US), 'Allergies and adverse reactions Document' (en-US) or 'Allergies &or adverse reactions Doc' (en-US) (for the language(s) 'en')"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[9].code.coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 341
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/AllergyIntolerance/acs-cda-allergy-nka among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-allergy-intolerance"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[9].entry[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 367
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'History of medication use' for http://loinc.org#10160-0. Valid display is one of 3 choices: 'History of Medication use Narrative' (en-US), 'History of Medication use Narrative' (en-US) or 'Hx of Medication use' (en-US) (for the language(s) 'en')"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[10].code.coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 362
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/MedicationStatement/acs-cda-current-medications among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-current-medication"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[10].entry[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 439
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Vital signs' for http://loinc.org#8716-3. Valid display is one of 3 choices: 'Vital signs note' (en-US), 'Vital signs note' (en-US) or 'Vital signs note' (en-US) (for the language(s) 'en')"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[11].code.coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 383
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/Observation/acs-cda-gcs among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-observation"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[11].entry[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 386
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/Observation/acs-cda-hr among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-observation"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[11].entry[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 389
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/Observation/acs-cda-rr among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-observation"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[11].entry[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 392
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/Observation/acs-cda-bp among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-observation"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[11].entry[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 395
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/Observation/acs-cda-spo2 among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-observation"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[11].entry[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 398
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/Observation/acs-cda-ecg among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-observation"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[11].entry[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 401
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/Observation/acs-cda-bgl among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-observation"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[11].entry[6]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 404
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/Observation/acs-cda-caprefill-peripheral among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-observation"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[11].entry[7]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 407
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/Observation/acs-cda-caprefill-central among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-observation"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[11].entry[8]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 410
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/Observation/acs-cda-temp among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-observation"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[11].entry[9]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 413
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/Observation/acs-cda-pain among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-observation"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[11].entry[10]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 416
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/Observation/acs-cda-pupil-reaction-left among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-observation"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[11].entry[11]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 419
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/Observation/acs-cda-pupil-size-left among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-observation"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[11].entry[12]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 422
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/Observation/acs-cda-pupil-reaction-right among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-observation"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[11].entry[13]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 425
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/Observation/acs-cda-pupil-size-right among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-observation"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[11].entry[14]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 428
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/Observation/acs-cda-etco2 among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-observation"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[11].entry[15]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 431
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/Observation/acs-cda-skin among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-observation"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[11].entry[16]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 434
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/Observation/acs-cda-pefr among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-observation"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[11].entry[17]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 455
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-service-provider-role|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/MedicationAdministration/acs-cda-med-adenosine among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-administration, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-dispense"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[12].entry[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 458
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-service-provider-role|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/MedicationAdministration/acs-cda-med-adrenaline-bolus among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-administration, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-dispense"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[12].entry[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 461
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-service-provider-role|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/MedicationAdministration/acs-cda-med-adrenaline-infusion among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-administration, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-dispense"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[12].entry[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 464
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-service-provider-role|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/MedicationAdministration/acs-cda-med-adrenaline-neb among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-administration, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-dispense"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[12].entry[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 467
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-service-provider-role|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/MedicationAdministration/acs-cda-med-adrenaline-im-in among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-administration, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-dispense"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[12].entry[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 470
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-service-provider-role|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/MedicationAdministration/acs-cda-med-adrenaline-arrest among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-administration, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-dispense"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[12].entry[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 473
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-service-provider-role|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/MedicationAdministration/acs-cda-med-amiodarone-arrest among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-administration, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-dispense"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[12].entry[6]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 476
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-service-provider-role|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/MedicationAdministration/acs-cda-med-amiodarone-bolus among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-administration, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-dispense"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[12].entry[7]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 479
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-service-provider-role|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/MedicationAdministration/acs-cda-med-amiodarone-infusion among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-administration, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-dispense"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[12].entry[8]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 482
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-service-provider-role|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/MedicationAdministration/acs-cda-med-aspirin among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-administration, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-dispense"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[12].entry[9]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 485
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-service-provider-role|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/MedicationAdministration/acs-cda-med-atropine among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-administration, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-dispense"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[12].entry[10]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 488
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-service-provider-role|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/MedicationAdministration/acs-cda-med-calcium-chloride among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-administration, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-dispense"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[12].entry[11]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 491
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-service-provider-role|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/MedicationAdministration/acs-cda-med-ceftriaxone among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-administration, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-dispense"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[12].entry[12]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 494
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-service-provider-role|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/MedicationAdministration/acs-cda-med-clopidogrel among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-administration, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-dispense"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[12].entry[13]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 497
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-service-provider-role|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/MedicationAdministration/acs-cda-med-entonox among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-administration, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-dispense"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[12].entry[14]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 500
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-service-provider-role|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/MedicationAdministration/acs-cda-med-fentanyl among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-administration, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-dispense"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[12].entry[15]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 503
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-service-provider-role|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/MedicationAdministration/acs-cda-med-glucagon among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-administration, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-dispense"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[12].entry[16]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 506
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-service-provider-role|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/MedicationAdministration/acs-cda-med-oral-glucose among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-administration, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-dispense"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[12].entry[17]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 509
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-service-provider-role|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/MedicationAdministration/acs-cda-med-glucose-10-percent among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-administration, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-dispense"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[12].entry[18]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 512
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-service-provider-role|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/MedicationAdministration/acs-cda-med-gtn among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-administration, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-dispense"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[12].entry[19]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 515
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-service-provider-role|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/MedicationAdministration/acs-cda-med-ibuprofen among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-administration, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-dispense"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[12].entry[20]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 518
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-service-provider-role|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/MedicationAdministration/acs-cda-med-ipratropium-neb among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-administration, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-dispense"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[12].entry[21]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 521
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-service-provider-role|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/MedicationAdministration/acs-cda-med-ipratropium-mdi among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-administration, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-dispense"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[12].entry[22]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 524
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-service-provider-role|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/MedicationAdministration/acs-cda-med-ketamine among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-administration, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-dispense"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[12].entry[23]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 527
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-service-provider-role|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/MedicationAdministration/acs-cda-med-lignocaine among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-administration, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-dispense"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[12].entry[24]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 530
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-service-provider-role|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/MedicationAdministration/acs-cda-med-lignocaine-ring-block among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-administration, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-dispense"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[12].entry[25]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 533
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-service-provider-role|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/MedicationAdministration/acs-cda-med-lignocaine-cannulation among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-administration, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-dispense"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[12].entry[26]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 536
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-service-provider-role|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/MedicationAdministration/acs-cda-med-loratadine among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-administration, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-dispense"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[12].entry[27]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 539
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-service-provider-role|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/MedicationAdministration/acs-cda-med-methoxyflurane among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-administration, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-dispense"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[12].entry[28]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 542
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-service-provider-role|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/MedicationAdministration/acs-cda-med-midazolam-im among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-administration, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-dispense"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[12].entry[29]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 545
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-service-provider-role|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/MedicationAdministration/acs-cda-med-midazolam-iv among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-administration, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-dispense"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[12].entry[30]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 548
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-service-provider-role|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/MedicationAdministration/acs-cda-med-morphine among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-administration, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-dispense"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[12].entry[31]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 551
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-service-provider-role|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/MedicationAdministration/acs-cda-med-naloxone among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-administration, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-dispense"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[12].entry[32]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 554
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-service-provider-role|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/MedicationAdministration/acs-cda-med-ondansetron-injection among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-administration, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-dispense"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[12].entry[33]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 557
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-service-provider-role|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/MedicationAdministration/acs-cda-med-ondansetron-wafer among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-administration, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-dispense"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[12].entry[34]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 560
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-service-provider-role|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/MedicationAdministration/acs-cda-med-other-quinapril among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-administration, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-dispense"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[12].entry[35]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 563
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-service-provider-role|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/MedicationAdministration/acs-cda-med-oxygen among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-administration, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-dispense"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[12].entry[36]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 566
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-service-provider-role|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/MedicationAdministration/acs-cda-med-oxytocin among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-administration, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-dispense"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[12].entry[37]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 569
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-service-provider-role|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/MedicationAdministration/acs-cda-med-paracetamol-tablet among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-administration, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-dispense"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[12].entry[38]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 572
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-service-provider-role|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/MedicationAdministration/acs-cda-med-paracetamol-syrup among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-administration, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-dispense"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[12].entry[39]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 575
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-service-provider-role|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/MedicationAdministration/acs-cda-med-prednisone among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-administration, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-dispense"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[12].entry[40]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 578
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-service-provider-role|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/MedicationAdministration/acs-cda-med-rocuronium among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-administration, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-dispense"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[12].entry[41]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 581
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-service-provider-role|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/MedicationAdministration/acs-cda-med-salbutamol-neb among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-administration, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-dispense"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[12].entry[42]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 584
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-service-provider-role|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/MedicationAdministration/acs-cda-med-salbutamol-mdi among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-administration, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-dispense"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[12].entry[43]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 587
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-service-provider-role|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/MedicationAdministration/acs-cda-med-salbutamol-ipratropium-mdi among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-administration, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-dispense"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[12].entry[44]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 590
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-service-provider-role|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/MedicationAdministration/acs-cda-med-sodium-bicarbonate among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-administration, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-dispense"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[12].entry[45]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 593
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-service-provider-role|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/MedicationAdministration/acs-cda-med-sodium-chloride among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-administration, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-dispense"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[12].entry[46]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 596
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-service-provider-role|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/MedicationAdministration/acs-cda-med-suxamethonium among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-administration, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-dispense"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[12].entry[47]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 599
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-service-provider-role|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/MedicationAdministration/acs-cda-med-tramadol among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-administration, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-dispense"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[12].entry[48]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 736
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-service-provider-role|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'History of procedures' for http://loinc.org#47519-4. Valid display is one of 3 choices: 'History of Procedures Document' (en-US), 'History of Procedures Document' (en-US) or 'Procedures Hx Doc' (en-US) (for the language(s) 'en')"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[13].code.coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 620
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-service-provider-role|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/Procedure/acs-cda-proc-airway-manual-clear among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-procedure"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[13].entry[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 623
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-service-provider-role|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/Procedure/acs-cda-proc-airway-suction among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-procedure"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[13].entry[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 626
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-service-provider-role|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/Procedure/acs-cda-proc-airway-opa among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-procedure"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[13].entry[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 629
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-service-provider-role|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/Procedure/acs-cda-proc-airway-npa among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-procedure"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[13].entry[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 632
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-service-provider-role|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/Procedure/acs-cda-proc-airway-lma among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-procedure"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[13].entry[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 635
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-service-provider-role|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/Procedure/acs-cda-proc-airway-intubation among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-procedure"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[13].entry[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 638
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-service-provider-role|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/Procedure/acs-cda-proc-airway-cricothyroidotomy among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-procedure"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[13].entry[6]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 641
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-service-provider-role|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/Procedure/acs-cda-proc-airway-laryngoscopy among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-procedure"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[13].entry[7]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 644
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-service-provider-role|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/Procedure/acs-cda-proc-airway-other-device among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-procedure"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[13].entry[8]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 647
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-service-provider-role|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/Procedure/acs-cda-proc-ventilation-manual among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-procedure"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[13].entry[9]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 650
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-service-provider-role|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/Procedure/acs-cda-proc-cardioversion among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-procedure"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[13].entry[10]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 653
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-service-provider-role|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/Procedure/acs-cda-proc-catheter-troubleshooting among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-procedure"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[13].entry[11]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 656
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-service-provider-role|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/Procedure/acs-cda-proc-chest-decompression among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-procedure"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[13].entry[12]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 659
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-service-provider-role|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/Procedure/acs-cda-proc-cpap among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-procedure"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[13].entry[13]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 662
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-service-provider-role|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/Procedure/acs-cda-proc-cpr among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-procedure"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[13].entry[14]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 665
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-service-provider-role|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/Procedure/acs-cda-proc-defibrillation among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-procedure"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[13].entry[15]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 668
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-service-provider-role|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/Procedure/acs-cda-proc-defibrillation-aed among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-procedure"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[13].entry[16]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 671
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-service-provider-role|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/Procedure/acs-cda-proc-io-insertion among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-procedure"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[13].entry[17]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 674
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-service-provider-role|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/Procedure/acs-cda-proc-iv-insertion among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-procedure"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[13].entry[18]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 677
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-service-provider-role|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/Procedure/acs-cda-proc-valsalva among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-procedure"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[13].entry[19]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 680
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-service-provider-role|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/Procedure/acs-cda-proc-limb-reduction-wrist among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-procedure"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[13].entry[20]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 683
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-service-provider-role|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/Procedure/acs-cda-proc-limb-reduction-elbow among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-procedure"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[13].entry[21]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 686
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-service-provider-role|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/Procedure/acs-cda-proc-limb-reduction-shoulder among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-procedure"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[13].entry[22]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 689
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-service-provider-role|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/Procedure/acs-cda-proc-limb-reduction-ankle among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-procedure"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[13].entry[23]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 692
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-service-provider-role|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/Procedure/acs-cda-proc-limb-reduction-other among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-procedure"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[13].entry[24]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 695
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-service-provider-role|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/Procedure/acs-cda-proc-pacing among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-procedure"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[13].entry[25]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 698
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-service-provider-role|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/Procedure/acs-cda-proc-peep among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-procedure"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[13].entry[26]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 701
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-service-provider-role|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/Procedure/acs-cda-proc-position-recovery among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-procedure"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[13].entry[27]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 704
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-service-provider-role|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/Procedure/acs-cda-proc-position-supine among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-procedure"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[13].entry[28]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 707
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-service-provider-role|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/Procedure/acs-cda-proc-position-seated among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-procedure"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[13].entry[29]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 710
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-service-provider-role|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/Procedure/acs-cda-proc-position-lateral among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-procedure"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[13].entry[30]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 713
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-service-provider-role|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/Procedure/acs-cda-proc-position-semi-recumbent among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-procedure"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[13].entry[31]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 716
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-service-provider-role|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/Procedure/acs-cda-proc-position-prone among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-procedure"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[13].entry[32]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 719
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-service-provider-role|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/Procedure/acs-cda-proc-position-other among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-procedure"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[13].entry[33]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 722
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-service-provider-role|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/Procedure/acs-cda-proc-rsi among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-procedure"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[13].entry[34]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 725
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-service-provider-role|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/Procedure/acs-cda-proc-splint-dressing among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-procedure"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[13].entry[35]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 728
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-service-provider-role|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/Procedure/acs-cda-proc-stomach-decompression among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-procedure"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[13].entry[36]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 731
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-service-provider-role|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/Procedure/acs-cda-proc-tourniquet among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-procedure"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[13].entry[37]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 752
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/Observation/acs-cda-refusal among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-transport-treatment-refusal"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[14].entry[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 773
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/Observation/acs-cda-competence among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-patient-competence-assessment"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[15].entry[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 802
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Plan of care' for http://loinc.org#18776-5. Valid display is one of 3 choices: 'Plan of care note' (en-US), 'Plan of care note' (en-US) or 'Plan of care note' (en-US) (for the language(s) 'en')"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[16].code.coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 794
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/CarePlan/acs-cda-careplan among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-appointment, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-care-plan, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-referral"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[16].entry[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 797
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/ServiceRequest/acs-cda-referral-gp among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-appointment, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-care-plan, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-referral"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[16].entry[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 818
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-service-provider-role|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/Media/acs-cda-image-vehicle among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-clinical-image"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[17].entry[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 821
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-service-provider-role|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/Media/acs-cda-image-body-front among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-clinical-image"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[17].entry[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 824
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-service-provider-role|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/Media/acs-cda-image-body-back among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-clinical-image"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[17].entry[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 827
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-service-provider-role|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/Media/acs-cda-image-01 among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-clinical-image"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[17].entry[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 830
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-service-provider-role|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/Media/acs-cda-image-02 among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-clinical-image"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[0].resource/*Composition/acs-cda-composition*/.section[17].entry[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 886
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Validation_VAL_Profile_MatchMultiple"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Profile https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0, Element matches more than one slice - sex-at-birth, sexAtBirth"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[1].resource/*Patient/acs-cda-patient-bob*/.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 953
              },
              {
                "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/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[2].resource/*Observation/acs-cda-patient-age*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 977
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[2].resource/*Observation/acs-cda-patient-age*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 980
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[2].resource/*Observation/acs-cda-patient-age*/.encounter"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1023
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[3].resource/*RelatedPerson/acs-cda-contact-mother*/.patient"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1317
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 96
              },
              {
                "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"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/Encounter|4.0.1"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://standards.digital.health.nz/ns/ambulance-master-incident-number'"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[13].resource/*Encounter/acs-cda-encounter*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1321
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 80
              },
              {
                "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"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/Encounter|4.0.1"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://standards.digital.health.nz/ns/acc-claim-number'"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[13].resource/*Encounter/acs-cda-encounter*/.identifier[1].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1325
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 88
              },
              {
                "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"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/Encounter|4.0.1"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://standards.digital.health.nz/ns/ambulance-unit-call-sign'"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[13].resource/*Encounter/acs-cda-encounter*/.identifier[2].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1407
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[13].resource/*Encounter/acs-cda-encounter*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1368
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Observation/acs-cda-presenting-complaint among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-encounter-diagnosis, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-presenting-complaint"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[13].resource/*Encounter/acs-cda-encounter*/.reasonReference[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1374
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Condition/acs-cda-diagnosis-asthma among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-encounter-diagnosis"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[13].resource/*Encounter/acs-cda-encounter*/.diagnosis[0].condition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1380
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Condition/acs-cda-diagnosis-generally-unwell among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-encounter-diagnosis"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[13].resource/*Encounter/acs-cda-encounter*/.diagnosis[1].condition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1353
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_MultipleMatches"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-incident-location|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "structure",
            "details": {
              "text": "Found multiple matching profiles for Location/acs-cda-incident-location among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-incident-location|0.1.0, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/receiving-facility|0.1.0"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[13].resource/*Encounter/acs-cda-encounter*/.location[0].location"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1358
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_MultipleMatches"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/receiving-facility|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "structure",
            "details": {
              "text": "Found multiple matching profiles for Location/acs-cda-facility-sunshine among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-incident-location|0.1.0, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/receiving-facility|0.1.0"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[13].resource/*Encounter/acs-cda-encounter*/.location[1].location"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1417
              },
              {
                "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/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[14].resource/*Observation/acs-cda-event-call-received*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1417
              },
              {
                "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_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[14].resource/*Observation/acs-cda-event-call-received*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1426
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[14].resource/*Observation/acs-cda-event-call-received*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1429
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[14].resource/*Observation/acs-cda-event-call-received*/.encounter"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1446
              },
              {
                "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/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[15].resource/*Observation/acs-cda-event-unit-dispatched*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1446
              },
              {
                "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_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[15].resource/*Observation/acs-cda-event-unit-dispatched*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1455
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[15].resource/*Observation/acs-cda-event-unit-dispatched*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1458
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[15].resource/*Observation/acs-cda-event-unit-dispatched*/.encounter"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1475
              },
              {
                "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/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[16].resource/*Observation/acs-cda-event-unit-responded*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1475
              },
              {
                "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_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[16].resource/*Observation/acs-cda-event-unit-responded*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1484
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[16].resource/*Observation/acs-cda-event-unit-responded*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1487
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[16].resource/*Observation/acs-cda-event-unit-responded*/.encounter"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1504
              },
              {
                "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/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[17].resource/*Observation/acs-cda-event-arrived-scene*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1504
              },
              {
                "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_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[17].resource/*Observation/acs-cda-event-arrived-scene*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1513
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[17].resource/*Observation/acs-cda-event-arrived-scene*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1516
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[17].resource/*Observation/acs-cda-event-arrived-scene*/.encounter"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1533
              },
              {
                "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/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[18].resource/*Observation/acs-cda-event-patient-located*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1533
              },
              {
                "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_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[18].resource/*Observation/acs-cda-event-patient-located*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1542
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[18].resource/*Observation/acs-cda-event-patient-located*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1545
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[18].resource/*Observation/acs-cda-event-patient-located*/.encounter"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1562
              },
              {
                "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/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[19].resource/*Observation/acs-cda-event-departed-scene*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1562
              },
              {
                "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_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[19].resource/*Observation/acs-cda-event-departed-scene*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1571
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[19].resource/*Observation/acs-cda-event-departed-scene*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1574
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[19].resource/*Observation/acs-cda-event-departed-scene*/.encounter"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1591
              },
              {
                "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/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[20].resource/*Observation/acs-cda-event-arrived-destination*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1591
              },
              {
                "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_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[20].resource/*Observation/acs-cda-event-arrived-destination*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1600
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[20].resource/*Observation/acs-cda-event-arrived-destination*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1603
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[20].resource/*Observation/acs-cda-event-arrived-destination*/.encounter"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1620
              },
              {
                "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/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[21].resource/*Observation/acs-cda-event-closed*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1620
              },
              {
                "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_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[21].resource/*Observation/acs-cda-event-closed*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1629
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[21].resource/*Observation/acs-cda-event-closed*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1632
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[21].resource/*Observation/acs-cda-event-closed*/.encounter"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1649
              },
              {
                "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/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[22].resource/*Observation/acs-cda-patient-status-scene*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1667
              },
              {
                "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": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/Observation|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Clinical status of patient (observable entity)' for http://snomed.info/sct#410536001. Valid display is one of 3 choices: 'Contraindicated (qualifier value)' (en), 'Contraindicated' (en) or 'Contra-indicated' (en) (for the language(s) 'en')"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[22].resource/*Observation/acs-cda-patient-status-scene*/.code.coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1677
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[22].resource/*Observation/acs-cda-patient-status-scene*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1680
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[22].resource/*Observation/acs-cda-patient-status-scene*/.encounter"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1697
              },
              {
                "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/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[23].resource/*Observation/acs-cda-patient-status-final*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1715
              },
              {
                "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": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/Observation|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Clinical status of patient (observable entity)' for http://snomed.info/sct#410536001. Valid display is one of 3 choices: 'Contraindicated (qualifier value)' (en), 'Contraindicated' (en) or 'Contra-indicated' (en) (for the language(s) 'en')"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[23].resource/*Observation/acs-cda-patient-status-final*/.code.coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1725
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[23].resource/*Observation/acs-cda-patient-status-final*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1728
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[23].resource/*Observation/acs-cda-patient-status-final*/.encounter"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1745
              },
              {
                "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/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[24].resource/*Observation/acs-cda-smoking*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1773
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[24].resource/*Observation/acs-cda-smoking*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1776
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[24].resource/*Observation/acs-cda-smoking*/.encounter"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1793
              },
              {
                "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/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[25].resource/*Observation/acs-cda-presenting-complaint*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1801
              },
              {
                "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": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/Observation|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Chief complaint' for http://loinc.org#67570-2. Valid display is one of 3 choices: 'Chief complaint per dispatch Reported.dispatch' (en-US), 'Chief complaint per dispatch Reported.dispatch' (en-US) or 'Cplaint per dispatch Reported.dispatch' (en-US) (for the language(s) 'en')"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[25].resource/*Observation/acs-cda-presenting-complaint*/.code.coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1811
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[25].resource/*Observation/acs-cda-presenting-complaint*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1823
              },
              {
                "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/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[26].resource/*Observation/acs-cda-history-of-incident*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1841
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[26].resource/*Observation/acs-cda-history-of-incident*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1844
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[26].resource/*Observation/acs-cda-history-of-incident*/.encounter"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1853
              },
              {
                "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/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[27].resource/*Observation/acs-cda-accident-mechanism*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1853
              },
              {
                "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_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[27].resource/*Observation/acs-cda-accident-mechanism*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1862
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[27].resource/*Observation/acs-cda-accident-mechanism*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1865
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[27].resource/*Observation/acs-cda-accident-mechanism*/.encounter"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1882
              },
              {
                "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/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[28].resource/*Observation/acs-cda-accident-sport*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1882
              },
              {
                "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_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[28].resource/*Observation/acs-cda-accident-sport*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1900
              },
              {
                "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": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/Observation|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Sports Injury' for http://loinc.org#11372-0. Valid display is one of 3 choices: 'Injury associated activity' (en-US), 'Injury associated activity' (en-US) or 'Injury associated activity' (en-US) (for the language(s) 'en')"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[28].resource/*Observation/acs-cda-accident-sport*/.code.coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1894
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[28].resource/*Observation/acs-cda-accident-sport*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1897
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[28].resource/*Observation/acs-cda-accident-sport*/.encounter"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1913
              },
              {
                "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/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[29].resource/*Observation/acs-cda-accident-vehicle-type*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1913
              },
              {
                "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_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[29].resource/*Observation/acs-cda-accident-vehicle-type*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1928
              },
              {
                "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": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/Observation|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Vehicle type' for http://snomed.info/sct#46160005. Valid display is one of 6 choices: 'Motor vehicle' (en), 'Motor vehicle, NOS' (en), 'Motor vehicle, device (physical object)' (en), 'Motorised road traffic vehicle' (en), 'Motorized road traffic vehicle' (en) or 'Motor vehicle, device' (en) (for the language(s) 'en')"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[29].resource/*Observation/acs-cda-accident-vehicle-type*/.code.coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1922
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[29].resource/*Observation/acs-cda-accident-vehicle-type*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1925
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[29].resource/*Observation/acs-cda-accident-vehicle-type*/.encounter"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1950
              },
              {
                "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/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[30].resource/*Observation/acs-cda-accident-patient-characteristic*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1950
              },
              {
                "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_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[30].resource/*Observation/acs-cda-accident-patient-characteristic*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1965
              },
              {
                "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": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/Observation|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Patient characteristic' for http://snomed.info/sct#127348004. Valid display is one of 6 choices: 'Motor vehicle accident (victim)' (en), 'Motor vehicle accident' (en), 'MVA' (en), 'Motor vehicle accident victim (finding)' (en), 'Motor vehicle accident victim' (en) or 'MVA (motor vehicle accident) victim' (en) (for the language(s) 'en')"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[30].resource/*Observation/acs-cda-accident-patient-characteristic*/.code.coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1974
              },
              {
                "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": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Driver' for http://snomed.info/sct#303980003. Valid display is one of 2 choices: 'Driver of motor vehicle' (en) or 'Driver of motor vehicle (person)' (en) (for the language(s) 'en')"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[30].resource/*Observation/acs-cda-accident-patient-characteristic*/.value.ofType(CodeableConcept).coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1959
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[30].resource/*Observation/acs-cda-accident-patient-characteristic*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1962
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[30].resource/*Observation/acs-cda-accident-patient-characteristic*/.encounter"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1987
              },
              {
                "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/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[31].resource/*Observation/acs-cda-accident-impact-speed*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1987
              },
              {
                "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_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[31].resource/*Observation/acs-cda-accident-impact-speed*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1999
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[31].resource/*Observation/acs-cda-accident-impact-speed*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2002
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[31].resource/*Observation/acs-cda-accident-impact-speed*/.encounter"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2014
              },
              {
                "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/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[32].resource/*Observation/acs-cda-accident-passenger-intrusion*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2014
              },
              {
                "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_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[32].resource/*Observation/acs-cda-accident-passenger-intrusion*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2026
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[32].resource/*Observation/acs-cda-accident-passenger-intrusion*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2029
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[32].resource/*Observation/acs-cda-accident-passenger-intrusion*/.encounter"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2037
              },
              {
                "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/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[33].resource/*Observation/acs-cda-accident-patient-ejected*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2037
              },
              {
                "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_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[33].resource/*Observation/acs-cda-accident-patient-ejected*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2049
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[33].resource/*Observation/acs-cda-accident-patient-ejected*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2052
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[33].resource/*Observation/acs-cda-accident-patient-ejected*/.encounter"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2060
              },
              {
                "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/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[34].resource/*Observation/acs-cda-accident-rollover*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2060
              },
              {
                "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_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[34].resource/*Observation/acs-cda-accident-rollover*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2072
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[34].resource/*Observation/acs-cda-accident-rollover*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2075
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[34].resource/*Observation/acs-cda-accident-rollover*/.encounter"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2083
              },
              {
                "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/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[35].resource/*Observation/acs-cda-accident-end-over-end*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2083
              },
              {
                "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_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[35].resource/*Observation/acs-cda-accident-end-over-end*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2095
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[35].resource/*Observation/acs-cda-accident-end-over-end*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2098
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[35].resource/*Observation/acs-cda-accident-end-over-end*/.encounter"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2106
              },
              {
                "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/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[36].resource/*Observation/acs-cda-accident-airbag*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2106
              },
              {
                "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_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[36].resource/*Observation/acs-cda-accident-airbag*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2118
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[36].resource/*Observation/acs-cda-accident-airbag*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2121
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[36].resource/*Observation/acs-cda-accident-airbag*/.encounter"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2129
              },
              {
                "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/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[37].resource/*Observation/acs-cda-accident-seatbelt*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2129
              },
              {
                "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_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[37].resource/*Observation/acs-cda-accident-seatbelt*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2141
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[37].resource/*Observation/acs-cda-accident-seatbelt*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2144
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[37].resource/*Observation/acs-cda-accident-seatbelt*/.encounter"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2152
              },
              {
                "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/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[38].resource/*Observation/acs-cda-accident-helmet*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2152
              },
              {
                "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_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[38].resource/*Observation/acs-cda-accident-helmet*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[38].resource/*Observation/acs-cda-accident-helmet*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2167
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[38].resource/*Observation/acs-cda-accident-helmet*/.encounter"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2175
              },
              {
                "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/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[39].resource/*Observation/acs-cda-accident-self-extricated*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2175
              },
              {
                "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_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[39].resource/*Observation/acs-cda-accident-self-extricated*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2187
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[39].resource/*Observation/acs-cda-accident-self-extricated*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2190
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[39].resource/*Observation/acs-cda-accident-self-extricated*/.encounter"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2198
              },
              {
                "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/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[40].resource/*Observation/acs-cda-accident-patient-trapped*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2198
              },
              {
                "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_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[40].resource/*Observation/acs-cda-accident-patient-trapped*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2210
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[40].resource/*Observation/acs-cda-accident-patient-trapped*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2213
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[40].resource/*Observation/acs-cda-accident-patient-trapped*/.encounter"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2261
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[41].resource/*Condition/acs-cda-diagnosis-asthma*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2312
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[42].resource/*Condition/acs-cda-diagnosis-generally-unwell*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2323
              },
              {
                "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/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[43].resource/*Observation/acs-cda-primary-survey*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2403
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[43].resource/*Observation/acs-cda-primary-survey*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2406
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[43].resource/*Observation/acs-cda-primary-survey*/.encounter"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2414
              },
              {
                "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/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[44].resource/*Observation/acs-cda-abcd2-refused*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2446
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[44].resource/*Observation/acs-cda-abcd2-refused*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2449
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[44].resource/*Observation/acs-cda-abcd2-refused*/.encounter"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2457
              },
              {
                "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/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[45].resource/*Observation/acs-cda-abcd2-completed*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2549
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[45].resource/*Observation/acs-cda-abcd2-completed*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2552
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[45].resource/*Observation/acs-cda-abcd2-completed*/.encounter"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2560
              },
              {
                "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/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[46].resource/*Observation/acs-cda-fast-refused*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2592
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[46].resource/*Observation/acs-cda-fast-refused*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2595
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[46].resource/*Observation/acs-cda-fast-refused*/.encounter"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2603
              },
              {
                "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/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[47].resource/*Observation/acs-cda-fast-completed*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2731
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[47].resource/*Observation/acs-cda-fast-completed*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2734
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[47].resource/*Observation/acs-cda-fast-completed*/.encounter"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2742
              },
              {
                "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/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[48].resource/*Observation/acs-cda-falls-refused*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2774
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[48].resource/*Observation/acs-cda-falls-refused*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2777
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[48].resource/*Observation/acs-cda-falls-refused*/.encounter"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2785
              },
              {
                "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/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[49].resource/*Observation/acs-cda-falls-completed*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2949
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[49].resource/*Observation/acs-cda-falls-completed*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2952
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[49].resource/*Observation/acs-cda-falls-completed*/.encounter"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2960
              },
              {
                "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/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[50].resource/*Observation/acs-cda-refusal*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3040
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[50].resource/*Observation/acs-cda-refusal*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3043
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[50].resource/*Observation/acs-cda-refusal*/.encounter"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3051
              },
              {
                "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/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[51].resource/*Observation/acs-cda-competence*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3119
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[51].resource/*Observation/acs-cda-competence*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3122
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[51].resource/*Observation/acs-cda-competence*/.encounter"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3130
              },
              {
                "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/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[52].resource/*Observation/acs-cda-gcs*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3170
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_QTY_UCUM_ANNOTATIONS_NO_UNIT"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "UCUM Codes that contain human readable annotations like {score} can be misleading (e.g. they are ignored when comparing units). Best Practice is not to depend on annotations in the UCUM code, so this usage should be checked, and the Quantity.unit SHOULD contain the annotation"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[52].resource/*Observation/acs-cda-gcs*/.value.ofType(Quantity)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3163
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[52].resource/*Observation/acs-cda-gcs*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3166
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[52].resource/*Observation/acs-cda-gcs*/.encounter"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3211
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Validation_VAL_Profile_Minimum"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Observation.value[x]:valueQuantity.unit: minimum required = 1, but only found 0 (from http://hl7.org/fhir/StructureDefinition/heartrate|4.0.1)"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[53].resource/*Observation/acs-cda-hr*/.value.ofType(Quantity)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3179
              },
              {
                "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/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[53].resource/*Observation/acs-cda-hr*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3217
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[53].resource/*Observation/acs-cda-hr*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3220
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[53].resource/*Observation/acs-cda-hr*/.encounter"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3260
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Validation_VAL_Profile_Minimum"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Observation.value[x]:valueQuantity.unit: minimum required = 1, but only found 0 (from http://hl7.org/fhir/StructureDefinition/resprate|4.0.1)"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[54].resource/*Observation/acs-cda-rr*/.value.ofType(Quantity)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3228
              },
              {
                "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/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[54].resource/*Observation/acs-cda-rr*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3266
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[54].resource/*Observation/acs-cda-rr*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3269
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[54].resource/*Observation/acs-cda-rr*/.encounter"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3334
              },
              {
                "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": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/bp|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Blood pressure panel' for http://loinc.org#85354-9. Valid display is one of 3 choices: 'Blood pressure panel with all children optional' (en-US), 'Blood pressure panel with all children optional' (en-US) or 'BP pnl w all optional' (en-US) (for the language(s) 'en')"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[55].resource/*Observation/acs-cda-bp*/.code.coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3311
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Validation_VAL_Profile_Minimum"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Observation.component:SystolicBP.value[x].unit: minimum required = 1, but only found 0 (from http://hl7.org/fhir/StructureDefinition/bp|4.0.1)"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[55].resource/*Observation/acs-cda-bp*/.component[0].value.ofType(Quantity)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3327
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Validation_VAL_Profile_Minimum"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Observation.component:DiastolicBP.value[x].unit: minimum required = 1, but only found 0 (from http://hl7.org/fhir/StructureDefinition/bp|4.0.1)"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[55].resource/*Observation/acs-cda-bp*/.component[1].value.ofType(Quantity)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3277
              },
              {
                "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/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[55].resource/*Observation/acs-cda-bp*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3344
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[55].resource/*Observation/acs-cda-bp*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3347
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[55].resource/*Observation/acs-cda-bp*/.encounter"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3378
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_VAL_PROFILE_MINIMUM_MAGIC"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/oxygensat|4.0.1"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "OxygenSatCode: magic LOINC code 2708-6 required, but not found (from http://hl7.org/fhir/StructureDefinition/oxygensat|4.0.1). Note that other Observation codes are allowed in addition to this required magic code"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[56].resource/*Observation/acs-cda-spo2*/.code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3387
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Validation_VAL_Profile_Minimum"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Observation.value[x]:valueQuantity.unit: minimum required = 1, but only found 0 (from http://hl7.org/fhir/StructureDefinition/oxygensat|4.0.1)"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[56].resource/*Observation/acs-cda-spo2*/.value.ofType(Quantity)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3355
              },
              {
                "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/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[56].resource/*Observation/acs-cda-spo2*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3393
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[56].resource/*Observation/acs-cda-spo2*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3396
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[56].resource/*Observation/acs-cda-spo2*/.encounter"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3404
              },
              {
                "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/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[57].resource/*Observation/acs-cda-ecg*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3440
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[57].resource/*Observation/acs-cda-ecg*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3443
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[57].resource/*Observation/acs-cda-ecg*/.encounter"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3460
              },
              {
                "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/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[58].resource/*Observation/acs-cda-bgl*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3498
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[58].resource/*Observation/acs-cda-bgl*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3501
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[58].resource/*Observation/acs-cda-bgl*/.encounter"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3509
              },
              {
                "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/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[59].resource/*Observation/acs-cda-caprefill-peripheral*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3535
              },
              {
                "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": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/Observation|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Capillary refill [Time]' for http://loinc.org#44963-7. Valid display is one of 3 choices: 'Capillary refill [Time] of Nail bed' (en-US), 'Capillary refill [Time] of Nail bed' (en-US) or 'Capillary refill Time Nail Bed' (en-US) (for the language(s) 'en')"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[59].resource/*Observation/acs-cda-caprefill-peripheral*/.code.coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3550
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[59].resource/*Observation/acs-cda-caprefill-peripheral*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3553
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[59].resource/*Observation/acs-cda-caprefill-peripheral*/.encounter"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3561
              },
              {
                "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/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[60].resource/*Observation/acs-cda-caprefill-central*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3587
              },
              {
                "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": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/Observation|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Capillary refill [Time]' for http://loinc.org#44963-7. Valid display is one of 3 choices: 'Capillary refill [Time] of Nail bed' (en-US), 'Capillary refill [Time] of Nail bed' (en-US) or 'Capillary refill Time Nail Bed' (en-US) (for the language(s) 'en')"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[60].resource/*Observation/acs-cda-caprefill-central*/.code.coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3602
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[60].resource/*Observation/acs-cda-caprefill-central*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3605
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[60].resource/*Observation/acs-cda-caprefill-central*/.encounter"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3645
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Validation_VAL_Profile_Minimum"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Observation.value[x]:valueQuantity.unit: minimum required = 1, but only found 0 (from http://hl7.org/fhir/StructureDefinition/bodytemp|4.0.1)"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[61].resource/*Observation/acs-cda-temp*/.value.ofType(Quantity)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3613
              },
              {
                "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/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[61].resource/*Observation/acs-cda-temp*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3651
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[61].resource/*Observation/acs-cda-temp*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3654
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[61].resource/*Observation/acs-cda-temp*/.encounter"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3662
              },
              {
                "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/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[62].resource/*Observation/acs-cda-pain*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3702
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_QTY_UCUM_ANNOTATIONS_NO_UNIT"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "UCUM Codes that contain human readable annotations like {score} can be misleading (e.g. they are ignored when comparing units). Best Practice is not to depend on annotations in the UCUM code, so this usage should be checked, and the Quantity.unit SHOULD contain the annotation"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[62].resource/*Observation/acs-cda-pain*/.value.ofType(Quantity)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3695
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[62].resource/*Observation/acs-cda-pain*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3698
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[62].resource/*Observation/acs-cda-pain*/.encounter"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3711
              },
              {
                "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/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[63].resource/*Observation/acs-cda-pupil-reaction-left*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3737
              },
              {
                "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": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/Observation|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Pupillary function (observable entity)' for http://snomed.info/sct#301939004. Valid display is one of 6 choices: 'Miosis' (en), 'Small pupil' (en), 'Constricted pupil' (en), 'Constricted pupil (finding)' (en), 'Pupil constriction' (en) or 'Miotic pupil' (en) (for the language(s) 'en')"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[63].resource/*Observation/acs-cda-pupil-reaction-left*/.code.coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3747
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[63].resource/*Observation/acs-cda-pupil-reaction-left*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3750
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[63].resource/*Observation/acs-cda-pupil-reaction-left*/.encounter"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3759
              },
              {
                "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/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[64].resource/*Observation/acs-cda-pupil-size-left*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3785
              },
              {
                "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_Version"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/Observation|4.0.1"
              }
            ],
            "severity": "error",
            "code": "code-invalid",
            "details": {
              "text": "Unknown code '367665004' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20250201' (International Edition)"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[64].resource/*Observation/acs-cda-pupil-size-left*/.code.coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3800
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[64].resource/*Observation/acs-cda-pupil-size-left*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3803
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[64].resource/*Observation/acs-cda-pupil-size-left*/.encounter"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3811
              },
              {
                "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/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[65].resource/*Observation/acs-cda-pupil-reaction-right*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3837
              },
              {
                "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": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/Observation|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Pupillary function (observable entity)' for http://snomed.info/sct#301939004. Valid display is one of 6 choices: 'Miosis' (en), 'Small pupil' (en), 'Constricted pupil' (en), 'Constricted pupil (finding)' (en), 'Pupil constriction' (en) or 'Miotic pupil' (en) (for the language(s) 'en')"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[65].resource/*Observation/acs-cda-pupil-reaction-right*/.code.coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3847
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[65].resource/*Observation/acs-cda-pupil-reaction-right*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3850
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[65].resource/*Observation/acs-cda-pupil-reaction-right*/.encounter"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3859
              },
              {
                "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/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[66].resource/*Observation/acs-cda-pupil-size-right*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3885
              },
              {
                "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_Version"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/Observation|4.0.1"
              }
            ],
            "severity": "error",
            "code": "code-invalid",
            "details": {
              "text": "Unknown code '367665004' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20250201' (International Edition)"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[66].resource/*Observation/acs-cda-pupil-size-right*/.code.coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3900
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[66].resource/*Observation/acs-cda-pupil-size-right*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3903
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[66].resource/*Observation/acs-cda-pupil-size-right*/.encounter"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3911
              },
              {
                "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/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[67].resource/*Observation/acs-cda-etco2*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3937
              },
              {
                "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": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/Observation|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Carbon dioxide [Partial pressure] in Exhaled gas --at end expiration' for http://loinc.org#19889-5. Valid display is one of 3 choices: 'Carbon dioxide/Gas.total.at end expiration in Exhaled gas' (en-US), 'Carbon dioxide/Gas.total.at end expiration in Exhaled gas' (en-US) or 'CO2 VFr ExG' (en-US) (for the language(s) 'en')"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[67].resource/*Observation/acs-cda-etco2*/.code.coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3952
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[67].resource/*Observation/acs-cda-etco2*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3955
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[67].resource/*Observation/acs-cda-etco2*/.encounter"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3963
              },
              {
                "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/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[68].resource/*Observation/acs-cda-skin*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3986
              },
              {
                "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": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/Observation|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'General skin examination' for http://snomed.info/sct#225544001. Valid display is one of 3 choices: 'Skin appearance normal' (en), 'Skin normal' (en) or 'Skin appearance normal (finding)' (en) (for the language(s) 'en')"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[68].resource/*Observation/acs-cda-skin*/.code.coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3996
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[68].resource/*Observation/acs-cda-skin*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3999
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[68].resource/*Observation/acs-cda-skin*/.encounter"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 4016
              },
              {
                "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/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[69].resource/*Observation/acs-cda-pefr*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 4039
              },
              {
                "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": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/Observation|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Maximum expiratory gas flow Respiratory system airway by Peak flow meter' for http://loinc.org#33452-4. Valid display is one of 3 choices: 'Maximum expiratory gas flow Respiratory system airway' (en-US), 'Maximum expiratory gas flow Respiratory system airway' (en-US) or 'PEF Airway' (en-US) (for the language(s) 'en')"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[69].resource/*Observation/acs-cda-pefr*/.code.coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 4054
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[69].resource/*Observation/acs-cda-pefr*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 4057
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[69].resource/*Observation/acs-cda-pefr*/.encounter"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 4091
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[70].resource/*Condition/acs-cda-medical-history*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 4106
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Terminology_TX_ValueSet_NotFound"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-current-medication|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "ValueSet 'http://nzmt.org.nz/vs' not found"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[71].resource/*MedicationStatement/acs-cda-current-medications*/.medication.ofType(CodeableConcept)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 4110
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[71].resource/*MedicationStatement/acs-cda-current-medications*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 4150
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[72].resource/*AllergyIntolerance/acs-cda-allergy-nka*/.patient"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 4157
              },
              {
                "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/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[73].resource/*Observation/acs-cda-last-oral-intake*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 4189
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[73].resource/*Observation/acs-cda-last-oral-intake*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 4192
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[73].resource/*Observation/acs-cda-last-oral-intake*/.encounter"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 4216
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[74].resource/*CarePlan/acs-cda-careplan*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 4219
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[74].resource/*CarePlan/acs-cda-careplan*/.encounter"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 4242
              },
              {
                "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": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/ServiceRequest|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'GP Surgery Appointment' for http://snomed.info/sct#183561008. Valid display is one of 6 choices: 'Referral to GP' (en), 'Referral to G.P.' (en), 'Referral to GP (procedure)' (en), 'Referral to general practitioner (procedure)' (en), 'Referral to general practitioner' (en) or 'Referral to GP (general practitioner)' (en) (for the language(s) 'en')"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[75].resource/*ServiceRequest/acs-cda-referral-gp*/.code.coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 4251
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[75].resource/*ServiceRequest/acs-cda-referral-gp*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 4254
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[75].resource/*ServiceRequest/acs-cda-referral-gp*/.encounter"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 4274
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 31
              },
              {
                "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"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-service-provider-role|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'vehicle.jpg'"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[76].resource/*Media/acs-cda-image-vehicle*/.content.url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 4282
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[76].resource/*Media/acs-cda-image-vehicle*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 4285
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[76].resource/*Media/acs-cda-image-vehicle*/.encounter"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 4309
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 34
              },
              {
                "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"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-service-provider-role|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'body-front.jpg'"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[77].resource/*Media/acs-cda-image-body-front*/.content.url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 4320
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[77].resource/*Media/acs-cda-image-body-front*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 4323
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[77].resource/*Media/acs-cda-image-body-front*/.encounter"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 4347
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 33
              },
              {
                "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"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-service-provider-role|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'body-back.jpg'"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[78].resource/*Media/acs-cda-image-body-back*/.content.url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 4358
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[78].resource/*Media/acs-cda-image-body-back*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 4361
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[78].resource/*Media/acs-cda-image-body-back*/.encounter"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 4385
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 32
              },
              {
                "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"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-service-provider-role|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'image-01.jpg'"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[79].resource/*Media/acs-cda-image-01*/.content.url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 4393
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[79].resource/*Media/acs-cda-image-01*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 4396
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[79].resource/*Media/acs-cda-image-01*/.encounter"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 4420
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 32
              },
              {
                "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"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-service-provider-role|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'image-02.jpg'"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[80].resource/*Media/acs-cda-image-02*/.content.url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 4428
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[80].resource/*Media/acs-cda-image-02*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 4431
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[80].resource/*Media/acs-cda-image-02*/.encounter"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 4457
              },
              {
                "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_CODESYSTEM"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/MedicationAdministration|4.0.1"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.113883.2.18.26' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[81].resource/*MedicationAdministration/acs-cda-med-adenosine*/.medication.ofType(CodeableConcept).coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 4488
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[81].resource/*MedicationAdministration/acs-cda-med-adenosine*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 4491
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[81].resource/*MedicationAdministration/acs-cda-med-adenosine*/.context"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 4514
              },
              {
                "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-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/MedicationAdministration|4.0.1"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.113883.2.18.26' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[82].resource/*MedicationAdministration/acs-cda-med-adrenaline-bolus*/.medication.ofType(CodeableConcept).coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 4545
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[82].resource/*MedicationAdministration/acs-cda-med-adrenaline-bolus*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 4548
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[82].resource/*MedicationAdministration/acs-cda-med-adrenaline-bolus*/.context"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 4571
              },
              {
                "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-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/MedicationAdministration|4.0.1"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.113883.2.18.26' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[83].resource/*MedicationAdministration/acs-cda-med-adrenaline-infusion*/.medication.ofType(CodeableConcept).coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 4602
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[83].resource/*MedicationAdministration/acs-cda-med-adrenaline-infusion*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 4605
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[83].resource/*MedicationAdministration/acs-cda-med-adrenaline-infusion*/.context"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 4628
              },
              {
                "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-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/MedicationAdministration|4.0.1"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.113883.2.18.26' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[84].resource/*MedicationAdministration/acs-cda-med-adrenaline-neb*/.medication.ofType(CodeableConcept).coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 4659
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[84].resource/*MedicationAdministration/acs-cda-med-adrenaline-neb*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 4662
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[84].resource/*MedicationAdministration/acs-cda-med-adrenaline-neb*/.context"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 4685
              },
              {
                "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-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/MedicationAdministration|4.0.1"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.113883.2.18.26' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[85].resource/*MedicationAdministration/acs-cda-med-adrenaline-im-in*/.medication.ofType(CodeableConcept).coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 4716
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[85].resource/*MedicationAdministration/acs-cda-med-adrenaline-im-in*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 4719
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[85].resource/*MedicationAdministration/acs-cda-med-adrenaline-im-in*/.context"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 4742
              },
              {
                "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-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/MedicationAdministration|4.0.1"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.113883.2.18.26' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[86].resource/*MedicationAdministration/acs-cda-med-adrenaline-arrest*/.medication.ofType(CodeableConcept).coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 4773
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[86].resource/*MedicationAdministration/acs-cda-med-adrenaline-arrest*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 4776
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[86].resource/*MedicationAdministration/acs-cda-med-adrenaline-arrest*/.context"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 4799
              },
              {
                "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-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/MedicationAdministration|4.0.1"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.113883.2.18.26' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[87].resource/*MedicationAdministration/acs-cda-med-amiodarone-arrest*/.medication.ofType(CodeableConcept).coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 4830
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[87].resource/*MedicationAdministration/acs-cda-med-amiodarone-arrest*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 4833
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[87].resource/*MedicationAdministration/acs-cda-med-amiodarone-arrest*/.context"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 4856
              },
              {
                "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-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/MedicationAdministration|4.0.1"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.113883.2.18.26' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[88].resource/*MedicationAdministration/acs-cda-med-amiodarone-bolus*/.medication.ofType(CodeableConcept).coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 4887
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[88].resource/*MedicationAdministration/acs-cda-med-amiodarone-bolus*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 4890
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[88].resource/*MedicationAdministration/acs-cda-med-amiodarone-bolus*/.context"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 4913
              },
              {
                "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-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/MedicationAdministration|4.0.1"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.113883.2.18.26' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[89].resource/*MedicationAdministration/acs-cda-med-amiodarone-infusion*/.medication.ofType(CodeableConcept).coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 4944
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[89].resource/*MedicationAdministration/acs-cda-med-amiodarone-infusion*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 4947
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[89].resource/*MedicationAdministration/acs-cda-med-amiodarone-infusion*/.context"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 4970
              },
              {
                "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-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/MedicationAdministration|4.0.1"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.113883.2.18.26' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[90].resource/*MedicationAdministration/acs-cda-med-aspirin*/.medication.ofType(CodeableConcept).coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 5001
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[90].resource/*MedicationAdministration/acs-cda-med-aspirin*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 5004
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[90].resource/*MedicationAdministration/acs-cda-med-aspirin*/.context"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 5027
              },
              {
                "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-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/MedicationAdministration|4.0.1"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.113883.2.18.26' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[91].resource/*MedicationAdministration/acs-cda-med-atropine*/.medication.ofType(CodeableConcept).coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 5058
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[91].resource/*MedicationAdministration/acs-cda-med-atropine*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 5061
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[91].resource/*MedicationAdministration/acs-cda-med-atropine*/.context"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 5084
              },
              {
                "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-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/MedicationAdministration|4.0.1"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.113883.2.18.26' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[92].resource/*MedicationAdministration/acs-cda-med-calcium-chloride*/.medication.ofType(CodeableConcept).coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 5115
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[92].resource/*MedicationAdministration/acs-cda-med-calcium-chloride*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 5118
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[92].resource/*MedicationAdministration/acs-cda-med-calcium-chloride*/.context"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 5141
              },
              {
                "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-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/MedicationAdministration|4.0.1"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.113883.2.18.26' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[93].resource/*MedicationAdministration/acs-cda-med-ceftriaxone*/.medication.ofType(CodeableConcept).coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 5172
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[93].resource/*MedicationAdministration/acs-cda-med-ceftriaxone*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 5175
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[93].resource/*MedicationAdministration/acs-cda-med-ceftriaxone*/.context"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 5198
              },
              {
                "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-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/MedicationAdministration|4.0.1"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.113883.2.18.26' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[94].resource/*MedicationAdministration/acs-cda-med-clopidogrel*/.medication.ofType(CodeableConcept).coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 5229
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[94].resource/*MedicationAdministration/acs-cda-med-clopidogrel*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 5232
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[94].resource/*MedicationAdministration/acs-cda-med-clopidogrel*/.context"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 5255
              },
              {
                "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-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/MedicationAdministration|4.0.1"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.113883.2.18.26' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[95].resource/*MedicationAdministration/acs-cda-med-entonox*/.medication.ofType(CodeableConcept).coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 5274
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_QTY_UCUM_ANNOTATIONS_NO_UNIT"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-service-provider-role|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "UCUM Codes that contain human readable annotations like {dose} can be misleading (e.g. they are ignored when comparing units). Best Practice is not to depend on annotations in the UCUM code, so this usage should be checked, and the Quantity.unit SHOULD contain the annotation"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[95].resource/*MedicationAdministration/acs-cda-med-entonox*/.dosage.dose"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 5292
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[95].resource/*MedicationAdministration/acs-cda-med-entonox*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 5295
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[95].resource/*MedicationAdministration/acs-cda-med-entonox*/.context"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 5318
              },
              {
                "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-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/MedicationAdministration|4.0.1"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.113883.2.18.26' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[96].resource/*MedicationAdministration/acs-cda-med-fentanyl*/.medication.ofType(CodeableConcept).coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 5337
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Unknown_Code_in_Version"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-service-provider-role|0.1.0"
              }
            ],
            "severity": "error",
            "code": "code-invalid",
            "details": {
              "text": "Unknown code 'mcg' in the CodeSystem 'http://unitsofmeasure.org' version '2.2'"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[96].resource/*MedicationAdministration/acs-cda-med-fentanyl*/.dosage.dose.code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 5349
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[96].resource/*MedicationAdministration/acs-cda-med-fentanyl*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 5352
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[96].resource/*MedicationAdministration/acs-cda-med-fentanyl*/.context"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 5375
              },
              {
                "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-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/MedicationAdministration|4.0.1"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.113883.2.18.26' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[97].resource/*MedicationAdministration/acs-cda-med-glucagon*/.medication.ofType(CodeableConcept).coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 5406
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[97].resource/*MedicationAdministration/acs-cda-med-glucagon*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 5409
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[97].resource/*MedicationAdministration/acs-cda-med-glucagon*/.context"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 5432
              },
              {
                "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-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/MedicationAdministration|4.0.1"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.113883.2.18.26' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[98].resource/*MedicationAdministration/acs-cda-med-oral-glucose*/.medication.ofType(CodeableConcept).coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 5463
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[98].resource/*MedicationAdministration/acs-cda-med-oral-glucose*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 5466
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[98].resource/*MedicationAdministration/acs-cda-med-oral-glucose*/.context"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 5489
              },
              {
                "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-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/MedicationAdministration|4.0.1"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.113883.2.18.26' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[99].resource/*MedicationAdministration/acs-cda-med-glucose-10-percent*/.medication.ofType(CodeableConcept).coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 5520
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[99].resource/*MedicationAdministration/acs-cda-med-glucose-10-percent*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 5523
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[99].resource/*MedicationAdministration/acs-cda-med-glucose-10-percent*/.context"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 5546
              },
              {
                "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-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/MedicationAdministration|4.0.1"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.113883.2.18.26' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[100].resource/*MedicationAdministration/acs-cda-med-gtn*/.medication.ofType(CodeableConcept).coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 5577
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[100].resource/*MedicationAdministration/acs-cda-med-gtn*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 5580
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[100].resource/*MedicationAdministration/acs-cda-med-gtn*/.context"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 5603
              },
              {
                "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-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/MedicationAdministration|4.0.1"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.113883.2.18.26' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[101].resource/*MedicationAdministration/acs-cda-med-ibuprofen*/.medication.ofType(CodeableConcept).coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 5634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[101].resource/*MedicationAdministration/acs-cda-med-ibuprofen*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 5637
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[101].resource/*MedicationAdministration/acs-cda-med-ibuprofen*/.context"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 5660
              },
              {
                "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-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/MedicationAdministration|4.0.1"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.113883.2.18.26' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[102].resource/*MedicationAdministration/acs-cda-med-ipratropium-neb*/.medication.ofType(CodeableConcept).coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 5679
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Unknown_Code_in_Version"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-service-provider-role|0.1.0"
              }
            ],
            "severity": "error",
            "code": "code-invalid",
            "details": {
              "text": "Unknown code 'mcg' in the CodeSystem 'http://unitsofmeasure.org' version '2.2'"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[102].resource/*MedicationAdministration/acs-cda-med-ipratropium-neb*/.dosage.dose.code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 5691
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[102].resource/*MedicationAdministration/acs-cda-med-ipratropium-neb*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 5694
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[102].resource/*MedicationAdministration/acs-cda-med-ipratropium-neb*/.context"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 5717
              },
              {
                "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-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/MedicationAdministration|4.0.1"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.113883.2.18.26' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[103].resource/*MedicationAdministration/acs-cda-med-ipratropium-mdi*/.medication.ofType(CodeableConcept).coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 5736
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_QTY_UCUM_ANNOTATIONS_NO_UNIT"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-service-provider-role|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "UCUM Codes that contain human readable annotations like {puff} can be misleading (e.g. they are ignored when comparing units). Best Practice is not to depend on annotations in the UCUM code, so this usage should be checked, and the Quantity.unit SHOULD contain the annotation"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[103].resource/*MedicationAdministration/acs-cda-med-ipratropium-mdi*/.dosage.dose"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 5748
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[103].resource/*MedicationAdministration/acs-cda-med-ipratropium-mdi*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 5751
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[103].resource/*MedicationAdministration/acs-cda-med-ipratropium-mdi*/.context"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 5774
              },
              {
                "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-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/MedicationAdministration|4.0.1"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.113883.2.18.26' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[104].resource/*MedicationAdministration/acs-cda-med-ketamine*/.medication.ofType(CodeableConcept).coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 5805
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[104].resource/*MedicationAdministration/acs-cda-med-ketamine*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 5808
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[104].resource/*MedicationAdministration/acs-cda-med-ketamine*/.context"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 5831
              },
              {
                "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-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/MedicationAdministration|4.0.1"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.113883.2.18.26' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[105].resource/*MedicationAdministration/acs-cda-med-lignocaine*/.medication.ofType(CodeableConcept).coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 5862
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[105].resource/*MedicationAdministration/acs-cda-med-lignocaine*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 5865
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[105].resource/*MedicationAdministration/acs-cda-med-lignocaine*/.context"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 5888
              },
              {
                "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-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/MedicationAdministration|4.0.1"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.113883.2.18.26' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[106].resource/*MedicationAdministration/acs-cda-med-lignocaine-ring-block*/.medication.ofType(CodeableConcept).coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 5919
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[106].resource/*MedicationAdministration/acs-cda-med-lignocaine-ring-block*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 5922
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[106].resource/*MedicationAdministration/acs-cda-med-lignocaine-ring-block*/.context"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 5945
              },
              {
                "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-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/MedicationAdministration|4.0.1"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.113883.2.18.26' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[107].resource/*MedicationAdministration/acs-cda-med-lignocaine-cannulation*/.medication.ofType(CodeableConcept).coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 5976
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[107].resource/*MedicationAdministration/acs-cda-med-lignocaine-cannulation*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 5979
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[107].resource/*MedicationAdministration/acs-cda-med-lignocaine-cannulation*/.context"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 6002
              },
              {
                "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-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/MedicationAdministration|4.0.1"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.113883.2.18.26' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[108].resource/*MedicationAdministration/acs-cda-med-loratadine*/.medication.ofType(CodeableConcept).coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 6033
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[108].resource/*MedicationAdministration/acs-cda-med-loratadine*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 6036
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[108].resource/*MedicationAdministration/acs-cda-med-loratadine*/.context"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 6059
              },
              {
                "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-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/MedicationAdministration|4.0.1"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.113883.2.18.26' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[109].resource/*MedicationAdministration/acs-cda-med-methoxyflurane*/.medication.ofType(CodeableConcept).coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 6090
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[109].resource/*MedicationAdministration/acs-cda-med-methoxyflurane*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 6093
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[109].resource/*MedicationAdministration/acs-cda-med-methoxyflurane*/.context"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 6116
              },
              {
                "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-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/MedicationAdministration|4.0.1"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.113883.2.18.26' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[110].resource/*MedicationAdministration/acs-cda-med-midazolam-im*/.medication.ofType(CodeableConcept).coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 6147
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[110].resource/*MedicationAdministration/acs-cda-med-midazolam-im*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 6150
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[110].resource/*MedicationAdministration/acs-cda-med-midazolam-im*/.context"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 6173
              },
              {
                "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-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/MedicationAdministration|4.0.1"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.113883.2.18.26' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[111].resource/*MedicationAdministration/acs-cda-med-midazolam-iv*/.medication.ofType(CodeableConcept).coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 6204
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[111].resource/*MedicationAdministration/acs-cda-med-midazolam-iv*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 6207
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[111].resource/*MedicationAdministration/acs-cda-med-midazolam-iv*/.context"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 6230
              },
              {
                "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-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/MedicationAdministration|4.0.1"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.113883.2.18.26' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[112].resource/*MedicationAdministration/acs-cda-med-morphine*/.medication.ofType(CodeableConcept).coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 6261
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[112].resource/*MedicationAdministration/acs-cda-med-morphine*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 6264
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[112].resource/*MedicationAdministration/acs-cda-med-morphine*/.context"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 6287
              },
              {
                "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-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/MedicationAdministration|4.0.1"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.113883.2.18.26' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[113].resource/*MedicationAdministration/acs-cda-med-naloxone*/.medication.ofType(CodeableConcept).coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 6318
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[113].resource/*MedicationAdministration/acs-cda-med-naloxone*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 6321
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[113].resource/*MedicationAdministration/acs-cda-med-naloxone*/.context"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 6344
              },
              {
                "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-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/MedicationAdministration|4.0.1"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.113883.2.18.26' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[114].resource/*MedicationAdministration/acs-cda-med-ondansetron-injection*/.medication.ofType(CodeableConcept).coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 6375
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[114].resource/*MedicationAdministration/acs-cda-med-ondansetron-injection*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 6378
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[114].resource/*MedicationAdministration/acs-cda-med-ondansetron-injection*/.context"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 6401
              },
              {
                "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-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/MedicationAdministration|4.0.1"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.113883.2.18.26' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[115].resource/*MedicationAdministration/acs-cda-med-ondansetron-wafer*/.medication.ofType(CodeableConcept).coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 6432
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[115].resource/*MedicationAdministration/acs-cda-med-ondansetron-wafer*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 6435
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[115].resource/*MedicationAdministration/acs-cda-med-ondansetron-wafer*/.context"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 6482
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[116].resource/*MedicationAdministration/acs-cda-med-other-quinapril*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 6485
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[116].resource/*MedicationAdministration/acs-cda-med-other-quinapril*/.context"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 6508
              },
              {
                "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-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/MedicationAdministration|4.0.1"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.113883.2.18.26' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[117].resource/*MedicationAdministration/acs-cda-med-oxygen*/.medication.ofType(CodeableConcept).coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 6539
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[117].resource/*MedicationAdministration/acs-cda-med-oxygen*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 6542
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[117].resource/*MedicationAdministration/acs-cda-med-oxygen*/.context"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 6565
              },
              {
                "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-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/MedicationAdministration|4.0.1"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.113883.2.18.26' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[118].resource/*MedicationAdministration/acs-cda-med-oxytocin*/.medication.ofType(CodeableConcept).coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 6596
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[118].resource/*MedicationAdministration/acs-cda-med-oxytocin*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 6599
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[118].resource/*MedicationAdministration/acs-cda-med-oxytocin*/.context"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 6622
              },
              {
                "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-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/MedicationAdministration|4.0.1"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.113883.2.18.26' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[119].resource/*MedicationAdministration/acs-cda-med-paracetamol-tablet*/.medication.ofType(CodeableConcept).coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 6653
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[119].resource/*MedicationAdministration/acs-cda-med-paracetamol-tablet*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 6656
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[119].resource/*MedicationAdministration/acs-cda-med-paracetamol-tablet*/.context"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 6679
              },
              {
                "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-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/MedicationAdministration|4.0.1"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.113883.2.18.26' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[120].resource/*MedicationAdministration/acs-cda-med-paracetamol-syrup*/.medication.ofType(CodeableConcept).coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 6710
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[120].resource/*MedicationAdministration/acs-cda-med-paracetamol-syrup*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 6713
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[120].resource/*MedicationAdministration/acs-cda-med-paracetamol-syrup*/.context"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 6736
              },
              {
                "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-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/MedicationAdministration|4.0.1"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.113883.2.18.26' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[121].resource/*MedicationAdministration/acs-cda-med-prednisone*/.medication.ofType(CodeableConcept).coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 6767
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[121].resource/*MedicationAdministration/acs-cda-med-prednisone*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 6770
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[121].resource/*MedicationAdministration/acs-cda-med-prednisone*/.context"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 6793
              },
              {
                "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-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/MedicationAdministration|4.0.1"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.113883.2.18.26' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[122].resource/*MedicationAdministration/acs-cda-med-rocuronium*/.medication.ofType(CodeableConcept).coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 6824
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[122].resource/*MedicationAdministration/acs-cda-med-rocuronium*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 6827
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[122].resource/*MedicationAdministration/acs-cda-med-rocuronium*/.context"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 6850
              },
              {
                "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-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/MedicationAdministration|4.0.1"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.113883.2.18.26' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[123].resource/*MedicationAdministration/acs-cda-med-salbutamol-neb*/.medication.ofType(CodeableConcept).coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 6881
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[123].resource/*MedicationAdministration/acs-cda-med-salbutamol-neb*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 6884
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[123].resource/*MedicationAdministration/acs-cda-med-salbutamol-neb*/.context"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 6907
              },
              {
                "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-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/MedicationAdministration|4.0.1"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.113883.2.18.26' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[124].resource/*MedicationAdministration/acs-cda-med-salbutamol-mdi*/.medication.ofType(CodeableConcept).coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 6926
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_QTY_UCUM_ANNOTATIONS_NO_UNIT"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-service-provider-role|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "UCUM Codes that contain human readable annotations like {puff} can be misleading (e.g. they are ignored when comparing units). Best Practice is not to depend on annotations in the UCUM code, so this usage should be checked, and the Quantity.unit SHOULD contain the annotation"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[124].resource/*MedicationAdministration/acs-cda-med-salbutamol-mdi*/.dosage.dose"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 6938
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[124].resource/*MedicationAdministration/acs-cda-med-salbutamol-mdi*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 6941
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[124].resource/*MedicationAdministration/acs-cda-med-salbutamol-mdi*/.context"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 6964
              },
              {
                "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-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/MedicationAdministration|4.0.1"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.113883.2.18.26' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[125].resource/*MedicationAdministration/acs-cda-med-salbutamol-ipratropium-mdi*/.medication.ofType(CodeableConcept).coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 6983
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_QTY_UCUM_ANNOTATIONS_NO_UNIT"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-service-provider-role|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "UCUM Codes that contain human readable annotations like {puff} can be misleading (e.g. they are ignored when comparing units). Best Practice is not to depend on annotations in the UCUM code, so this usage should be checked, and the Quantity.unit SHOULD contain the annotation"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[125].resource/*MedicationAdministration/acs-cda-med-salbutamol-ipratropium-mdi*/.dosage.dose"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 6995
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[125].resource/*MedicationAdministration/acs-cda-med-salbutamol-ipratropium-mdi*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 6998
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[125].resource/*MedicationAdministration/acs-cda-med-salbutamol-ipratropium-mdi*/.context"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 7021
              },
              {
                "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-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/MedicationAdministration|4.0.1"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.113883.2.18.26' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[126].resource/*MedicationAdministration/acs-cda-med-sodium-bicarbonate*/.medication.ofType(CodeableConcept).coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 7052
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[126].resource/*MedicationAdministration/acs-cda-med-sodium-bicarbonate*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 7055
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[126].resource/*MedicationAdministration/acs-cda-med-sodium-bicarbonate*/.context"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 7078
              },
              {
                "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-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/MedicationAdministration|4.0.1"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.113883.2.18.26' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[127].resource/*MedicationAdministration/acs-cda-med-sodium-chloride*/.medication.ofType(CodeableConcept).coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 7109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[127].resource/*MedicationAdministration/acs-cda-med-sodium-chloride*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 7112
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[127].resource/*MedicationAdministration/acs-cda-med-sodium-chloride*/.context"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 7135
              },
              {
                "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-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/MedicationAdministration|4.0.1"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.113883.2.18.26' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[128].resource/*MedicationAdministration/acs-cda-med-suxamethonium*/.medication.ofType(CodeableConcept).coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 7166
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[128].resource/*MedicationAdministration/acs-cda-med-suxamethonium*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 7169
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[128].resource/*MedicationAdministration/acs-cda-med-suxamethonium*/.context"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 7192
              },
              {
                "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-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/MedicationAdministration|4.0.1"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.113883.2.18.26' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[129].resource/*MedicationAdministration/acs-cda-med-tramadol*/.medication.ofType(CodeableConcept).coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 7223
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[129].resource/*MedicationAdministration/acs-cda-med-tramadol*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 7226
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[129].resource/*MedicationAdministration/acs-cda-med-tramadol*/.context"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 7261
              },
              {
                "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": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/Procedure|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Airway Management Manual Clear' for http://snomed.info/sct#232664002. Valid display is one of 3 choices: 'Manual establishment of airway' (en), 'Airway obtained manually' (en) or 'Manual establishment of airway (procedure)' (en) (for the language(s) 'en')"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[130].resource/*Procedure/acs-cda-proc-airway-manual-clear*/.code.coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 7255
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[130].resource/*Procedure/acs-cda-proc-airway-manual-clear*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 7258
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[130].resource/*Procedure/acs-cda-proc-airway-manual-clear*/.encounter"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 7302
              },
              {
                "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": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/Procedure|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Airway Management Suction' for http://snomed.info/sct#230040009. Valid display is one of 3 choices: 'Airway suction technique' (en), 'Airway suction technique (procedure)' (en) or 'Airway suctioning' (en) (for the language(s) 'en')"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[131].resource/*Procedure/acs-cda-proc-airway-suction*/.code.coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 7296
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[131].resource/*Procedure/acs-cda-proc-airway-suction*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 7299
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[131].resource/*Procedure/acs-cda-proc-airway-suction*/.encounter"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 7343
              },
              {
                "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": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/Procedure|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Airway Management OPA' for http://snomed.info/sct#7443007. Valid display is one of 4 choices: 'Insertion of oropharyngeal airway' (en), 'Oropharyngeal airway insertion' (en), 'Oral airway insertion' (en) or 'Insertion of oropharyngeal airway (procedure)' (en) (for the language(s) 'en')"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[132].resource/*Procedure/acs-cda-proc-airway-opa*/.code.coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 7337
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[132].resource/*Procedure/acs-cda-proc-airway-opa*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 7340
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[132].resource/*Procedure/acs-cda-proc-airway-opa*/.encounter"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 7393
              },
              {
                "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": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/Procedure|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Airway Management NPA' for http://snomed.info/sct#182692007. Valid display is one of 4 choices: 'Nasopharyngeal airway insertion' (en), 'Nasal airway insertion' (en), 'NP - Nasopharyngeal airway insertion' (en) or 'Nasopharyngeal airway insertion (procedure)' (en) (for the language(s) 'en')"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[133].resource/*Procedure/acs-cda-proc-airway-npa*/.code.coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 7387
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[133].resource/*Procedure/acs-cda-proc-airway-npa*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 7390
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[133].resource/*Procedure/acs-cda-proc-airway-npa*/.encounter"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 7443
              },
              {
                "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": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/Procedure|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Airway Management LMA' for http://snomed.info/sct#418613003. Valid display is one of 5 choices: 'Tracheal intubation through a laryngeal mask airway (procedure)' (en), 'Tracheal intubation through a laryngeal mask airway' (en), 'Tracheal intubation through LMA' (en), 'Tracheal intubation through LMA (laryngeal mask airway)' (en) or 'Endotracheal intubation through laryngeal mask airway' (en) (for the language(s) 'en')"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[134].resource/*Procedure/acs-cda-proc-airway-lma*/.code.coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 7437
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[134].resource/*Procedure/acs-cda-proc-airway-lma*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 7440
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[134].resource/*Procedure/acs-cda-proc-airway-lma*/.encounter"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 7493
              },
              {
                "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": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/Procedure|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Airway Management Intubation' for http://snomed.info/sct#112798008. Valid display is one of 5 choices: 'Insertion of endotracheal tube' (en), 'Intubation of trachea' (en), 'Insertion of endotracheal tube (procedure)' (en), 'Endotracheal intubation' (en) or 'Tracheal intubation' (en) (for the language(s) 'en')"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[135].resource/*Procedure/acs-cda-proc-airway-intubation*/.code.coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 7487
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[135].resource/*Procedure/acs-cda-proc-airway-intubation*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 7490
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[135].resource/*Procedure/acs-cda-proc-airway-intubation*/.encounter"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 7543
              },
              {
                "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": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/Procedure|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Airway Management Cricothyroidotomy' for http://snomed.info/sct#173067007. Valid display is one of 4 choices: 'Cricothyroidotomy' (en), 'Cricothyroidostomy' (en), 'Cricothyroidotomy (procedure)' (en) or 'Cricothyrotomy' (en) (for the language(s) 'en')"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[136].resource/*Procedure/acs-cda-proc-airway-cricothyroidotomy*/.code.coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 7537
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[136].resource/*Procedure/acs-cda-proc-airway-cricothyroidotomy*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 7540
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[136].resource/*Procedure/acs-cda-proc-airway-cricothyroidotomy*/.encounter"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 7593
              },
              {
                "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": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/Procedure|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Airway Management Laryngoscopy' for http://snomed.info/sct#28760000. Valid display is one of 9 choices: 'Laryngoscopy' (en), 'Laryngoscopy, NOS' (en), 'Laryngotracheoscopy, NOS' (en), 'Endoscopic exploration of larynx, NOS' (en), 'Endoscopy of larynx, NOS' (en), 'Laryngotracheoscopy' (en), 'Endoscopic exploration of larynx' (en), 'Endoscopy of larynx' (en) or 'Laryngoscopy (procedure)' (en) (for the language(s) 'en')"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[137].resource/*Procedure/acs-cda-proc-airway-laryngoscopy*/.code.coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 7587
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[137].resource/*Procedure/acs-cda-proc-airway-laryngoscopy*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 7590
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[137].resource/*Procedure/acs-cda-proc-airway-laryngoscopy*/.encounter"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 7643
              },
              {
                "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": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/Procedure|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Airway Management Other Device' for http://snomed.info/sct#397982008. Valid display is one of 2 choices: 'Insertion of device into airway (procedure)' (en) or 'Insertion of device into airway' (en) (for the language(s) 'en')"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[138].resource/*Procedure/acs-cda-proc-airway-other-device*/.code.coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 7637
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[138].resource/*Procedure/acs-cda-proc-airway-other-device*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 7640
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[138].resource/*Procedure/acs-cda-proc-airway-other-device*/.encounter"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 7681
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[139].resource/*Procedure/acs-cda-proc-ventilation-manual*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 7684
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[139].resource/*Procedure/acs-cda-proc-ventilation-manual*/.encounter"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 7713
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[140].resource/*Procedure/acs-cda-proc-cardioversion*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 7716
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[140].resource/*Procedure/acs-cda-proc-cardioversion*/.encounter"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 7760
              },
              {
                "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": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/Procedure|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Catheter troubleshooting' for http://snomed.info/sct#410253009. Valid display is one of 3 choices: 'Urinary catheter care management (procedure)' (en), 'Urinary catheter care management' (en) or 'Manage urinary catheter care' (en) (for the language(s) 'en')"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[141].resource/*Procedure/acs-cda-proc-catheter-troubleshooting*/.code.coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 7754
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[141].resource/*Procedure/acs-cda-proc-catheter-troubleshooting*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 7757
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[141].resource/*Procedure/acs-cda-proc-catheter-troubleshooting*/.encounter"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 7822
              },
              {
                "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": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/Procedure|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Chest decompression' for http://snomed.info/sct#367408005. Valid display is one of 5 choices: 'Incision of chest wall' (en), 'Thoracostomy' (en), 'Incision of thorax' (en), 'Incision of thorax (procedure)' (en) or 'Thoracic incision' (en) (for the language(s) 'en')"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[142].resource/*Procedure/acs-cda-proc-chest-decompression*/.code.coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 7799
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "INACTIVE_DISPLAY_FOUND"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-service-provider-role|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "'Second intercostal space' is no longer considered a correct display for code '243939008' (status = inactive). The correct display is one of Entire second intercostal space,Entire second intercostal space (body structure)"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[142].resource/*Procedure/acs-cda-proc-chest-decompression*/.bodySite[0].coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 7816
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[142].resource/*Procedure/acs-cda-proc-chest-decompression*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 7819
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[142].resource/*Procedure/acs-cda-proc-chest-decompression*/.encounter"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 7869
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[143].resource/*Procedure/acs-cda-proc-cpap*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 7872
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[143].resource/*Procedure/acs-cda-proc-cpap*/.encounter"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 7907
              },
              {
                "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": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/Procedure|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'CPR' for http://snomed.info/sct#89666000. Valid display is one of 4 choices: 'Cardiopulmonary resuscitation' (en), 'Cardiopulmonary resuscitation, NOS' (en), 'Cardiopulmonary resuscitation (procedure)' (en) or 'CPR - Cardiopulmonary resuscitation' (en) (for the language(s) 'en')"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[144].resource/*Procedure/acs-cda-proc-cpr*/.code.coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 7901
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[144].resource/*Procedure/acs-cda-proc-cpr*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 7904
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[144].resource/*Procedure/acs-cda-proc-cpr*/.encounter"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 7948
              },
              {
                "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": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/Procedure|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Defibrillation' for http://snomed.info/sct#308842001. Valid display is one of 2 choices: 'Direct current defibrillation' (en) or 'Direct current defibrillation (procedure)' (en) (for the language(s) 'en')"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[145].resource/*Procedure/acs-cda-proc-defibrillation*/.code.coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 7942
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[145].resource/*Procedure/acs-cda-proc-defibrillation*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 7945
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[145].resource/*Procedure/acs-cda-proc-defibrillation*/.encounter"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 7989
              },
              {
                "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": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/Procedure|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Defibrillation AED' for http://snomed.info/sct#308842001. Valid display is one of 2 choices: 'Direct current defibrillation' (en) or 'Direct current defibrillation (procedure)' (en) (for the language(s) 'en')"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[146].resource/*Procedure/acs-cda-proc-defibrillation-aed*/.code.coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 7983
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[146].resource/*Procedure/acs-cda-proc-defibrillation-aed*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 7986
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[146].resource/*Procedure/acs-cda-proc-defibrillation-aed*/.encounter"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 8035
              },
              {
                "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": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/Procedure|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'IO insertion' for http://snomed.info/sct#430824005. Valid display is one of 2 choices: 'Intraosseous cannulation (procedure)' (en) or 'Intraosseous cannulation' (en) (for the language(s) 'en')"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[147].resource/*Procedure/acs-cda-proc-io-insertion*/.code.coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 8029
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[147].resource/*Procedure/acs-cda-proc-io-insertion*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 8032
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[147].resource/*Procedure/acs-cda-proc-io-insertion*/.encounter"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 8090
              },
              {
                "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": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/Procedure|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'IV insertion' for http://snomed.info/sct#392231009. Valid display is one of 4 choices: 'Intravenous cannulation (procedure)' (en), 'Intravenous cannulation' (en), 'Insertion of catheter into vein' (en) or 'Venous cannula insertion' (en) (for the language(s) 'en')"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[148].resource/*Procedure/acs-cda-proc-iv-insertion*/.code.coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 8084
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[148].resource/*Procedure/acs-cda-proc-iv-insertion*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 8087
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[148].resource/*Procedure/acs-cda-proc-iv-insertion*/.encounter"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 8137
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[149].resource/*Procedure/acs-cda-proc-valsalva*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 8140
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[149].resource/*Procedure/acs-cda-proc-valsalva*/.encounter"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 8180
              },
              {
                "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": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/Procedure|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Limb reduction Wrist' for http://snomed.info/sct#430296009. Valid display is one of 2 choices: 'Reduction of dislocation of wrist (procedure)' (en) or 'Reduction of dislocation of wrist' (en) (for the language(s) 'en')"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[150].resource/*Procedure/acs-cda-proc-limb-reduction-wrist*/.code.coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 8174
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[150].resource/*Procedure/acs-cda-proc-limb-reduction-wrist*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 8177
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[150].resource/*Procedure/acs-cda-proc-limb-reduction-wrist*/.encounter"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 8235
              },
              {
                "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": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/Procedure|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Limb reduction Elbow' for http://snomed.info/sct#430184005. Valid display is one of 2 choices: 'Reduction of dislocation of elbow (procedure)' (en) or 'Reduction of dislocation of elbow' (en) (for the language(s) 'en')"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[151].resource/*Procedure/acs-cda-proc-limb-reduction-elbow*/.code.coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 8229
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[151].resource/*Procedure/acs-cda-proc-limb-reduction-elbow*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 8232
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[151].resource/*Procedure/acs-cda-proc-limb-reduction-elbow*/.encounter"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 8290
              },
              {
                "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": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/Procedure|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Limb reduction Shoulder' for http://snomed.info/sct#274450004. Valid display is one of 2 choices: 'Dislocated shoulder reduction' (en) or 'Dislocated shoulder reduction (procedure)' (en) (for the language(s) 'en')"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[152].resource/*Procedure/acs-cda-proc-limb-reduction-shoulder*/.code.coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 8284
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[152].resource/*Procedure/acs-cda-proc-limb-reduction-shoulder*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 8287
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[152].resource/*Procedure/acs-cda-proc-limb-reduction-shoulder*/.encounter"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 8345
              },
              {
                "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": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/Procedure|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Limb reduction Ankle' for http://snomed.info/sct#274457001. Valid display is one of 5 choices: 'Dislocated ankle reduction' (en), 'Dislocated ankle reduction (procedure)' (en), 'Reduction of ankle dislocation' (en), 'Reduction of dislocation of ankle (procedure)' (en) or 'Reduction of dislocation of ankle' (en) (for the language(s) 'en')"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[153].resource/*Procedure/acs-cda-proc-limb-reduction-ankle*/.code.coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 8339
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[153].resource/*Procedure/acs-cda-proc-limb-reduction-ankle*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 8342
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[153].resource/*Procedure/acs-cda-proc-limb-reduction-ankle*/.encounter"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 8395
              },
              {
                "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": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/Procedure|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Limb reduction Other' for http://snomed.info/sct#287635001. Valid display is one of 2 choices: 'Other dislocation reduction' (en) or 'Other dislocation reduction (procedure)' (en) (for the language(s) 'en')"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[154].resource/*Procedure/acs-cda-proc-limb-reduction-other*/.code.coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 8395
              },
              {
                "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": "INACTIVE_CONCEPT_FOUND"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/Procedure|4.0.1"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The concept '287635001' has a status of inactive and its use should be reviewed"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[154].resource/*Procedure/acs-cda-proc-limb-reduction-other*/.code.coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 8389
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[154].resource/*Procedure/acs-cda-proc-limb-reduction-other*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 8392
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[154].resource/*Procedure/acs-cda-proc-limb-reduction-other*/.encounter"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 8445
              },
              {
                "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": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/Procedure|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Pacing' for http://snomed.info/sct#18590009. Valid display is one of 4 choices: 'Cardiac pacing' (en), 'Cardiac pacing, NOS' (en), 'Electrical cardiac pacing' (en) or 'Cardiac pacing (procedure)' (en) (for the language(s) 'en')"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[155].resource/*Procedure/acs-cda-proc-pacing*/.code.coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 8439
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[155].resource/*Procedure/acs-cda-proc-pacing*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 8442
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[155].resource/*Procedure/acs-cda-proc-pacing*/.encounter"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 8495
              },
              {
                "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": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/Procedure|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'PEEP' for http://snomed.info/sct#243164007. Valid display is one of 4 choices: 'Positive end expiratory pressure reduced' (en), 'PEEP reduced - Positive end expiratory pressure reduced' (en), 'Positive end expiratory pressure reduced (procedure)' (en) or 'PEEP (positive end expiratory pressure) reduced' (en) (for the language(s) 'en')"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[156].resource/*Procedure/acs-cda-proc-peep*/.code.coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 8489
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[156].resource/*Procedure/acs-cda-proc-peep*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 8492
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[156].resource/*Procedure/acs-cda-proc-peep*/.encounter"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 8536
              },
              {
                "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": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/Procedure|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Recovery position' for http://snomed.info/sct#444679006. Valid display is one of 2 choices: 'Positioning subject in recovery position (procedure)' (en) or 'Positioning subject in recovery position' (en) (for the language(s) 'en')"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[157].resource/*Procedure/acs-cda-proc-position-recovery*/.code.coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 8530
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[157].resource/*Procedure/acs-cda-proc-position-recovery*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 8533
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[157].resource/*Procedure/acs-cda-proc-position-recovery*/.encounter"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 8577
              },
              {
                "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": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/Procedure|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Supine position' for http://snomed.info/sct#229824005. Valid display is one of 7 choices: 'Putting patient in a position' (en), 'Positioning patient' (en), 'Positioning patient (procedure)' (en), 'Positions patient' (en), 'Positioning' (en), 'Positioning therapy' (en) or 'Positioning treatments and procedures' (en) (for the language(s) 'en')"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[158].resource/*Procedure/acs-cda-proc-position-supine*/.code.coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 8571
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[158].resource/*Procedure/acs-cda-proc-position-supine*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 8574
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[158].resource/*Procedure/acs-cda-proc-position-supine*/.encounter"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 8618
              },
              {
                "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": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/Procedure|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Seated position' for http://snomed.info/sct#59408004. Valid display is one of 2 choices: 'Sitting a patient up in a chair' (en) or 'Sitting a patient up in a chair (procedure)' (en) (for the language(s) 'en')"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[159].resource/*Procedure/acs-cda-proc-position-seated*/.code.coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 8612
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[159].resource/*Procedure/acs-cda-proc-position-seated*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 8615
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[159].resource/*Procedure/acs-cda-proc-position-seated*/.encounter"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 8659
              },
              {
                "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": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/Procedure|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Lateral position' for http://snomed.info/sct#229824005. Valid display is one of 7 choices: 'Putting patient in a position' (en), 'Positioning patient' (en), 'Positioning patient (procedure)' (en), 'Positions patient' (en), 'Positioning' (en), 'Positioning therapy' (en) or 'Positioning treatments and procedures' (en) (for the language(s) 'en')"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[160].resource/*Procedure/acs-cda-proc-position-lateral*/.code.coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 8653
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[160].resource/*Procedure/acs-cda-proc-position-lateral*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 8656
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[160].resource/*Procedure/acs-cda-proc-position-lateral*/.encounter"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 8700
              },
              {
                "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": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/Procedure|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Semi-recumbent position' for http://snomed.info/sct#225994009. Valid display is one of 2 choices: 'Placing patient in comfortable position' (en) or 'Placing patient in comfortable position (procedure)' (en) (for the language(s) 'en')"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[161].resource/*Procedure/acs-cda-proc-position-semi-recumbent*/.code.coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 8694
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[161].resource/*Procedure/acs-cda-proc-position-semi-recumbent*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 8697
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[161].resource/*Procedure/acs-cda-proc-position-semi-recumbent*/.encounter"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 8741
              },
              {
                "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": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/Procedure|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Prone position' for http://snomed.info/sct#431182000. Valid display is one of 2 choices: 'Placing subject in prone position (procedure)' (en) or 'Placing subject in prone position' (en) (for the language(s) 'en')"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[162].resource/*Procedure/acs-cda-proc-position-prone*/.code.coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 8735
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[162].resource/*Procedure/acs-cda-proc-position-prone*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 8738
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[162].resource/*Procedure/acs-cda-proc-position-prone*/.encounter"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 8782
              },
              {
                "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": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/Procedure|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Other positioning' for http://snomed.info/sct#229824005. Valid display is one of 7 choices: 'Putting patient in a position' (en), 'Positioning patient' (en), 'Positioning patient (procedure)' (en), 'Positions patient' (en), 'Positioning' (en), 'Positioning therapy' (en) or 'Positioning treatments and procedures' (en) (for the language(s) 'en')"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[163].resource/*Procedure/acs-cda-proc-position-other*/.code.coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 8776
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[163].resource/*Procedure/acs-cda-proc-position-other*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 8779
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[163].resource/*Procedure/acs-cda-proc-position-other*/.encounter"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 8823
              },
              {
                "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": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/Procedure|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'RSI' for http://snomed.info/sct#241689008. Valid display is one of 4 choices: 'Rapid sequence induction' (en), 'RSI - Rapid sequence induction' (en), 'Crash induction' (en) or 'Rapid sequence induction (procedure)' (en) (for the language(s) 'en')"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[164].resource/*Procedure/acs-cda-proc-rsi*/.code.coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 8817
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[164].resource/*Procedure/acs-cda-proc-rsi*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 8820
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[164].resource/*Procedure/acs-cda-proc-rsi*/.encounter"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 8873
              },
              {
                "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": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/Procedure|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Splint/dressing' for http://snomed.info/sct#79321009. Valid display is one of 3 choices: 'Application of splint' (en), 'Splinting' (en) or 'Application of splint (procedure)' (en) (for the language(s) 'en')"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[165].resource/*Procedure/acs-cda-proc-splint-dressing*/.code.coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 8867
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[165].resource/*Procedure/acs-cda-proc-splint-dressing*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 8870
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[165].resource/*Procedure/acs-cda-proc-splint-dressing*/.encounter"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 8914
              },
              {
                "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": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/Procedure|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Stomach decompression' for http://snomed.info/sct#182515004. Valid display is one of 2 choices: 'Gastrointestinal decompression' (en) or 'Gastrointestinal decompression (procedure)' (en) (for the language(s) 'en')"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[166].resource/*Procedure/acs-cda-proc-stomach-decompression*/.code.coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 8908
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[166].resource/*Procedure/acs-cda-proc-stomach-decompression*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 8911
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[166].resource/*Procedure/acs-cda-proc-stomach-decompression*/.encounter"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 8969
              },
              {
                "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": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/Procedure|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Tourniquet' for http://snomed.info/sct#20655006. Valid display is one of 4 choices: 'Application of tourniquet' (en), 'Tourniquet application' (en), 'Tourniquet on' (en) or 'Application of tourniquet (procedure)' (en) (for the language(s) 'en')"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[167].resource/*Procedure/acs-cda-proc-tourniquet*/.code.coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 8963
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-cda-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[167].resource/*Procedure/acs-cda-proc-tourniquet*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 8966
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-cda-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryCdaCompleteExample: Bundle.entry[167].resource/*Procedure/acs-cda-proc-tourniquet*/.encounter"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/Bundle-AmbulanceCareSummaryExample",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Bundle-AmbulanceCareSummaryExample",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 81
              },
              {
                "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"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-bundle|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://standards.digital.health.nz/ns/ambulance-care-summary-id'"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryExample: Bundle.identifier.system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 29
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 87
              },
              {
                "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"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-composition|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://standards.digital.health.nz/ns/ambulance-care-summary-id'"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryExample: Bundle.entry[0].resource/*Composition/acs-composition*/.identifier.system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 222
              },
              {
                "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": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-composition|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Ambulance Care Summary' for http://loinc.org#74207-2. Valid display is one of 3 choices: 'Prehospital summary Document' (en-US), 'Prehospital summary Document' (en-US) or 'Prehosp summary Doc' (en-US) (for the language(s) 'en')"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryExample: Bundle.entry[0].resource/*Composition/acs-composition*/.type.coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 233
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryExample: Bundle.entry[0].resource/*Composition/acs-composition*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 236
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-service-organization|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryExample: Bundle.entry[0].resource/*Composition/acs-composition*/.encounter"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 52
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-service-organization|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'History of encounters' for http://loinc.org#46240-8. Valid display is one of 3 choices: 'History of Hospitalizations+Outpatient visits Narrative' (en-US), 'History of Hospitalizations+Outpatient visits Narrative' (en-US) or 'Hx of Hospitalizations+OP visits' (en-US) (for the language(s) 'en')"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryExample: Bundle.entry[0].resource/*Composition/acs-composition*/.section[0].code.coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 44
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/Encounter/acs-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-incident-event, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-incident-location, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-patient-status, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryExample: Bundle.entry[0].resource/*Composition/acs-composition*/.section[0].entry[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 47
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-patient-status|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/Observation/acs-patient-status among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-incident-event, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-incident-location, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-patient-status, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryExample: Bundle.entry[0].resource/*Composition/acs-composition*/.section[0].entry[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 73
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-patient-status|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Social history' for http://loinc.org#29762-2. Valid display is one of 3 choices: 'Social history note' (en-US), 'Social history note' (en-US) or 'Social hx note' (en-US) (for the language(s) 'en')"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryExample: Bundle.entry[0].resource/*Composition/acs-composition*/.section[1].code.coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 68
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-smoking-status|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/Observation/acs-smoking among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-smoking-status, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-vaping-status"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryExample: Bundle.entry[0].resource/*Composition/acs-composition*/.section[1].entry[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 97
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-smoking-status|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Chief complaint' for http://loinc.org#10154-3. Valid display is one of 3 choices: 'Chief complaint Narrative - Reported' (en-US), 'Chief complaint Narrative - Reported' (en-US) or 'Chief complaint Reported' (en-US) (for the language(s) 'en')"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryExample: Bundle.entry[0].resource/*Composition/acs-composition*/.section[2].code.coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 89
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-presenting-complaint|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/Observation/acs-presenting-complaint among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-accident-observation, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-encounter-diagnosis, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-history-of-incident, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-presenting-complaint"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryExample: Bundle.entry[0].resource/*Composition/acs-composition*/.section[2].entry[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 92
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-encounter-diagnosis|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/Condition/acs-diagnosis-asthma among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-accident-observation, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-encounter-diagnosis, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-history-of-incident, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-presenting-complaint"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryExample: Bundle.entry[0].resource/*Composition/acs-composition*/.section[2].entry[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 145
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-encounter-diagnosis|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Vital signs' for http://loinc.org#8716-3. Valid display is one of 3 choices: 'Vital signs note' (en-US), 'Vital signs note' (en-US) or 'Vital signs note' (en-US) (for the language(s) 'en')"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryExample: Bundle.entry[0].resource/*Composition/acs-composition*/.section[3].code.coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 113
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/Observation/acs-hr among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-observation"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryExample: Bundle.entry[0].resource/*Composition/acs-composition*/.section[3].entry[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 116
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/Observation/acs-rr among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-observation"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryExample: Bundle.entry[0].resource/*Composition/acs-composition*/.section[3].entry[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 119
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/Observation/acs-bp among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-observation"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryExample: Bundle.entry[0].resource/*Composition/acs-composition*/.section[3].entry[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 122
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/Observation/acs-spo2 among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-observation"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryExample: Bundle.entry[0].resource/*Composition/acs-composition*/.section[3].entry[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 125
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/Observation/acs-temp among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-observation"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryExample: Bundle.entry[0].resource/*Composition/acs-composition*/.section[3].entry[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 128
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/Observation/acs-bgl among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-observation"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryExample: Bundle.entry[0].resource/*Composition/acs-composition*/.section[3].entry[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 131
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/Observation/acs-gcs among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-observation"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryExample: Bundle.entry[0].resource/*Composition/acs-composition*/.section[3].entry[6]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 134
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/Observation/acs-pain among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-observation"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryExample: Bundle.entry[0].resource/*Composition/acs-composition*/.section[3].entry[7]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 137
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/Observation/acs-ecg among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-observation"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryExample: Bundle.entry[0].resource/*Composition/acs-composition*/.section[3].entry[8]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 140
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/Observation/acs-skin among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-observation"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryExample: Bundle.entry[0].resource/*Composition/acs-composition*/.section[3].entry[9]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 161
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-service-provider-role|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/MedicationAdministration/acs-medadmin-adenosine among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-administration, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-dispense"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryExample: Bundle.entry[0].resource/*Composition/acs-composition*/.section[4].entry[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 190
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-service-provider-role|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'History of procedures' for http://loinc.org#47519-4. Valid display is one of 3 choices: 'History of Procedures Document' (en-US), 'History of Procedures Document' (en-US) or 'Procedures Hx Doc' (en-US) (for the language(s) 'en')"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryExample: Bundle.entry[0].resource/*Composition/acs-composition*/.section[5].code.coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 182
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-service-provider-role|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/Procedure/acs-proc-airway among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-procedure"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryExample: Bundle.entry[0].resource/*Composition/acs-composition*/.section[5].entry[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 185
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-service-provider-role|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/Procedure/acs-proc-defib among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-procedure"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryExample: Bundle.entry[0].resource/*Composition/acs-composition*/.section[5].entry[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 211
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-service-provider-role|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Plan of care' for http://loinc.org#18776-5. Valid display is one of 3 choices: 'Plan of care note' (en-US), 'Plan of care note' (en-US) or 'Plan of care note' (en-US) (for the language(s) 'en')"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryExample: Bundle.entry[0].resource/*Composition/acs-composition*/.section[6].code.coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 206
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for https://example.org/fhir/CarePlan/acs-careplan among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-appointment, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-care-plan, https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-referral"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryExample: Bundle.entry[0].resource/*Composition/acs-composition*/.section[6].entry[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 266
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Validation_VAL_Profile_MatchMultiple"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Profile https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0, Element matches more than one slice - sex-at-birth, sexAtBirth"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryExample: Bundle.entry[1].resource/*Patient/acs-patient-bob*/.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 453
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 96
              },
              {
                "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"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/Encounter|4.0.1"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://standards.digital.health.nz/ns/ambulance-master-incident-number'"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryExample: Bundle.entry[6].resource/*Encounter/acs-encounter*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 504
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryExample: Bundle.entry[6].resource/*Encounter/acs-encounter*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 480
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Condition/acs-diagnosis-asthma among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-encounter-diagnosis"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryExample: Bundle.entry[6].resource/*Encounter/acs-encounter*/.diagnosis[0].condition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 514
              },
              {
                "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/AmbulanceCareSummaryExample: Bundle.entry[7].resource/*Observation/acs-presenting-complaint*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 526
              },
              {
                "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": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/Observation|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Chief complaint' for http://loinc.org#67570-2. Valid display is one of 3 choices: 'Chief complaint per dispatch Reported.dispatch' (en-US), 'Chief complaint per dispatch Reported.dispatch' (en-US) or 'Cplaint per dispatch Reported.dispatch' (en-US) (for the language(s) 'en')"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryExample: Bundle.entry[7].resource/*Observation/acs-presenting-complaint*/.code.coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 536
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryExample: Bundle.entry[7].resource/*Observation/acs-presenting-complaint*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 539
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryExample: Bundle.entry[7].resource/*Observation/acs-presenting-complaint*/.encounter"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 595
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryExample: Bundle.entry[8].resource/*Condition/acs-diagnosis-asthma*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 605
              },
              {
                "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/AmbulanceCareSummaryExample: Bundle.entry[9].resource/*Observation/acs-smoking*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 637
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryExample: Bundle.entry[9].resource/*Observation/acs-smoking*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 654
              },
              {
                "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/AmbulanceCareSummaryExample: Bundle.entry[10].resource/*Observation/acs-patient-status*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 676
              },
              {
                "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": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/Observation|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Clinical status of patient (observable entity)' for http://snomed.info/sct#410536001. Valid display is one of 3 choices: 'Contraindicated (qualifier value)' (en), 'Contraindicated' (en) or 'Contra-indicated' (en) (for the language(s) 'en')"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryExample: Bundle.entry[10].resource/*Observation/acs-patient-status*/.code.coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 686
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryExample: Bundle.entry[10].resource/*Observation/acs-patient-status*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 689
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryExample: Bundle.entry[10].resource/*Observation/acs-patient-status*/.encounter"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 736
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Validation_VAL_Profile_Minimum"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Observation.value[x]:valueQuantity.unit: minimum required = 1, but only found 0 (from http://hl7.org/fhir/StructureDefinition/heartrate|4.0.1)"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryExample: Bundle.entry[11].resource/*Observation/acs-hr*/.value.ofType(Quantity)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 705
              },
              {
                "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/AmbulanceCareSummaryExample: Bundle.entry[11].resource/*Observation/acs-hr*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 742
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryExample: Bundle.entry[11].resource/*Observation/acs-hr*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 745
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryExample: Bundle.entry[11].resource/*Observation/acs-hr*/.encounter"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 784
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Validation_VAL_Profile_Minimum"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Observation.value[x]:valueQuantity.unit: minimum required = 1, but only found 0 (from http://hl7.org/fhir/StructureDefinition/resprate|4.0.1)"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryExample: Bundle.entry[12].resource/*Observation/acs-rr*/.value.ofType(Quantity)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 753
              },
              {
                "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/AmbulanceCareSummaryExample: Bundle.entry[12].resource/*Observation/acs-rr*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 790
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryExample: Bundle.entry[12].resource/*Observation/acs-rr*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 793
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryExample: Bundle.entry[12].resource/*Observation/acs-rr*/.encounter"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 857
              },
              {
                "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": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/bp|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Blood pressure panel' for http://loinc.org#85354-9. Valid display is one of 3 choices: 'Blood pressure panel with all children optional' (en-US), 'Blood pressure panel with all children optional' (en-US) or 'BP pnl w all optional' (en-US) (for the language(s) 'en')"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryExample: Bundle.entry[13].resource/*Observation/acs-bp*/.code.coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 834
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Validation_VAL_Profile_Minimum"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Observation.component:SystolicBP.value[x].unit: minimum required = 1, but only found 0 (from http://hl7.org/fhir/StructureDefinition/bp|4.0.1)"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryExample: Bundle.entry[13].resource/*Observation/acs-bp*/.component[0].value.ofType(Quantity)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 850
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Validation_VAL_Profile_Minimum"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Observation.component:DiastolicBP.value[x].unit: minimum required = 1, but only found 0 (from http://hl7.org/fhir/StructureDefinition/bp|4.0.1)"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryExample: Bundle.entry[13].resource/*Observation/acs-bp*/.component[1].value.ofType(Quantity)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 801
              },
              {
                "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/AmbulanceCareSummaryExample: Bundle.entry[13].resource/*Observation/acs-bp*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 867
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryExample: Bundle.entry[13].resource/*Observation/acs-bp*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 870
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryExample: Bundle.entry[13].resource/*Observation/acs-bp*/.encounter"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 900
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_VAL_PROFILE_MINIMUM_MAGIC"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/oxygensat|4.0.1"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "OxygenSatCode: magic LOINC code 2708-6 required, but not found (from http://hl7.org/fhir/StructureDefinition/oxygensat|4.0.1). Note that other Observation codes are allowed in addition to this required magic code"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryExample: Bundle.entry[14].resource/*Observation/acs-spo2*/.code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 909
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Validation_VAL_Profile_Minimum"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Observation.value[x]:valueQuantity.unit: minimum required = 1, but only found 0 (from http://hl7.org/fhir/StructureDefinition/oxygensat|4.0.1)"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryExample: Bundle.entry[14].resource/*Observation/acs-spo2*/.value.ofType(Quantity)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 878
              },
              {
                "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/AmbulanceCareSummaryExample: Bundle.entry[14].resource/*Observation/acs-spo2*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 915
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryExample: Bundle.entry[14].resource/*Observation/acs-spo2*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 918
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryExample: Bundle.entry[14].resource/*Observation/acs-spo2*/.encounter"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 957
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Validation_VAL_Profile_Minimum"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Observation.value[x]:valueQuantity.unit: minimum required = 1, but only found 0 (from http://hl7.org/fhir/StructureDefinition/bodytemp|4.0.1)"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryExample: Bundle.entry[15].resource/*Observation/acs-temp*/.value.ofType(Quantity)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 926
              },
              {
                "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/AmbulanceCareSummaryExample: Bundle.entry[15].resource/*Observation/acs-temp*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 963
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryExample: Bundle.entry[15].resource/*Observation/acs-temp*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 966
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryExample: Bundle.entry[15].resource/*Observation/acs-temp*/.encounter"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 974
              },
              {
                "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/AmbulanceCareSummaryExample: Bundle.entry[16].resource/*Observation/acs-bgl*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1011
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryExample: Bundle.entry[16].resource/*Observation/acs-bgl*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1014
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryExample: Bundle.entry[16].resource/*Observation/acs-bgl*/.encounter"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1022
              },
              {
                "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/AmbulanceCareSummaryExample: Bundle.entry[17].resource/*Observation/acs-gcs*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1061
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_QTY_UCUM_ANNOTATIONS_NO_UNIT"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "UCUM Codes that contain human readable annotations like {score} can be misleading (e.g. they are ignored when comparing units). Best Practice is not to depend on annotations in the UCUM code, so this usage should be checked, and the Quantity.unit SHOULD contain the annotation"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryExample: Bundle.entry[17].resource/*Observation/acs-gcs*/.value.ofType(Quantity)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1054
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryExample: Bundle.entry[17].resource/*Observation/acs-gcs*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1057
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryExample: Bundle.entry[17].resource/*Observation/acs-gcs*/.encounter"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1070
              },
              {
                "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/AmbulanceCareSummaryExample: Bundle.entry[18].resource/*Observation/acs-pain*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_QTY_UCUM_ANNOTATIONS_NO_UNIT"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "UCUM Codes that contain human readable annotations like {score} can be misleading (e.g. they are ignored when comparing units). Best Practice is not to depend on annotations in the UCUM code, so this usage should be checked, and the Quantity.unit SHOULD contain the annotation"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryExample: Bundle.entry[18].resource/*Observation/acs-pain*/.value.ofType(Quantity)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1102
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryExample: Bundle.entry[18].resource/*Observation/acs-pain*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1105
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryExample: Bundle.entry[18].resource/*Observation/acs-pain*/.encounter"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1118
              },
              {
                "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/AmbulanceCareSummaryExample: Bundle.entry[19].resource/*Observation/acs-ecg*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1150
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryExample: Bundle.entry[19].resource/*Observation/acs-ecg*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1153
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryExample: Bundle.entry[19].resource/*Observation/acs-ecg*/.encounter"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1169
              },
              {
                "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/AmbulanceCareSummaryExample: Bundle.entry[20].resource/*Observation/acs-skin*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1191
              },
              {
                "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": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/Observation|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'General skin examination' for http://snomed.info/sct#225544001. Valid display is one of 3 choices: 'Skin appearance normal' (en), 'Skin normal' (en) or 'Skin appearance normal (finding)' (en) (for the language(s) 'en')"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryExample: Bundle.entry[20].resource/*Observation/acs-skin*/.code.coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1201
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryExample: Bundle.entry[20].resource/*Observation/acs-skin*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1204
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryExample: Bundle.entry[20].resource/*Observation/acs-skin*/.encounter"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1263
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryExample: Bundle.entry[21].resource/*MedicationAdministration/acs-medadmin-adenosine*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1266
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryExample: Bundle.entry[21].resource/*MedicationAdministration/acs-medadmin-adenosine*/.context"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1299
              },
              {
                "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": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/Procedure|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Manual clearance of airway' for http://snomed.info/sct#241689008. Valid display is one of 4 choices: 'Rapid sequence induction' (en), 'RSI - Rapid sequence induction' (en), 'Crash induction' (en) or 'Rapid sequence induction (procedure)' (en) (for the language(s) 'en')"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryExample: Bundle.entry[22].resource/*Procedure/acs-proc-airway*/.code.coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1308
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryExample: Bundle.entry[22].resource/*Procedure/acs-proc-airway*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1311
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryExample: Bundle.entry[22].resource/*Procedure/acs-proc-airway*/.encounter"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1339
              },
              {
                "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": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/Procedure|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Cardiac defibrillation' for http://snomed.info/sct#429500007. Valid display is one of 2 choices: 'Monophasic defibrillation (procedure)' (en) or 'Monophasic defibrillation' (en) (for the language(s) 'en')"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryExample: Bundle.entry[23].resource/*Procedure/acs-proc-defib*/.code.coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1348
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryExample: Bundle.entry[23].resource/*Procedure/acs-proc-defib*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1351
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryExample: Bundle.entry[23].resource/*Procedure/acs-proc-defib*/.encounter"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1387
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Patient/acs-patient-bob among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryExample: Bundle.entry[24].resource/*CarePlan/acs-careplan*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1390
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantMatchChoice"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to find a profile match for Encounter/acs-encounter among choices: https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter"
            },
            "expression": [
              "Bundle/AmbulanceCareSummaryExample: Bundle.entry[24].resource/*CarePlan/acs-careplan*/.encounter"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/CarePlan-acs-careplan",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CarePlan-acs-careplan"
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/CarePlan-acs-cda-careplan",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CarePlan-acs-cda-careplan"
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/CodeSystem-acs-ecg-interpretation",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-acs-ecg-interpretation"
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/CodeSystem-acs-encounter-disposition",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-acs-encounter-disposition"
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/CodeSystem-acs-encounter-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-acs-encounter-type"
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/CodeSystem-acs-mechanism-of-injury",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-acs-mechanism-of-injury"
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/CodeSystem-acs-metadata",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-acs-metadata"
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/CodeSystem-acs-patient-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-acs-patient-status"
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/CodeSystem-acs-route",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-acs-route"
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/CodeSystem-acs-skin-condition",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-acs-skin-condition"
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/CodeSystem-acs-supply-method",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-acs-supply-method"
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/CodeSystem-mpds",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-mpds"
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/Composition-acs-cda-composition",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Composition-acs-cda-composition",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 14
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 81
              },
              {
                "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"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-composition|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://standards.digital.health.nz/ns/ambulance-care-summary-id'"
            },
            "expression": [
              "Composition/acs-cda-composition: Composition.identifier.system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 831
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-composition|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Ambulance Care Summary' for http://loinc.org#74207-2. Valid display is one of 3 choices: 'Prehospital summary Document' (en-US), 'Prehospital summary Document' (en-US) or 'Prehosp summary Doc' (en-US) (for the language(s) 'en')"
            },
            "expression": [
              "Composition/acs-cda-composition: Composition.type.coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 76
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-composition|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'History of encounters' for http://loinc.org#46240-8. Valid display is one of 3 choices: 'History of Hospitalizations+Outpatient visits Narrative' (en-US), 'History of Hospitalizations+Outpatient visits Narrative' (en-US) or 'Hx of Hospitalizations+OP visits' (en-US) (for the language(s) 'en')"
            },
            "expression": [
              "Composition/acs-cda-composition: Composition.section[0].code.coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 118
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-composition|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Patient Demographics' for http://loinc.org#45970-1. Valid display is one of 2 choices: 'Demographic information section' (en-US) or 'Demographic information section' (en-US) (for the language(s) 'en')"
            },
            "expression": [
              "Composition/acs-cda-composition: Composition.section[2].code.coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 139
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-composition|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Social history' for http://loinc.org#29762-2. Valid display is one of 3 choices: 'Social history note' (en-US), 'Social history note' (en-US) or 'Social hx note' (en-US) (for the language(s) 'en')"
            },
            "expression": [
              "Composition/acs-cda-composition: Composition.section[3].code.coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 211
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-composition|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Chief complaint' for http://loinc.org#10154-3. Valid display is one of 3 choices: 'Chief complaint Narrative - Reported' (en-US), 'Chief complaint Narrative - Reported' (en-US) or 'Chief complaint Reported' (en-US) (for the language(s) 'en')"
            },
            "expression": [
              "Composition/acs-cda-composition: Composition.section[4].code.coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 310
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-composition|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'History of past illness' for http://loinc.org#11348-0. Valid display is one of 3 choices: 'History of Past illness note' (en-US), 'History of Past illness note' (en-US) or 'Hx of Past illness note' (en-US) (for the language(s) 'en')"
            },
            "expression": [
              "Composition/acs-cda-composition: Composition.section[8].code.coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 331
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-composition|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Allergies and adverse reactions' for http://loinc.org#48765-2. Valid display is one of 3 choices: 'Allergies and adverse reactions Document' (en-US), 'Allergies and adverse reactions Document' (en-US) or 'Allergies &or adverse reactions Doc' (en-US) (for the language(s) 'en')"
            },
            "expression": [
              "Composition/acs-cda-composition: Composition.section[9].code.coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 352
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-composition|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'History of medication use' for http://loinc.org#10160-0. Valid display is one of 3 choices: 'History of Medication use Narrative' (en-US), 'History of Medication use Narrative' (en-US) or 'Hx of Medication use' (en-US) (for the language(s) 'en')"
            },
            "expression": [
              "Composition/acs-cda-composition: Composition.section[10].code.coding[0].display"
            ]
          },
          {
            "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": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-composition|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Vital signs' for http://loinc.org#8716-3. Valid display is one of 3 choices: 'Vital signs note' (en-US), 'Vital signs note' (en-US) or 'Vital signs note' (en-US) (for the language(s) 'en')"
            },
            "expression": [
              "Composition/acs-cda-composition: Composition.section[11].code.coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 721
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-composition|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'History of procedures' for http://loinc.org#47519-4. Valid display is one of 3 choices: 'History of Procedures Document' (en-US), 'History of Procedures Document' (en-US) or 'Procedures Hx Doc' (en-US) (for the language(s) 'en')"
            },
            "expression": [
              "Composition/acs-cda-composition: Composition.section[13].code.coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 787
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-composition|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Plan of care' for http://loinc.org#18776-5. Valid display is one of 3 choices: 'Plan of care note' (en-US), 'Plan of care note' (en-US) or 'Plan of care note' (en-US) (for the language(s) 'en')"
            },
            "expression": [
              "Composition/acs-cda-composition: Composition.section[16].code.coding[0].display"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/Composition-acs-composition",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Composition-acs-composition",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 14
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 81
              },
              {
                "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"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-composition|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://standards.digital.health.nz/ns/ambulance-care-summary-id'"
            },
            "expression": [
              "Composition/acs-composition: Composition.identifier.system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 207
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-composition|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Ambulance Care Summary' for http://loinc.org#74207-2. Valid display is one of 3 choices: 'Prehospital summary Document' (en-US), 'Prehospital summary Document' (en-US) or 'Prehosp summary Doc' (en-US) (for the language(s) 'en')"
            },
            "expression": [
              "Composition/acs-composition: Composition.type.coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 37
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-composition|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'History of encounters' for http://loinc.org#46240-8. Valid display is one of 3 choices: 'History of Hospitalizations+Outpatient visits Narrative' (en-US), 'History of Hospitalizations+Outpatient visits Narrative' (en-US) or 'Hx of Hospitalizations+OP visits' (en-US) (for the language(s) 'en')"
            },
            "expression": [
              "Composition/acs-composition: Composition.section[0].code.coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 58
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-composition|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Social history' for http://loinc.org#29762-2. Valid display is one of 3 choices: 'Social history note' (en-US), 'Social history note' (en-US) or 'Social hx note' (en-US) (for the language(s) 'en')"
            },
            "expression": [
              "Composition/acs-composition: Composition.section[1].code.coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 82
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-composition|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Chief complaint' for http://loinc.org#10154-3. Valid display is one of 3 choices: 'Chief complaint Narrative - Reported' (en-US), 'Chief complaint Narrative - Reported' (en-US) or 'Chief complaint Reported' (en-US) (for the language(s) 'en')"
            },
            "expression": [
              "Composition/acs-composition: Composition.section[2].code.coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 130
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-composition|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Vital signs' for http://loinc.org#8716-3. Valid display is one of 3 choices: 'Vital signs note' (en-US), 'Vital signs note' (en-US) or 'Vital signs note' (en-US) (for the language(s) 'en')"
            },
            "expression": [
              "Composition/acs-composition: Composition.section[3].code.coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 175
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-composition|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'History of procedures' for http://loinc.org#47519-4. Valid display is one of 3 choices: 'History of Procedures Document' (en-US), 'History of Procedures Document' (en-US) or 'Procedures Hx Doc' (en-US) (for the language(s) 'en')"
            },
            "expression": [
              "Composition/acs-composition: Composition.section[5].code.coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 196
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-composition|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Plan of care' for http://loinc.org#18776-5. Valid display is one of 3 choices: 'Plan of care note' (en-US), 'Plan of care note' (en-US) or 'Plan of care note' (en-US) (for the language(s) 'en')"
            },
            "expression": [
              "Composition/acs-composition: Composition.section[6].code.coding[0].display"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/Condition-acs-cda-diagnosis-asthma",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Condition-acs-cda-diagnosis-asthma"
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/Condition-acs-cda-diagnosis-generally-unwell",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Condition-acs-cda-diagnosis-generally-unwell"
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/Condition-acs-cda-medical-history",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Condition-acs-cda-medical-history"
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/Condition-acs-diagnosis-asthma",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Condition-acs-diagnosis-asthma"
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/Encounter-acs-cda-encounter",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Encounter-acs-cda-encounter",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 11
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 90
              },
              {
                "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"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://standards.digital.health.nz/ns/ambulance-master-incident-number'"
            },
            "expression": [
              "Encounter/acs-cda-encounter: Encounter.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": 74
              },
              {
                "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"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://standards.digital.health.nz/ns/acc-claim-number'"
            },
            "expression": [
              "Encounter/acs-cda-encounter: Encounter.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": 82
              },
              {
                "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"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://standards.digital.health.nz/ns/ambulance-unit-call-sign'"
            },
            "expression": [
              "Encounter/acs-cda-encounter: Encounter.identifier[2].system"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/Encounter-acs-encounter",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Encounter-acs-encounter",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 15
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 90
              },
              {
                "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"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-encounter|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://standards.digital.health.nz/ns/ambulance-master-incident-number'"
            },
            "expression": [
              "Encounter/acs-encounter: Encounter.identifier[0].system"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/Location-acs-cda-facility-sunshine",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Location-acs-cda-facility-sunshine"
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/Location-acs-cda-incident-location",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Location-acs-cda-incident-location"
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/Location-acs-facility-sunshine",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Location-acs-facility-sunshine"
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/Media-acs-cda-image-01",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Media-acs-cda-image-01",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 14
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 26
              },
              {
                "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"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-clinical-image|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'image-01.jpg'"
            },
            "expression": [
              "Media/acs-cda-image-01: Media.content.url"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/Media-acs-cda-image-02",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Media-acs-cda-image-02",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 14
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 26
              },
              {
                "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"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-clinical-image|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'image-02.jpg'"
            },
            "expression": [
              "Media/acs-cda-image-02: Media.content.url"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/Media-acs-cda-image-body-back",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Media-acs-cda-image-body-back",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 14
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 27
              },
              {
                "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"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-clinical-image|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'body-back.jpg'"
            },
            "expression": [
              "Media/acs-cda-image-body-back: Media.content.url"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/Media-acs-cda-image-body-front",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Media-acs-cda-image-body-front",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 14
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 28
              },
              {
                "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"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-clinical-image|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'body-front.jpg'"
            },
            "expression": [
              "Media/acs-cda-image-body-front: Media.content.url"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/Media-acs-cda-image-vehicle",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Media-acs-cda-image-vehicle",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 14
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 25
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-clinical-image|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'vehicle.jpg'"
            },
            "expression": [
              "Media/acs-cda-image-vehicle: Media.content.url"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/MedicationAdministration-acs-cda-med-adenosine",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "MedicationAdministration-acs-cda-med-adenosine",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODESYSTEM"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-administration|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.113883.2.18.26' could not be found, so the code cannot be validated"
            },
            "expression": [
              "MedicationAdministration/acs-cda-med-adenosine: MedicationAdministration.medication.ofType(CodeableConcept).coding[0].system"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/MedicationAdministration-acs-cda-med-adrenaline-arrest",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "MedicationAdministration-acs-cda-med-adrenaline-arrest",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 16
              },
              {
                "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-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-administration|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.113883.2.18.26' could not be found, so the code cannot be validated"
            },
            "expression": [
              "MedicationAdministration/acs-cda-med-adrenaline-arrest: MedicationAdministration.medication.ofType(CodeableConcept).coding[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/MedicationAdministration-acs-cda-med-adrenaline-bolus",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "MedicationAdministration-acs-cda-med-adrenaline-bolus",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 16
              },
              {
                "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-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-administration|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.113883.2.18.26' could not be found, so the code cannot be validated"
            },
            "expression": [
              "MedicationAdministration/acs-cda-med-adrenaline-bolus: MedicationAdministration.medication.ofType(CodeableConcept).coding[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/MedicationAdministration-acs-cda-med-adrenaline-im-in",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "MedicationAdministration-acs-cda-med-adrenaline-im-in",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 16
              },
              {
                "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-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-administration|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.113883.2.18.26' could not be found, so the code cannot be validated"
            },
            "expression": [
              "MedicationAdministration/acs-cda-med-adrenaline-im-in: MedicationAdministration.medication.ofType(CodeableConcept).coding[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/MedicationAdministration-acs-cda-med-adrenaline-infusion",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "MedicationAdministration-acs-cda-med-adrenaline-infusion",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 16
              },
              {
                "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-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-administration|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.113883.2.18.26' could not be found, so the code cannot be validated"
            },
            "expression": [
              "MedicationAdministration/acs-cda-med-adrenaline-infusion: MedicationAdministration.medication.ofType(CodeableConcept).coding[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/MedicationAdministration-acs-cda-med-adrenaline-neb",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "MedicationAdministration-acs-cda-med-adrenaline-neb",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 16
              },
              {
                "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-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-administration|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.113883.2.18.26' could not be found, so the code cannot be validated"
            },
            "expression": [
              "MedicationAdministration/acs-cda-med-adrenaline-neb: MedicationAdministration.medication.ofType(CodeableConcept).coding[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/MedicationAdministration-acs-cda-med-amiodarone-arrest",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "MedicationAdministration-acs-cda-med-amiodarone-arrest",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 16
              },
              {
                "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-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-administration|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.113883.2.18.26' could not be found, so the code cannot be validated"
            },
            "expression": [
              "MedicationAdministration/acs-cda-med-amiodarone-arrest: MedicationAdministration.medication.ofType(CodeableConcept).coding[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/MedicationAdministration-acs-cda-med-amiodarone-bolus",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "MedicationAdministration-acs-cda-med-amiodarone-bolus",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 16
              },
              {
                "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-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-administration|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.113883.2.18.26' could not be found, so the code cannot be validated"
            },
            "expression": [
              "MedicationAdministration/acs-cda-med-amiodarone-bolus: MedicationAdministration.medication.ofType(CodeableConcept).coding[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/MedicationAdministration-acs-cda-med-amiodarone-infusion",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "MedicationAdministration-acs-cda-med-amiodarone-infusion",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 16
              },
              {
                "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-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-administration|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.113883.2.18.26' could not be found, so the code cannot be validated"
            },
            "expression": [
              "MedicationAdministration/acs-cda-med-amiodarone-infusion: MedicationAdministration.medication.ofType(CodeableConcept).coding[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/MedicationAdministration-acs-cda-med-aspirin",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "MedicationAdministration-acs-cda-med-aspirin",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 16
              },
              {
                "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-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-administration|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.113883.2.18.26' could not be found, so the code cannot be validated"
            },
            "expression": [
              "MedicationAdministration/acs-cda-med-aspirin: MedicationAdministration.medication.ofType(CodeableConcept).coding[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/MedicationAdministration-acs-cda-med-atropine",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "MedicationAdministration-acs-cda-med-atropine",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 16
              },
              {
                "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-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-administration|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.113883.2.18.26' could not be found, so the code cannot be validated"
            },
            "expression": [
              "MedicationAdministration/acs-cda-med-atropine: MedicationAdministration.medication.ofType(CodeableConcept).coding[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/MedicationAdministration-acs-cda-med-calcium-chloride",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "MedicationAdministration-acs-cda-med-calcium-chloride",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 16
              },
              {
                "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-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-administration|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.113883.2.18.26' could not be found, so the code cannot be validated"
            },
            "expression": [
              "MedicationAdministration/acs-cda-med-calcium-chloride: MedicationAdministration.medication.ofType(CodeableConcept).coding[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/MedicationAdministration-acs-cda-med-ceftriaxone",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "MedicationAdministration-acs-cda-med-ceftriaxone",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 16
              },
              {
                "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-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-administration|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.113883.2.18.26' could not be found, so the code cannot be validated"
            },
            "expression": [
              "MedicationAdministration/acs-cda-med-ceftriaxone: MedicationAdministration.medication.ofType(CodeableConcept).coding[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/MedicationAdministration-acs-cda-med-clopidogrel",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "MedicationAdministration-acs-cda-med-clopidogrel",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 16
              },
              {
                "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-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-administration|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.113883.2.18.26' could not be found, so the code cannot be validated"
            },
            "expression": [
              "MedicationAdministration/acs-cda-med-clopidogrel: MedicationAdministration.medication.ofType(CodeableConcept).coding[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/MedicationAdministration-acs-cda-med-entonox",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "MedicationAdministration-acs-cda-med-entonox",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 16
              },
              {
                "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-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-administration|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.113883.2.18.26' could not be found, so the code cannot be validated"
            },
            "expression": [
              "MedicationAdministration/acs-cda-med-entonox: MedicationAdministration.medication.ofType(CodeableConcept).coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 35
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_QTY_UCUM_ANNOTATIONS_NO_UNIT"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-administration|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "UCUM Codes that contain human readable annotations like {dose} can be misleading (e.g. they are ignored when comparing units). Best Practice is not to depend on annotations in the UCUM code, so this usage should be checked, and the Quantity.unit SHOULD contain the annotation"
            },
            "expression": [
              "MedicationAdministration/acs-cda-med-entonox: MedicationAdministration.dosage.dose"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/MedicationAdministration-acs-cda-med-fentanyl",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "MedicationAdministration-acs-cda-med-fentanyl",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 16
              },
              {
                "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-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-administration|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.113883.2.18.26' could not be found, so the code cannot be validated"
            },
            "expression": [
              "MedicationAdministration/acs-cda-med-fentanyl: MedicationAdministration.medication.ofType(CodeableConcept).coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 35
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Unknown_Code_in_Version"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-administration|0.1.0"
              }
            ],
            "severity": "error",
            "code": "code-invalid",
            "details": {
              "text": "Unknown code 'mcg' in the CodeSystem 'http://unitsofmeasure.org' version '2.2'"
            },
            "expression": [
              "MedicationAdministration/acs-cda-med-fentanyl: MedicationAdministration.dosage.dose.code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/MedicationAdministration-acs-cda-med-glucagon",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "MedicationAdministration-acs-cda-med-glucagon",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 16
              },
              {
                "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-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-administration|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.113883.2.18.26' could not be found, so the code cannot be validated"
            },
            "expression": [
              "MedicationAdministration/acs-cda-med-glucagon: MedicationAdministration.medication.ofType(CodeableConcept).coding[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/MedicationAdministration-acs-cda-med-glucose-10-percent",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "MedicationAdministration-acs-cda-med-glucose-10-percent",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 16
              },
              {
                "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-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-administration|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.113883.2.18.26' could not be found, so the code cannot be validated"
            },
            "expression": [
              "MedicationAdministration/acs-cda-med-glucose-10-percent: MedicationAdministration.medication.ofType(CodeableConcept).coding[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/MedicationAdministration-acs-cda-med-gtn",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "MedicationAdministration-acs-cda-med-gtn",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 16
              },
              {
                "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-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-administration|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.113883.2.18.26' could not be found, so the code cannot be validated"
            },
            "expression": [
              "MedicationAdministration/acs-cda-med-gtn: MedicationAdministration.medication.ofType(CodeableConcept).coding[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/MedicationAdministration-acs-cda-med-ibuprofen",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "MedicationAdministration-acs-cda-med-ibuprofen",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 16
              },
              {
                "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-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-administration|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.113883.2.18.26' could not be found, so the code cannot be validated"
            },
            "expression": [
              "MedicationAdministration/acs-cda-med-ibuprofen: MedicationAdministration.medication.ofType(CodeableConcept).coding[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/MedicationAdministration-acs-cda-med-ipratropium-mdi",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "MedicationAdministration-acs-cda-med-ipratropium-mdi",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 16
              },
              {
                "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-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-administration|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.113883.2.18.26' could not be found, so the code cannot be validated"
            },
            "expression": [
              "MedicationAdministration/acs-cda-med-ipratropium-mdi: MedicationAdministration.medication.ofType(CodeableConcept).coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 35
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_QTY_UCUM_ANNOTATIONS_NO_UNIT"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-administration|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "UCUM Codes that contain human readable annotations like {puff} can be misleading (e.g. they are ignored when comparing units). Best Practice is not to depend on annotations in the UCUM code, so this usage should be checked, and the Quantity.unit SHOULD contain the annotation"
            },
            "expression": [
              "MedicationAdministration/acs-cda-med-ipratropium-mdi: MedicationAdministration.dosage.dose"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/MedicationAdministration-acs-cda-med-ipratropium-neb",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "MedicationAdministration-acs-cda-med-ipratropium-neb",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 16
              },
              {
                "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-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-administration|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.113883.2.18.26' could not be found, so the code cannot be validated"
            },
            "expression": [
              "MedicationAdministration/acs-cda-med-ipratropium-neb: MedicationAdministration.medication.ofType(CodeableConcept).coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 35
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Unknown_Code_in_Version"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-administration|0.1.0"
              }
            ],
            "severity": "error",
            "code": "code-invalid",
            "details": {
              "text": "Unknown code 'mcg' in the CodeSystem 'http://unitsofmeasure.org' version '2.2'"
            },
            "expression": [
              "MedicationAdministration/acs-cda-med-ipratropium-neb: MedicationAdministration.dosage.dose.code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/MedicationAdministration-acs-cda-med-ketamine",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "MedicationAdministration-acs-cda-med-ketamine",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 16
              },
              {
                "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-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-administration|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.113883.2.18.26' could not be found, so the code cannot be validated"
            },
            "expression": [
              "MedicationAdministration/acs-cda-med-ketamine: MedicationAdministration.medication.ofType(CodeableConcept).coding[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/MedicationAdministration-acs-cda-med-lignocaine-cannulation",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "MedicationAdministration-acs-cda-med-lignocaine-cannulation",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 16
              },
              {
                "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-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-administration|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.113883.2.18.26' could not be found, so the code cannot be validated"
            },
            "expression": [
              "MedicationAdministration/acs-cda-med-lignocaine-cannulation: MedicationAdministration.medication.ofType(CodeableConcept).coding[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/MedicationAdministration-acs-cda-med-lignocaine-ring-block",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "MedicationAdministration-acs-cda-med-lignocaine-ring-block",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 16
              },
              {
                "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-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-administration|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.113883.2.18.26' could not be found, so the code cannot be validated"
            },
            "expression": [
              "MedicationAdministration/acs-cda-med-lignocaine-ring-block: MedicationAdministration.medication.ofType(CodeableConcept).coding[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/MedicationAdministration-acs-cda-med-lignocaine",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "MedicationAdministration-acs-cda-med-lignocaine",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 16
              },
              {
                "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-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-administration|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.113883.2.18.26' could not be found, so the code cannot be validated"
            },
            "expression": [
              "MedicationAdministration/acs-cda-med-lignocaine: MedicationAdministration.medication.ofType(CodeableConcept).coding[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/MedicationAdministration-acs-cda-med-loratadine",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "MedicationAdministration-acs-cda-med-loratadine",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 16
              },
              {
                "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-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-administration|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.113883.2.18.26' could not be found, so the code cannot be validated"
            },
            "expression": [
              "MedicationAdministration/acs-cda-med-loratadine: MedicationAdministration.medication.ofType(CodeableConcept).coding[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/MedicationAdministration-acs-cda-med-methoxyflurane",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "MedicationAdministration-acs-cda-med-methoxyflurane",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 16
              },
              {
                "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-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-administration|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.113883.2.18.26' could not be found, so the code cannot be validated"
            },
            "expression": [
              "MedicationAdministration/acs-cda-med-methoxyflurane: MedicationAdministration.medication.ofType(CodeableConcept).coding[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/MedicationAdministration-acs-cda-med-midazolam-im",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "MedicationAdministration-acs-cda-med-midazolam-im",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 16
              },
              {
                "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-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-administration|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.113883.2.18.26' could not be found, so the code cannot be validated"
            },
            "expression": [
              "MedicationAdministration/acs-cda-med-midazolam-im: MedicationAdministration.medication.ofType(CodeableConcept).coding[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/MedicationAdministration-acs-cda-med-midazolam-iv",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "MedicationAdministration-acs-cda-med-midazolam-iv",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 16
              },
              {
                "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-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-administration|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.113883.2.18.26' could not be found, so the code cannot be validated"
            },
            "expression": [
              "MedicationAdministration/acs-cda-med-midazolam-iv: MedicationAdministration.medication.ofType(CodeableConcept).coding[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/MedicationAdministration-acs-cda-med-morphine",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "MedicationAdministration-acs-cda-med-morphine",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 16
              },
              {
                "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-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-administration|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.113883.2.18.26' could not be found, so the code cannot be validated"
            },
            "expression": [
              "MedicationAdministration/acs-cda-med-morphine: MedicationAdministration.medication.ofType(CodeableConcept).coding[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/MedicationAdministration-acs-cda-med-naloxone",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "MedicationAdministration-acs-cda-med-naloxone",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 16
              },
              {
                "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-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-administration|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.113883.2.18.26' could not be found, so the code cannot be validated"
            },
            "expression": [
              "MedicationAdministration/acs-cda-med-naloxone: MedicationAdministration.medication.ofType(CodeableConcept).coding[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/MedicationAdministration-acs-cda-med-ondansetron-injection",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "MedicationAdministration-acs-cda-med-ondansetron-injection",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 16
              },
              {
                "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-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-administration|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.113883.2.18.26' could not be found, so the code cannot be validated"
            },
            "expression": [
              "MedicationAdministration/acs-cda-med-ondansetron-injection: MedicationAdministration.medication.ofType(CodeableConcept).coding[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/MedicationAdministration-acs-cda-med-ondansetron-wafer",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "MedicationAdministration-acs-cda-med-ondansetron-wafer",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 16
              },
              {
                "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-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-administration|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.113883.2.18.26' could not be found, so the code cannot be validated"
            },
            "expression": [
              "MedicationAdministration/acs-cda-med-ondansetron-wafer: MedicationAdministration.medication.ofType(CodeableConcept).coding[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/MedicationAdministration-acs-cda-med-oral-glucose",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "MedicationAdministration-acs-cda-med-oral-glucose",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 16
              },
              {
                "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-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-administration|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.113883.2.18.26' could not be found, so the code cannot be validated"
            },
            "expression": [
              "MedicationAdministration/acs-cda-med-oral-glucose: MedicationAdministration.medication.ofType(CodeableConcept).coding[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/MedicationAdministration-acs-cda-med-other-quinapril",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "MedicationAdministration-acs-cda-med-other-quinapril"
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/MedicationAdministration-acs-cda-med-oxygen",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "MedicationAdministration-acs-cda-med-oxygen",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 16
              },
              {
                "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-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-administration|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.113883.2.18.26' could not be found, so the code cannot be validated"
            },
            "expression": [
              "MedicationAdministration/acs-cda-med-oxygen: MedicationAdministration.medication.ofType(CodeableConcept).coding[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/MedicationAdministration-acs-cda-med-oxytocin",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "MedicationAdministration-acs-cda-med-oxytocin",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 16
              },
              {
                "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-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-administration|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.113883.2.18.26' could not be found, so the code cannot be validated"
            },
            "expression": [
              "MedicationAdministration/acs-cda-med-oxytocin: MedicationAdministration.medication.ofType(CodeableConcept).coding[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/MedicationAdministration-acs-cda-med-paracetamol-syrup",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "MedicationAdministration-acs-cda-med-paracetamol-syrup",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 16
              },
              {
                "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-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-administration|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.113883.2.18.26' could not be found, so the code cannot be validated"
            },
            "expression": [
              "MedicationAdministration/acs-cda-med-paracetamol-syrup: MedicationAdministration.medication.ofType(CodeableConcept).coding[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/MedicationAdministration-acs-cda-med-paracetamol-tablet",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "MedicationAdministration-acs-cda-med-paracetamol-tablet",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 16
              },
              {
                "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-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-administration|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.113883.2.18.26' could not be found, so the code cannot be validated"
            },
            "expression": [
              "MedicationAdministration/acs-cda-med-paracetamol-tablet: MedicationAdministration.medication.ofType(CodeableConcept).coding[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/MedicationAdministration-acs-cda-med-prednisone",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "MedicationAdministration-acs-cda-med-prednisone",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 16
              },
              {
                "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-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-administration|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.113883.2.18.26' could not be found, so the code cannot be validated"
            },
            "expression": [
              "MedicationAdministration/acs-cda-med-prednisone: MedicationAdministration.medication.ofType(CodeableConcept).coding[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/MedicationAdministration-acs-cda-med-rocuronium",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "MedicationAdministration-acs-cda-med-rocuronium",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 16
              },
              {
                "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-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-administration|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.113883.2.18.26' could not be found, so the code cannot be validated"
            },
            "expression": [
              "MedicationAdministration/acs-cda-med-rocuronium: MedicationAdministration.medication.ofType(CodeableConcept).coding[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/MedicationAdministration-acs-cda-med-salbutamol-ipratropium-mdi",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "MedicationAdministration-acs-cda-med-salbutamol-ipratropium-mdi",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 16
              },
              {
                "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-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-administration|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.113883.2.18.26' could not be found, so the code cannot be validated"
            },
            "expression": [
              "MedicationAdministration/acs-cda-med-salbutamol-ipratropium-mdi: MedicationAdministration.medication.ofType(CodeableConcept).coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 35
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_QTY_UCUM_ANNOTATIONS_NO_UNIT"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-administration|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "UCUM Codes that contain human readable annotations like {puff} can be misleading (e.g. they are ignored when comparing units). Best Practice is not to depend on annotations in the UCUM code, so this usage should be checked, and the Quantity.unit SHOULD contain the annotation"
            },
            "expression": [
              "MedicationAdministration/acs-cda-med-salbutamol-ipratropium-mdi: MedicationAdministration.dosage.dose"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/MedicationAdministration-acs-cda-med-salbutamol-mdi",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "MedicationAdministration-acs-cda-med-salbutamol-mdi",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 16
              },
              {
                "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-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-administration|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.113883.2.18.26' could not be found, so the code cannot be validated"
            },
            "expression": [
              "MedicationAdministration/acs-cda-med-salbutamol-mdi: MedicationAdministration.medication.ofType(CodeableConcept).coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 35
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_QTY_UCUM_ANNOTATIONS_NO_UNIT"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-administration|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "UCUM Codes that contain human readable annotations like {puff} can be misleading (e.g. they are ignored when comparing units). Best Practice is not to depend on annotations in the UCUM code, so this usage should be checked, and the Quantity.unit SHOULD contain the annotation"
            },
            "expression": [
              "MedicationAdministration/acs-cda-med-salbutamol-mdi: MedicationAdministration.dosage.dose"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/MedicationAdministration-acs-cda-med-salbutamol-neb",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "MedicationAdministration-acs-cda-med-salbutamol-neb",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 16
              },
              {
                "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-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-administration|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.113883.2.18.26' could not be found, so the code cannot be validated"
            },
            "expression": [
              "MedicationAdministration/acs-cda-med-salbutamol-neb: MedicationAdministration.medication.ofType(CodeableConcept).coding[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/MedicationAdministration-acs-cda-med-sodium-bicarbonate",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "MedicationAdministration-acs-cda-med-sodium-bicarbonate",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 16
              },
              {
                "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-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-administration|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.113883.2.18.26' could not be found, so the code cannot be validated"
            },
            "expression": [
              "MedicationAdministration/acs-cda-med-sodium-bicarbonate: MedicationAdministration.medication.ofType(CodeableConcept).coding[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/MedicationAdministration-acs-cda-med-sodium-chloride",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "MedicationAdministration-acs-cda-med-sodium-chloride",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 16
              },
              {
                "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-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-administration|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.113883.2.18.26' could not be found, so the code cannot be validated"
            },
            "expression": [
              "MedicationAdministration/acs-cda-med-sodium-chloride: MedicationAdministration.medication.ofType(CodeableConcept).coding[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/MedicationAdministration-acs-cda-med-suxamethonium",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "MedicationAdministration-acs-cda-med-suxamethonium",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 16
              },
              {
                "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-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-administration|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.113883.2.18.26' could not be found, so the code cannot be validated"
            },
            "expression": [
              "MedicationAdministration/acs-cda-med-suxamethonium: MedicationAdministration.medication.ofType(CodeableConcept).coding[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/MedicationAdministration-acs-cda-med-tramadol",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "MedicationAdministration-acs-cda-med-tramadol",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 16
              },
              {
                "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-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-administration|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.113883.2.18.26' could not be found, so the code cannot be validated"
            },
            "expression": [
              "MedicationAdministration/acs-cda-med-tramadol: MedicationAdministration.medication.ofType(CodeableConcept).coding[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/MedicationAdministration-acs-medadmin-adenosine",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "MedicationAdministration-acs-medadmin-adenosine"
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/MedicationStatement-acs-cda-current-medications",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "MedicationStatement-acs-cda-current-medications",
        "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": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Terminology_TX_ValueSet_NotFound"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-current-medication|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "ValueSet 'http://nzmt.org.nz/vs' not found"
            },
            "expression": [
              "MedicationStatement/acs-cda-current-medications: MedicationStatement.medication.ofType(CodeableConcept)"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/Observation-acs-bgl",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-acs-bgl",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Observation/acs-bgl: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/Observation-acs-bp",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-acs-bp",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 57
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-blood-pressure|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Blood pressure panel' for http://loinc.org#85354-9. Valid display is one of 3 choices: 'Blood pressure panel with all children optional' (en-US), 'Blood pressure panel with all children optional' (en-US) or 'BP pnl w all optional' (en-US) (for the language(s) 'en')"
            },
            "expression": [
              "Observation/acs-bp: Observation.code.coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 34
              },
              {
                "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": "Validation_VAL_Profile_Minimum"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/bp|4.0.1"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Observation.component:SystolicBP.value[x].unit: minimum required = 1, but only found 0 (from http://hl7.org/fhir/StructureDefinition/bp|4.0.1)"
            },
            "expression": [
              "Observation/acs-bp: Observation.component[0].value.ofType(Quantity)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 50
              },
              {
                "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": "Validation_VAL_Profile_Minimum"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/bp|4.0.1"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Observation.component:DiastolicBP.value[x].unit: minimum required = 1, but only found 0 (from http://hl7.org/fhir/StructureDefinition/bp|4.0.1)"
            },
            "expression": [
              "Observation/acs-bp: Observation.component[1].value.ofType(Quantity)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Observation/acs-bp: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/Observation-acs-cda-abcd2-completed",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-acs-cda-abcd2-completed",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Observation/acs-cda-abcd2-completed: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/Observation-acs-cda-abcd2-refused",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-acs-cda-abcd2-refused",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Observation/acs-cda-abcd2-refused: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/Observation-acs-cda-accident-airbag",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-acs-cda-accident-airbag",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Observation/acs-cda-accident-airbag: Observation"
            ]
          },
          {
            "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_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Observation/acs-cda-accident-airbag: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/Observation-acs-cda-accident-end-over-end",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-acs-cda-accident-end-over-end",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Observation/acs-cda-accident-end-over-end: Observation"
            ]
          },
          {
            "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_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Observation/acs-cda-accident-end-over-end: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/Observation-acs-cda-accident-helmet",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-acs-cda-accident-helmet",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Observation/acs-cda-accident-helmet: Observation"
            ]
          },
          {
            "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_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Observation/acs-cda-accident-helmet: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/Observation-acs-cda-accident-impact-speed",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-acs-cda-accident-impact-speed",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Observation/acs-cda-accident-impact-speed: Observation"
            ]
          },
          {
            "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_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Observation/acs-cda-accident-impact-speed: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/Observation-acs-cda-accident-mechanism",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-acs-cda-accident-mechanism",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Observation/acs-cda-accident-mechanism: Observation"
            ]
          },
          {
            "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_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Observation/acs-cda-accident-mechanism: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/Observation-acs-cda-accident-passenger-intrusion",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-acs-cda-accident-passenger-intrusion",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Observation/acs-cda-accident-passenger-intrusion: Observation"
            ]
          },
          {
            "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_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Observation/acs-cda-accident-passenger-intrusion: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/Observation-acs-cda-accident-patient-characteristic",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-acs-cda-accident-patient-characteristic",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-accident-observation|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Patient characteristic' for http://snomed.info/sct#127348004. Valid display is one of 6 choices: 'Motor vehicle accident (victim)' (en), 'Motor vehicle accident' (en), 'MVA' (en), 'Motor vehicle accident victim (finding)' (en), 'Motor vehicle accident victim' (en) or 'MVA (motor vehicle accident) victim' (en) (for the language(s) 'en')"
            },
            "expression": [
              "Observation/acs-cda-accident-patient-characteristic: Observation.code.coding[0].display"
            ]
          },
          {
            "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": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-accident-observation|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Driver' for http://snomed.info/sct#303980003. Valid display is one of 2 choices: 'Driver of motor vehicle' (en) or 'Driver of motor vehicle (person)' (en) (for the language(s) 'en')"
            },
            "expression": [
              "Observation/acs-cda-accident-patient-characteristic: Observation.value.ofType(CodeableConcept).coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 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/acs-cda-accident-patient-characteristic: Observation"
            ]
          },
          {
            "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_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Observation/acs-cda-accident-patient-characteristic: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/Observation-acs-cda-accident-patient-ejected",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-acs-cda-accident-patient-ejected",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Observation/acs-cda-accident-patient-ejected: Observation"
            ]
          },
          {
            "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_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Observation/acs-cda-accident-patient-ejected: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/Observation-acs-cda-accident-patient-trapped",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-acs-cda-accident-patient-trapped",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Observation/acs-cda-accident-patient-trapped: Observation"
            ]
          },
          {
            "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_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Observation/acs-cda-accident-patient-trapped: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/Observation-acs-cda-accident-rollover",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-acs-cda-accident-rollover",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Observation/acs-cda-accident-rollover: Observation"
            ]
          },
          {
            "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_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Observation/acs-cda-accident-rollover: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/Observation-acs-cda-accident-seatbelt",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-acs-cda-accident-seatbelt",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Observation/acs-cda-accident-seatbelt: Observation"
            ]
          },
          {
            "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_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Observation/acs-cda-accident-seatbelt: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/Observation-acs-cda-accident-self-extricated",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-acs-cda-accident-self-extricated",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Observation/acs-cda-accident-self-extricated: Observation"
            ]
          },
          {
            "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_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Observation/acs-cda-accident-self-extricated: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/Observation-acs-cda-accident-sport",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-acs-cda-accident-sport",
        "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": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-accident-observation|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Sports Injury' for http://loinc.org#11372-0. Valid display is one of 3 choices: 'Injury associated activity' (en-US), 'Injury associated activity' (en-US) or 'Injury associated activity' (en-US) (for the language(s) 'en')"
            },
            "expression": [
              "Observation/acs-cda-accident-sport: Observation.code.coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Observation/acs-cda-accident-sport: Observation"
            ]
          },
          {
            "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_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Observation/acs-cda-accident-sport: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/Observation-acs-cda-accident-vehicle-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-acs-cda-accident-vehicle-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-accident-observation|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Vehicle type' for http://snomed.info/sct#46160005. Valid display is one of 6 choices: 'Motor vehicle' (en), 'Motor vehicle, NOS' (en), 'Motor vehicle, device (physical object)' (en), 'Motorised road traffic vehicle' (en), 'Motorized road traffic vehicle' (en) or 'Motor vehicle, device' (en) (for the language(s) 'en')"
            },
            "expression": [
              "Observation/acs-cda-accident-vehicle-type: Observation.code.coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Observation/acs-cda-accident-vehicle-type: Observation"
            ]
          },
          {
            "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_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Observation/acs-cda-accident-vehicle-type: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/Observation-acs-cda-bgl",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-acs-cda-bgl",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Observation/acs-cda-bgl: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/Observation-acs-cda-bp",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-acs-cda-bp",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 58
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-blood-pressure|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Blood pressure panel' for http://loinc.org#85354-9. Valid display is one of 3 choices: 'Blood pressure panel with all children optional' (en-US), 'Blood pressure panel with all children optional' (en-US) or 'BP pnl w all optional' (en-US) (for the language(s) 'en')"
            },
            "expression": [
              "Observation/acs-cda-bp: Observation.code.coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 35
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Validation_VAL_Profile_Minimum"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/bp|4.0.1"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Observation.component:SystolicBP.value[x].unit: minimum required = 1, but only found 0 (from http://hl7.org/fhir/StructureDefinition/bp|4.0.1)"
            },
            "expression": [
              "Observation/acs-cda-bp: Observation.component[0].value.ofType(Quantity)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 51
              },
              {
                "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": "Validation_VAL_Profile_Minimum"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/bp|4.0.1"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Observation.component:DiastolicBP.value[x].unit: minimum required = 1, but only found 0 (from http://hl7.org/fhir/StructureDefinition/bp|4.0.1)"
            },
            "expression": [
              "Observation/acs-cda-bp: Observation.component[1].value.ofType(Quantity)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Observation/acs-cda-bp: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/Observation-acs-cda-caprefill-central",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-acs-cda-caprefill-central",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 27
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-capillary-refill-time|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Capillary refill [Time]' for http://loinc.org#44963-7. Valid display is one of 3 choices: 'Capillary refill [Time] of Nail bed' (en-US), 'Capillary refill [Time] of Nail bed' (en-US) or 'Capillary refill Time Nail Bed' (en-US) (for the language(s) 'en')"
            },
            "expression": [
              "Observation/acs-cda-caprefill-central: Observation.code.coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Observation/acs-cda-caprefill-central: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/Observation-acs-cda-caprefill-peripheral",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-acs-cda-caprefill-peripheral",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 27
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-capillary-refill-time|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Capillary refill [Time]' for http://loinc.org#44963-7. Valid display is one of 3 choices: 'Capillary refill [Time] of Nail bed' (en-US), 'Capillary refill [Time] of Nail bed' (en-US) or 'Capillary refill Time Nail Bed' (en-US) (for the language(s) 'en')"
            },
            "expression": [
              "Observation/acs-cda-caprefill-peripheral: Observation.code.coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Observation/acs-cda-caprefill-peripheral: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/Observation-acs-cda-competence",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-acs-cda-competence",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Observation/acs-cda-competence: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/Observation-acs-cda-ecg",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-acs-cda-ecg",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Observation/acs-cda-ecg: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/Observation-acs-cda-etco2",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-acs-cda-etco2",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 27
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-end-tidal-co2|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Carbon dioxide [Partial pressure] in Exhaled gas --at end expiration' for http://loinc.org#19889-5. Valid display is one of 3 choices: 'Carbon dioxide/Gas.total.at end expiration in Exhaled gas' (en-US), 'Carbon dioxide/Gas.total.at end expiration in Exhaled gas' (en-US) or 'CO2 VFr ExG' (en-US) (for the language(s) 'en')"
            },
            "expression": [
              "Observation/acs-cda-etco2: Observation.code.coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Observation/acs-cda-etco2: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/Observation-acs-cda-event-arrived-destination",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-acs-cda-event-arrived-destination",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Observation/acs-cda-event-arrived-destination: Observation"
            ]
          },
          {
            "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_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Observation/acs-cda-event-arrived-destination: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/Observation-acs-cda-event-arrived-scene",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-acs-cda-event-arrived-scene",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Observation/acs-cda-event-arrived-scene: Observation"
            ]
          },
          {
            "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_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Observation/acs-cda-event-arrived-scene: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/Observation-acs-cda-event-call-received",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-acs-cda-event-call-received",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Observation/acs-cda-event-call-received: Observation"
            ]
          },
          {
            "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_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Observation/acs-cda-event-call-received: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/Observation-acs-cda-event-closed",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-acs-cda-event-closed",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Observation/acs-cda-event-closed: Observation"
            ]
          },
          {
            "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_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Observation/acs-cda-event-closed: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/Observation-acs-cda-event-departed-scene",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-acs-cda-event-departed-scene",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Observation/acs-cda-event-departed-scene: Observation"
            ]
          },
          {
            "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_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Observation/acs-cda-event-departed-scene: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/Observation-acs-cda-event-patient-located",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-acs-cda-event-patient-located",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Observation/acs-cda-event-patient-located: Observation"
            ]
          },
          {
            "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_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Observation/acs-cda-event-patient-located: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/Observation-acs-cda-event-unit-dispatched",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-acs-cda-event-unit-dispatched",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Observation/acs-cda-event-unit-dispatched: Observation"
            ]
          },
          {
            "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_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Observation/acs-cda-event-unit-dispatched: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/Observation-acs-cda-event-unit-responded",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-acs-cda-event-unit-responded",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Observation/acs-cda-event-unit-responded: Observation"
            ]
          },
          {
            "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_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Observation/acs-cda-event-unit-responded: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/Observation-acs-cda-falls-completed",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-acs-cda-falls-completed",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Observation/acs-cda-falls-completed: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/Observation-acs-cda-falls-refused",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-acs-cda-falls-refused",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Observation/acs-cda-falls-refused: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/Observation-acs-cda-fast-completed",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-acs-cda-fast-completed",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Observation/acs-cda-fast-completed: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/Observation-acs-cda-fast-refused",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-acs-cda-fast-refused",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Observation/acs-cda-fast-refused: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/Observation-acs-cda-gcs",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-acs-cda-gcs",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 41
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_QTY_UCUM_ANNOTATIONS_NO_UNIT"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-glasgow-coma-score|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "UCUM Codes that contain human readable annotations like {score} can be misleading (e.g. they are ignored when comparing units). Best Practice is not to depend on annotations in the UCUM code, so this usage should be checked, and the Quantity.unit SHOULD contain the annotation"
            },
            "expression": [
              "Observation/acs-cda-gcs: Observation.value.ofType(Quantity)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Observation/acs-cda-gcs: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/Observation-acs-cda-history-of-incident",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-acs-cda-history-of-incident",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Observation/acs-cda-history-of-incident: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/Observation-acs-cda-hr",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-acs-cda-hr",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 33
              },
              {
                "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": "Validation_VAL_Profile_Minimum"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/heartrate|4.0.1"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Observation.value[x]:valueQuantity.unit: minimum required = 1, but only found 0 (from http://hl7.org/fhir/StructureDefinition/heartrate|4.0.1)"
            },
            "expression": [
              "Observation/acs-cda-hr: Observation.value.ofType(Quantity)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Observation/acs-cda-hr: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/Observation-acs-cda-last-oral-intake",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-acs-cda-last-oral-intake",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Observation/acs-cda-last-oral-intake: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/Observation-acs-cda-pain",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-acs-cda-pain",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 41
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_QTY_UCUM_ANNOTATIONS_NO_UNIT"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-pain-score|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "UCUM Codes that contain human readable annotations like {score} can be misleading (e.g. they are ignored when comparing units). Best Practice is not to depend on annotations in the UCUM code, so this usage should be checked, and the Quantity.unit SHOULD contain the annotation"
            },
            "expression": [
              "Observation/acs-cda-pain: Observation.value.ofType(Quantity)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Observation/acs-cda-pain: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/Observation-acs-cda-patient-age",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-acs-cda-patient-age",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Observation/acs-cda-patient-age: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/Observation-acs-cda-patient-status-final",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-acs-cda-patient-status-final",
        "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": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-patient-status|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Clinical status of patient (observable entity)' for http://snomed.info/sct#410536001. Valid display is one of 3 choices: 'Contraindicated (qualifier value)' (en), 'Contraindicated' (en) or 'Contra-indicated' (en) (for the language(s) 'en')"
            },
            "expression": [
              "Observation/acs-cda-patient-status-final: Observation.code.coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Observation/acs-cda-patient-status-final: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/Observation-acs-cda-patient-status-scene",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-acs-cda-patient-status-scene",
        "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": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-patient-status|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Clinical status of patient (observable entity)' for http://snomed.info/sct#410536001. Valid display is one of 3 choices: 'Contraindicated (qualifier value)' (en), 'Contraindicated' (en) or 'Contra-indicated' (en) (for the language(s) 'en')"
            },
            "expression": [
              "Observation/acs-cda-patient-status-scene: Observation.code.coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Observation/acs-cda-patient-status-scene: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/Observation-acs-cda-pefr",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-acs-cda-pefr",
        "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": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-peak-expiratory-flow|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Maximum expiratory gas flow Respiratory system airway by Peak flow meter' for http://loinc.org#33452-4. Valid display is one of 3 choices: 'Maximum expiratory gas flow Respiratory system airway' (en-US), 'Maximum expiratory gas flow Respiratory system airway' (en-US) or 'PEF Airway' (en-US) (for the language(s) 'en')"
            },
            "expression": [
              "Observation/acs-cda-pefr: Observation.code.coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Observation/acs-cda-pefr: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/Observation-acs-cda-presenting-complaint",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-acs-cda-presenting-complaint",
        "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": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-presenting-complaint|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Chief complaint' for http://loinc.org#67570-2. Valid display is one of 3 choices: 'Chief complaint per dispatch Reported.dispatch' (en-US), 'Chief complaint per dispatch Reported.dispatch' (en-US) or 'Cplaint per dispatch Reported.dispatch' (en-US) (for the language(s) 'en')"
            },
            "expression": [
              "Observation/acs-cda-presenting-complaint: Observation.code.coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Observation/acs-cda-presenting-complaint: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/Observation-acs-cda-primary-survey",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-acs-cda-primary-survey",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Observation/acs-cda-primary-survey: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/Observation-acs-cda-pupil-reaction-left",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-acs-cda-pupil-reaction-left",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 27
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-pupil-reaction|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Pupillary function (observable entity)' for http://snomed.info/sct#301939004. Valid display is one of 6 choices: 'Miosis' (en), 'Small pupil' (en), 'Constricted pupil' (en), 'Constricted pupil (finding)' (en), 'Pupil constriction' (en) or 'Miotic pupil' (en) (for the language(s) 'en')"
            },
            "expression": [
              "Observation/acs-cda-pupil-reaction-left: Observation.code.coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Observation/acs-cda-pupil-reaction-left: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/Observation-acs-cda-pupil-reaction-right",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-acs-cda-pupil-reaction-right",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 27
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-pupil-reaction|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Pupillary function (observable entity)' for http://snomed.info/sct#301939004. Valid display is one of 6 choices: 'Miosis' (en), 'Small pupil' (en), 'Constricted pupil' (en), 'Constricted pupil (finding)' (en), 'Pupil constriction' (en) or 'Miotic pupil' (en) (for the language(s) 'en')"
            },
            "expression": [
              "Observation/acs-cda-pupil-reaction-right: Observation.code.coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Observation/acs-cda-pupil-reaction-right: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/Observation-acs-cda-pupil-size-left",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-acs-cda-pupil-size-left",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 27
              },
              {
                "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_Version"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-pupil-size|0.1.0"
              }
            ],
            "severity": "error",
            "code": "code-invalid",
            "details": {
              "text": "Unknown code '367665004' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20250201' (International Edition)"
            },
            "expression": [
              "Observation/acs-cda-pupil-size-left: Observation.code.coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 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/acs-cda-pupil-size-left: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/Observation-acs-cda-pupil-size-right",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-acs-cda-pupil-size-right",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 27
              },
              {
                "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_Version"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-pupil-size|0.1.0"
              }
            ],
            "severity": "error",
            "code": "code-invalid",
            "details": {
              "text": "Unknown code '367665004' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20250201' (International Edition)"
            },
            "expression": [
              "Observation/acs-cda-pupil-size-right: Observation.code.coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 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/acs-cda-pupil-size-right: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/Observation-acs-cda-refusal",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-acs-cda-refusal",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Observation/acs-cda-refusal: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/Observation-acs-cda-rr",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-acs-cda-rr",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 33
              },
              {
                "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": "Validation_VAL_Profile_Minimum"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/resprate|4.0.1"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Observation.value[x]:valueQuantity.unit: minimum required = 1, but only found 0 (from http://hl7.org/fhir/StructureDefinition/resprate|4.0.1)"
            },
            "expression": [
              "Observation/acs-cda-rr: Observation.value.ofType(Quantity)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Observation/acs-cda-rr: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/Observation-acs-cda-skin",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-acs-cda-skin",
        "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": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-skin-condition|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'General skin examination' for http://snomed.info/sct#225544001. Valid display is one of 3 choices: 'Skin appearance normal' (en), 'Skin normal' (en) or 'Skin appearance normal (finding)' (en) (for the language(s) 'en')"
            },
            "expression": [
              "Observation/acs-cda-skin: Observation.code.coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Observation/acs-cda-skin: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/Observation-acs-cda-smoking",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-acs-cda-smoking",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Observation/acs-cda-smoking: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/Observation-acs-cda-spo2",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-acs-cda-spo2",
        "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": "VALIDATION_VAL_PROFILE_MINIMUM_MAGIC"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/oxygensat|4.0.1"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "OxygenSatCode: magic LOINC code 2708-6 required, but not found (from http://hl7.org/fhir/StructureDefinition/oxygensat|4.0.1). Note that other Observation codes are allowed in addition to this required magic code"
            },
            "expression": [
              "Observation/acs-cda-spo2: Observation.code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 33
              },
              {
                "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": "Validation_VAL_Profile_Minimum"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/oxygensat|4.0.1"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Observation.value[x]:valueQuantity.unit: minimum required = 1, but only found 0 (from http://hl7.org/fhir/StructureDefinition/oxygensat|4.0.1)"
            },
            "expression": [
              "Observation/acs-cda-spo2: Observation.value.ofType(Quantity)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Observation/acs-cda-spo2: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/Observation-acs-cda-temp",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-acs-cda-temp",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 33
              },
              {
                "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": "Validation_VAL_Profile_Minimum"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/bodytemp|4.0.1"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Observation.value[x]:valueQuantity.unit: minimum required = 1, but only found 0 (from http://hl7.org/fhir/StructureDefinition/bodytemp|4.0.1)"
            },
            "expression": [
              "Observation/acs-cda-temp: Observation.value.ofType(Quantity)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Observation/acs-cda-temp: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/Observation-acs-ecg",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-acs-ecg",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Observation/acs-ecg: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/Observation-acs-gcs",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-acs-gcs",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 40
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_QTY_UCUM_ANNOTATIONS_NO_UNIT"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-glasgow-coma-score|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "UCUM Codes that contain human readable annotations like {score} can be misleading (e.g. they are ignored when comparing units). Best Practice is not to depend on annotations in the UCUM code, so this usage should be checked, and the Quantity.unit SHOULD contain the annotation"
            },
            "expression": [
              "Observation/acs-gcs: Observation.value.ofType(Quantity)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Observation/acs-gcs: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/Observation-acs-hr",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-acs-hr",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 32
              },
              {
                "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": "Validation_VAL_Profile_Minimum"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/heartrate|4.0.1"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Observation.value[x]:valueQuantity.unit: minimum required = 1, but only found 0 (from http://hl7.org/fhir/StructureDefinition/heartrate|4.0.1)"
            },
            "expression": [
              "Observation/acs-hr: Observation.value.ofType(Quantity)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Observation/acs-hr: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/Observation-acs-pain",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-acs-pain",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 40
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_QTY_UCUM_ANNOTATIONS_NO_UNIT"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-pain-score|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "UCUM Codes that contain human readable annotations like {score} can be misleading (e.g. they are ignored when comparing units). Best Practice is not to depend on annotations in the UCUM code, so this usage should be checked, and the Quantity.unit SHOULD contain the annotation"
            },
            "expression": [
              "Observation/acs-pain: Observation.value.ofType(Quantity)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Observation/acs-pain: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/Observation-acs-patient-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-acs-patient-status",
        "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": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-patient-status|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Clinical status of patient (observable entity)' for http://snomed.info/sct#410536001. Valid display is one of 3 choices: 'Contraindicated (qualifier value)' (en), 'Contraindicated' (en) or 'Contra-indicated' (en) (for the language(s) 'en')"
            },
            "expression": [
              "Observation/acs-patient-status: Observation.code.coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Observation/acs-patient-status: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/Observation-acs-presenting-complaint",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-acs-presenting-complaint",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 13
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-presenting-complaint|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Chief complaint' for http://loinc.org#67570-2. Valid display is one of 3 choices: 'Chief complaint per dispatch Reported.dispatch' (en-US), 'Chief complaint per dispatch Reported.dispatch' (en-US) or 'Cplaint per dispatch Reported.dispatch' (en-US) (for the language(s) 'en')"
            },
            "expression": [
              "Observation/acs-presenting-complaint: Observation.code.coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Observation/acs-presenting-complaint: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/Observation-acs-rr",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-acs-rr",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 32
              },
              {
                "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": "Validation_VAL_Profile_Minimum"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/resprate|4.0.1"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Observation.value[x]:valueQuantity.unit: minimum required = 1, but only found 0 (from http://hl7.org/fhir/StructureDefinition/resprate|4.0.1)"
            },
            "expression": [
              "Observation/acs-rr: Observation.value.ofType(Quantity)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Observation/acs-rr: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/Observation-acs-skin",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-acs-skin",
        "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": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-skin-condition|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'General skin examination' for http://snomed.info/sct#225544001. Valid display is one of 3 choices: 'Skin appearance normal' (en), 'Skin normal' (en) or 'Skin appearance normal (finding)' (en) (for the language(s) 'en')"
            },
            "expression": [
              "Observation/acs-skin: Observation.code.coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Observation/acs-skin: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/Observation-acs-smoking",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-acs-smoking",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Observation/acs-smoking: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/Observation-acs-spo2",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-acs-spo2",
        "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": "VALIDATION_VAL_PROFILE_MINIMUM_MAGIC"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/oxygensat|4.0.1"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "OxygenSatCode: magic LOINC code 2708-6 required, but not found (from http://hl7.org/fhir/StructureDefinition/oxygensat|4.0.1). Note that other Observation codes are allowed in addition to this required magic code"
            },
            "expression": [
              "Observation/acs-spo2: Observation.code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 32
              },
              {
                "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": "Validation_VAL_Profile_Minimum"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/oxygensat|4.0.1"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Observation.value[x]:valueQuantity.unit: minimum required = 1, but only found 0 (from http://hl7.org/fhir/StructureDefinition/oxygensat|4.0.1)"
            },
            "expression": [
              "Observation/acs-spo2: Observation.value.ofType(Quantity)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Observation/acs-spo2: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/Observation-acs-temp",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-acs-temp",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 32
              },
              {
                "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": "Validation_VAL_Profile_Minimum"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/bodytemp|4.0.1"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Observation.value[x]:valueQuantity.unit: minimum required = 1, but only found 0 (from http://hl7.org/fhir/StructureDefinition/bodytemp|4.0.1)"
            },
            "expression": [
              "Observation/acs-temp: Observation.value.ofType(Quantity)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Observation/acs-temp: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/Organization-acs-cda-org-stjohn",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Organization-acs-cda-org-stjohn"
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/Organization-acs-org-stjohn",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Organization-acs-org-stjohn"
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/Patient-acs-cda-patient-bob",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Patient-acs-cda-patient-bob",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 16
              },
              {
                "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": "Validation_VAL_Profile_MatchMultiple"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Profile https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0, Element matches more than one slice - sex-at-birth, sexAtBirth"
            },
            "expression": [
              "Patient/acs-cda-patient-bob: Patient.extension[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/Patient-acs-patient-bob",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Patient-acs-patient-bob",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 20
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Validation_VAL_Profile_MatchMultiple"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Profile https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/ambulance-care-summary-patient|0.1.0, Element matches more than one slice - sex-at-birth, sexAtBirth"
            },
            "expression": [
              "Patient/acs-patient-bob: Patient.extension[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/Practitioner-acs-cda-clinician-bob",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Practitioner-acs-cda-clinician-bob"
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/Practitioner-acs-cda-clinician-josephine",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Practitioner-acs-cda-clinician-josephine"
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/Practitioner-acs-cda-medical-director-rex",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Practitioner-acs-cda-medical-director-rex"
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/Practitioner-acs-clinician-josephine",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Practitioner-acs-clinician-josephine"
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/PractitionerRole-acs-cda-providerrole-bob",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "PractitionerRole-acs-cda-providerrole-bob"
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/PractitionerRole-acs-cda-providerrole-josephine",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "PractitionerRole-acs-cda-providerrole-josephine"
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/PractitionerRole-acs-cda-providerrole-rex",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "PractitionerRole-acs-cda-providerrole-rex"
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/PractitionerRole-acs-providerrole-josephine",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "PractitionerRole-acs-providerrole-josephine"
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/Procedure-acs-cda-proc-airway-cricothyroidotomy",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Procedure-acs-cda-proc-airway-cricothyroidotomy",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 28
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-procedure|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Airway Management Cricothyroidotomy' for http://snomed.info/sct#173067007. Valid display is one of 4 choices: 'Cricothyroidotomy' (en), 'Cricothyroidostomy' (en), 'Cricothyroidotomy (procedure)' (en) or 'Cricothyrotomy' (en) (for the language(s) 'en')"
            },
            "expression": [
              "Procedure/acs-cda-proc-airway-cricothyroidotomy: Procedure.code.coding[0].display"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/Procedure-acs-cda-proc-airway-intubation",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Procedure-acs-cda-proc-airway-intubation",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 28
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-procedure|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Airway Management Intubation' for http://snomed.info/sct#112798008. Valid display is one of 5 choices: 'Insertion of endotracheal tube' (en), 'Intubation of trachea' (en), 'Insertion of endotracheal tube (procedure)' (en), 'Endotracheal intubation' (en) or 'Tracheal intubation' (en) (for the language(s) 'en')"
            },
            "expression": [
              "Procedure/acs-cda-proc-airway-intubation: Procedure.code.coding[0].display"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/Procedure-acs-cda-proc-airway-laryngoscopy",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Procedure-acs-cda-proc-airway-laryngoscopy",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 28
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-procedure|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Airway Management Laryngoscopy' for http://snomed.info/sct#28760000. Valid display is one of 9 choices: 'Laryngoscopy' (en), 'Laryngoscopy, NOS' (en), 'Laryngotracheoscopy, NOS' (en), 'Endoscopic exploration of larynx, NOS' (en), 'Endoscopy of larynx, NOS' (en), 'Laryngotracheoscopy' (en), 'Endoscopic exploration of larynx' (en), 'Endoscopy of larynx' (en) or 'Laryngoscopy (procedure)' (en) (for the language(s) 'en')"
            },
            "expression": [
              "Procedure/acs-cda-proc-airway-laryngoscopy: Procedure.code.coding[0].display"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/Procedure-acs-cda-proc-airway-lma",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Procedure-acs-cda-proc-airway-lma",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 28
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-procedure|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Airway Management LMA' for http://snomed.info/sct#418613003. Valid display is one of 5 choices: 'Tracheal intubation through a laryngeal mask airway (procedure)' (en), 'Tracheal intubation through a laryngeal mask airway' (en), 'Tracheal intubation through LMA' (en), 'Tracheal intubation through LMA (laryngeal mask airway)' (en) or 'Endotracheal intubation through laryngeal mask airway' (en) (for the language(s) 'en')"
            },
            "expression": [
              "Procedure/acs-cda-proc-airway-lma: Procedure.code.coding[0].display"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/Procedure-acs-cda-proc-airway-manual-clear",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Procedure-acs-cda-proc-airway-manual-clear",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 28
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-procedure|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Airway Management Manual Clear' for http://snomed.info/sct#232664002. Valid display is one of 3 choices: 'Manual establishment of airway' (en), 'Airway obtained manually' (en) or 'Manual establishment of airway (procedure)' (en) (for the language(s) 'en')"
            },
            "expression": [
              "Procedure/acs-cda-proc-airway-manual-clear: Procedure.code.coding[0].display"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/Procedure-acs-cda-proc-airway-npa",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Procedure-acs-cda-proc-airway-npa",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 28
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-procedure|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Airway Management NPA' for http://snomed.info/sct#182692007. Valid display is one of 4 choices: 'Nasopharyngeal airway insertion' (en), 'Nasal airway insertion' (en), 'NP - Nasopharyngeal airway insertion' (en) or 'Nasopharyngeal airway insertion (procedure)' (en) (for the language(s) 'en')"
            },
            "expression": [
              "Procedure/acs-cda-proc-airway-npa: Procedure.code.coding[0].display"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/Procedure-acs-cda-proc-airway-opa",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Procedure-acs-cda-proc-airway-opa",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 28
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-procedure|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Airway Management OPA' for http://snomed.info/sct#7443007. Valid display is one of 4 choices: 'Insertion of oropharyngeal airway' (en), 'Oropharyngeal airway insertion' (en), 'Oral airway insertion' (en) or 'Insertion of oropharyngeal airway (procedure)' (en) (for the language(s) 'en')"
            },
            "expression": [
              "Procedure/acs-cda-proc-airway-opa: Procedure.code.coding[0].display"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/Procedure-acs-cda-proc-airway-other-device",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Procedure-acs-cda-proc-airway-other-device",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 28
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-procedure|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Airway Management Other Device' for http://snomed.info/sct#397982008. Valid display is one of 2 choices: 'Insertion of device into airway (procedure)' (en) or 'Insertion of device into airway' (en) (for the language(s) 'en')"
            },
            "expression": [
              "Procedure/acs-cda-proc-airway-other-device: Procedure.code.coding[0].display"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/Procedure-acs-cda-proc-airway-suction",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Procedure-acs-cda-proc-airway-suction",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 28
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-procedure|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Airway Management Suction' for http://snomed.info/sct#230040009. Valid display is one of 3 choices: 'Airway suction technique' (en), 'Airway suction technique (procedure)' (en) or 'Airway suctioning' (en) (for the language(s) 'en')"
            },
            "expression": [
              "Procedure/acs-cda-proc-airway-suction: Procedure.code.coding[0].display"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/Procedure-acs-cda-proc-cardioversion",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Procedure-acs-cda-proc-cardioversion"
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/Procedure-acs-cda-proc-catheter-troubleshooting",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Procedure-acs-cda-proc-catheter-troubleshooting",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 28
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-procedure|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Catheter troubleshooting' for http://snomed.info/sct#410253009. Valid display is one of 3 choices: 'Urinary catheter care management (procedure)' (en), 'Urinary catheter care management' (en) or 'Manage urinary catheter care' (en) (for the language(s) 'en')"
            },
            "expression": [
              "Procedure/acs-cda-proc-catheter-troubleshooting: Procedure.code.coding[0].display"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/Procedure-acs-cda-proc-chest-decompression",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Procedure-acs-cda-proc-chest-decompression",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 40
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-procedure|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Chest decompression' for http://snomed.info/sct#367408005. Valid display is one of 5 choices: 'Incision of chest wall' (en), 'Thoracostomy' (en), 'Incision of thorax' (en), 'Incision of thorax (procedure)' (en) or 'Thoracic incision' (en) (for the language(s) 'en')"
            },
            "expression": [
              "Procedure/acs-cda-proc-chest-decompression: Procedure.code.coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 17
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "INACTIVE_DISPLAY_FOUND"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-procedure|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "'Second intercostal space' is no longer considered a correct display for code '243939008' (status = inactive). The correct display is one of Entire second intercostal space,Entire second intercostal space (body structure)"
            },
            "expression": [
              "Procedure/acs-cda-proc-chest-decompression: Procedure.bodySite[0].coding[0].display"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/Procedure-acs-cda-proc-cpap",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Procedure-acs-cda-proc-cpap"
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/Procedure-acs-cda-proc-cpr",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Procedure-acs-cda-proc-cpr",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 28
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-procedure|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'CPR' for http://snomed.info/sct#89666000. Valid display is one of 4 choices: 'Cardiopulmonary resuscitation' (en), 'Cardiopulmonary resuscitation, NOS' (en), 'Cardiopulmonary resuscitation (procedure)' (en) or 'CPR - Cardiopulmonary resuscitation' (en) (for the language(s) 'en')"
            },
            "expression": [
              "Procedure/acs-cda-proc-cpr: Procedure.code.coding[0].display"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/Procedure-acs-cda-proc-defibrillation-aed",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Procedure-acs-cda-proc-defibrillation-aed",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 28
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-procedure|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Defibrillation AED' for http://snomed.info/sct#308842001. Valid display is one of 2 choices: 'Direct current defibrillation' (en) or 'Direct current defibrillation (procedure)' (en) (for the language(s) 'en')"
            },
            "expression": [
              "Procedure/acs-cda-proc-defibrillation-aed: Procedure.code.coding[0].display"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/Procedure-acs-cda-proc-defibrillation",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Procedure-acs-cda-proc-defibrillation",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 28
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-procedure|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Defibrillation' for http://snomed.info/sct#308842001. Valid display is one of 2 choices: 'Direct current defibrillation' (en) or 'Direct current defibrillation (procedure)' (en) (for the language(s) 'en')"
            },
            "expression": [
              "Procedure/acs-cda-proc-defibrillation: Procedure.code.coding[0].display"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/Procedure-acs-cda-proc-io-insertion",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Procedure-acs-cda-proc-io-insertion",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 33
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-procedure|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'IO insertion' for http://snomed.info/sct#430824005. Valid display is one of 2 choices: 'Intraosseous cannulation (procedure)' (en) or 'Intraosseous cannulation' (en) (for the language(s) 'en')"
            },
            "expression": [
              "Procedure/acs-cda-proc-io-insertion: Procedure.code.coding[0].display"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/Procedure-acs-cda-proc-iv-insertion",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Procedure-acs-cda-proc-iv-insertion",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 33
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-procedure|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'IV insertion' for http://snomed.info/sct#392231009. Valid display is one of 4 choices: 'Intravenous cannulation (procedure)' (en), 'Intravenous cannulation' (en), 'Insertion of catheter into vein' (en) or 'Venous cannula insertion' (en) (for the language(s) 'en')"
            },
            "expression": [
              "Procedure/acs-cda-proc-iv-insertion: Procedure.code.coding[0].display"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/Procedure-acs-cda-proc-limb-reduction-ankle",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Procedure-acs-cda-proc-limb-reduction-ankle",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 33
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-procedure|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Limb reduction Ankle' for http://snomed.info/sct#274457001. Valid display is one of 5 choices: 'Dislocated ankle reduction' (en), 'Dislocated ankle reduction (procedure)' (en), 'Reduction of ankle dislocation' (en), 'Reduction of dislocation of ankle (procedure)' (en) or 'Reduction of dislocation of ankle' (en) (for the language(s) 'en')"
            },
            "expression": [
              "Procedure/acs-cda-proc-limb-reduction-ankle: Procedure.code.coding[0].display"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/Procedure-acs-cda-proc-limb-reduction-elbow",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Procedure-acs-cda-proc-limb-reduction-elbow",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 33
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-procedure|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Limb reduction Elbow' for http://snomed.info/sct#430184005. Valid display is one of 2 choices: 'Reduction of dislocation of elbow (procedure)' (en) or 'Reduction of dislocation of elbow' (en) (for the language(s) 'en')"
            },
            "expression": [
              "Procedure/acs-cda-proc-limb-reduction-elbow: Procedure.code.coding[0].display"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/Procedure-acs-cda-proc-limb-reduction-other",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Procedure-acs-cda-proc-limb-reduction-other",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 28
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-procedure|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Limb reduction Other' for http://snomed.info/sct#287635001. Valid display is one of 2 choices: 'Other dislocation reduction' (en) or 'Other dislocation reduction (procedure)' (en) (for the language(s) 'en')"
            },
            "expression": [
              "Procedure/acs-cda-proc-limb-reduction-other: Procedure.code.coding[0].display"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/Procedure-acs-cda-proc-limb-reduction-shoulder",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Procedure-acs-cda-proc-limb-reduction-shoulder",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 33
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-procedure|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Limb reduction Shoulder' for http://snomed.info/sct#274450004. Valid display is one of 2 choices: 'Dislocated shoulder reduction' (en) or 'Dislocated shoulder reduction (procedure)' (en) (for the language(s) 'en')"
            },
            "expression": [
              "Procedure/acs-cda-proc-limb-reduction-shoulder: Procedure.code.coding[0].display"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/Procedure-acs-cda-proc-limb-reduction-wrist",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Procedure-acs-cda-proc-limb-reduction-wrist",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 33
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-procedure|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Limb reduction Wrist' for http://snomed.info/sct#430296009. Valid display is one of 2 choices: 'Reduction of dislocation of wrist (procedure)' (en) or 'Reduction of dislocation of wrist' (en) (for the language(s) 'en')"
            },
            "expression": [
              "Procedure/acs-cda-proc-limb-reduction-wrist: Procedure.code.coding[0].display"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/Procedure-acs-cda-proc-pacing",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Procedure-acs-cda-proc-pacing",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 28
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-procedure|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Pacing' for http://snomed.info/sct#18590009. Valid display is one of 4 choices: 'Cardiac pacing' (en), 'Cardiac pacing, NOS' (en), 'Electrical cardiac pacing' (en) or 'Cardiac pacing (procedure)' (en) (for the language(s) 'en')"
            },
            "expression": [
              "Procedure/acs-cda-proc-pacing: Procedure.code.coding[0].display"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/Procedure-acs-cda-proc-peep",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Procedure-acs-cda-proc-peep",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 28
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-procedure|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'PEEP' for http://snomed.info/sct#243164007. Valid display is one of 4 choices: 'Positive end expiratory pressure reduced' (en), 'PEEP reduced - Positive end expiratory pressure reduced' (en), 'Positive end expiratory pressure reduced (procedure)' (en) or 'PEEP (positive end expiratory pressure) reduced' (en) (for the language(s) 'en')"
            },
            "expression": [
              "Procedure/acs-cda-proc-peep: Procedure.code.coding[0].display"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/Procedure-acs-cda-proc-position-lateral",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Procedure-acs-cda-proc-position-lateral",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 28
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-procedure|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Lateral position' for http://snomed.info/sct#229824005. Valid display is one of 7 choices: 'Putting patient in a position' (en), 'Positioning patient' (en), 'Positioning patient (procedure)' (en), 'Positions patient' (en), 'Positioning' (en), 'Positioning therapy' (en) or 'Positioning treatments and procedures' (en) (for the language(s) 'en')"
            },
            "expression": [
              "Procedure/acs-cda-proc-position-lateral: Procedure.code.coding[0].display"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/Procedure-acs-cda-proc-position-other",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Procedure-acs-cda-proc-position-other",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 28
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-procedure|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Other positioning' for http://snomed.info/sct#229824005. Valid display is one of 7 choices: 'Putting patient in a position' (en), 'Positioning patient' (en), 'Positioning patient (procedure)' (en), 'Positions patient' (en), 'Positioning' (en), 'Positioning therapy' (en) or 'Positioning treatments and procedures' (en) (for the language(s) 'en')"
            },
            "expression": [
              "Procedure/acs-cda-proc-position-other: Procedure.code.coding[0].display"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/Procedure-acs-cda-proc-position-prone",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Procedure-acs-cda-proc-position-prone",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 28
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-procedure|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Prone position' for http://snomed.info/sct#431182000. Valid display is one of 2 choices: 'Placing subject in prone position (procedure)' (en) or 'Placing subject in prone position' (en) (for the language(s) 'en')"
            },
            "expression": [
              "Procedure/acs-cda-proc-position-prone: Procedure.code.coding[0].display"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/Procedure-acs-cda-proc-position-recovery",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Procedure-acs-cda-proc-position-recovery",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 28
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-procedure|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Recovery position' for http://snomed.info/sct#444679006. Valid display is one of 2 choices: 'Positioning subject in recovery position (procedure)' (en) or 'Positioning subject in recovery position' (en) (for the language(s) 'en')"
            },
            "expression": [
              "Procedure/acs-cda-proc-position-recovery: Procedure.code.coding[0].display"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/Procedure-acs-cda-proc-position-seated",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Procedure-acs-cda-proc-position-seated",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 28
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-procedure|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Seated position' for http://snomed.info/sct#59408004. Valid display is one of 2 choices: 'Sitting a patient up in a chair' (en) or 'Sitting a patient up in a chair (procedure)' (en) (for the language(s) 'en')"
            },
            "expression": [
              "Procedure/acs-cda-proc-position-seated: Procedure.code.coding[0].display"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/Procedure-acs-cda-proc-position-semi-recumbent",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Procedure-acs-cda-proc-position-semi-recumbent",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 28
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-procedure|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Semi-recumbent position' for http://snomed.info/sct#225994009. Valid display is one of 2 choices: 'Placing patient in comfortable position' (en) or 'Placing patient in comfortable position (procedure)' (en) (for the language(s) 'en')"
            },
            "expression": [
              "Procedure/acs-cda-proc-position-semi-recumbent: Procedure.code.coding[0].display"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/Procedure-acs-cda-proc-position-supine",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Procedure-acs-cda-proc-position-supine",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 28
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-procedure|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Supine position' for http://snomed.info/sct#229824005. Valid display is one of 7 choices: 'Putting patient in a position' (en), 'Positioning patient' (en), 'Positioning patient (procedure)' (en), 'Positions patient' (en), 'Positioning' (en), 'Positioning therapy' (en) or 'Positioning treatments and procedures' (en) (for the language(s) 'en')"
            },
            "expression": [
              "Procedure/acs-cda-proc-position-supine: Procedure.code.coding[0].display"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/Procedure-acs-cda-proc-rsi",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Procedure-acs-cda-proc-rsi",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 28
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-procedure|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'RSI' for http://snomed.info/sct#241689008. Valid display is one of 4 choices: 'Rapid sequence induction' (en), 'RSI - Rapid sequence induction' (en), 'Crash induction' (en) or 'Rapid sequence induction (procedure)' (en) (for the language(s) 'en')"
            },
            "expression": [
              "Procedure/acs-cda-proc-rsi: Procedure.code.coding[0].display"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/Procedure-acs-cda-proc-splint-dressing",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Procedure-acs-cda-proc-splint-dressing",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 28
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-procedure|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Splint/dressing' for http://snomed.info/sct#79321009. Valid display is one of 3 choices: 'Application of splint' (en), 'Splinting' (en) or 'Application of splint (procedure)' (en) (for the language(s) 'en')"
            },
            "expression": [
              "Procedure/acs-cda-proc-splint-dressing: Procedure.code.coding[0].display"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/Procedure-acs-cda-proc-stomach-decompression",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Procedure-acs-cda-proc-stomach-decompression",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 28
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-procedure|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Stomach decompression' for http://snomed.info/sct#182515004. Valid display is one of 2 choices: 'Gastrointestinal decompression' (en) or 'Gastrointestinal decompression (procedure)' (en) (for the language(s) 'en')"
            },
            "expression": [
              "Procedure/acs-cda-proc-stomach-decompression: Procedure.code.coding[0].display"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/Procedure-acs-cda-proc-tourniquet",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Procedure-acs-cda-proc-tourniquet",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 33
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-procedure|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Tourniquet' for http://snomed.info/sct#20655006. Valid display is one of 4 choices: 'Application of tourniquet' (en), 'Tourniquet application' (en), 'Tourniquet on' (en) or 'Application of tourniquet (procedure)' (en) (for the language(s) 'en')"
            },
            "expression": [
              "Procedure/acs-cda-proc-tourniquet: Procedure.code.coding[0].display"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/Procedure-acs-cda-proc-valsalva",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Procedure-acs-cda-proc-valsalva"
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/Procedure-acs-cda-proc-ventilation-manual",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Procedure-acs-cda-proc-ventilation-manual"
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/Procedure-acs-proc-airway",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Procedure-acs-proc-airway",
        "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": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-procedure|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Manual clearance of airway' for http://snomed.info/sct#241689008. Valid display is one of 4 choices: 'Rapid sequence induction' (en), 'RSI - Rapid sequence induction' (en), 'Crash induction' (en) or 'Rapid sequence induction (procedure)' (en) (for the language(s) 'en')"
            },
            "expression": [
              "Procedure/acs-proc-airway: Procedure.code.coding[0].display"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/Procedure-acs-proc-defib",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Procedure-acs-proc-defib",
        "issue": [
          {
            "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": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-procedure|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Cardiac defibrillation' for http://snomed.info/sct#429500007. Valid display is one of 2 choices: 'Monophasic defibrillation (procedure)' (en) or 'Monophasic defibrillation' (en) (for the language(s) 'en')"
            },
            "expression": [
              "Procedure/acs-proc-defib: Procedure.code.coding[0].display"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/RelatedPerson-acs-cda-contact-mother",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "RelatedPerson-acs-cda-contact-mother"
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/ServiceRequest-acs-cda-referral-gp",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ServiceRequest-acs-cda-referral-gp",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-referral|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'GP Surgery Appointment' for http://snomed.info/sct#183561008. Valid display is one of 6 choices: 'Referral to GP' (en), 'Referral to G.P.' (en), 'Referral to GP (procedure)' (en), 'Referral to general practitioner (procedure)' (en), 'Referral to general practitioner' (en) or 'Referral to GP (general practitioner)' (en) (for the language(s) 'en')"
            },
            "expression": [
              "ServiceRequest/acs-cda-referral-gp: ServiceRequest.code.coding[0].display"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/StructureDefinition-acs-abcd2-stroke-risk-assessment",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-acs-abcd2-stroke-risk-assessment"
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/StructureDefinition-acs-accident-observation",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-acs-accident-observation"
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/StructureDefinition-acs-allergy-intolerance",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-acs-allergy-intolerance"
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/StructureDefinition-acs-appointment",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-acs-appointment",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 44669
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_MULTIPLE_POSSIBLE_VERSIONS"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://terminology.hl7.org/ValueSet/v2-0276'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '3.0.0', found versions: 2.0.0 (from hl7.terminology.r4#6.5.0), 3.0.0 (from hl7.terminology.r4#7.2.0). Suggested fix: change the canonical reference from 'http://terminology.hl7.org/ValueSet/v2-0276' to 'http://terminology.hl7.org/ValueSet/v2-0276|3.0.0'"
            },
            "expression": [
              "StructureDefinition/acs-appointment: StructureDefinition.snapshot.element[16].binding.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The Implementation Guide contains no examples for this profile"
            },
            "expression": [
              "StructureDefinition.where(url = 'https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-appointment')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/StructureDefinition-acs-blood-glucose",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-acs-blood-glucose"
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/StructureDefinition-acs-blood-pressure",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-acs-blood-pressure",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 104746
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Blood pressure panel' for http://loinc.org#85354-9. Valid display is one of 3 choices: 'Blood pressure panel with all children optional' (en-US), 'Blood pressure panel with all children optional' (en-US) or 'BP pnl w all optional' (en-US) (for the language(s) 'en')"
            },
            "expression": [
              "StructureDefinition/acs-blood-pressure: StructureDefinition.snapshot.element[14].pattern.ofType(CodeableConcept).coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 209241
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Blood pressure panel' for http://loinc.org#85354-9. Valid display is one of 3 choices: 'Blood pressure panel with all children optional' (en-US), 'Blood pressure panel with all children optional' (en-US) or 'BP pnl w all optional' (en-US) (for the language(s) 'en')"
            },
            "expression": [
              "StructureDefinition/acs-blood-pressure: StructureDefinition.differential.element[2].pattern.ofType(CodeableConcept).coding[0].display"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/StructureDefinition-acs-body-temperature",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-acs-body-temperature"
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/StructureDefinition-acs-capillary-refill-time",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-acs-capillary-refill-time",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 57962
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Capillary refill [Time]' for http://loinc.org#44963-7. Valid display is one of 3 choices: 'Capillary refill [Time] of Nail bed' (en-US), 'Capillary refill [Time] of Nail bed' (en-US) or 'Capillary refill Time Nail Bed' (en-US) (for the language(s) 'en')"
            },
            "expression": [
              "StructureDefinition/acs-capillary-refill-time: StructureDefinition.snapshot.element[14].pattern.ofType(CodeableConcept).coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 120124
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Capillary refill [Time]' for http://loinc.org#44963-7. Valid display is one of 3 choices: 'Capillary refill [Time] of Nail bed' (en-US), 'Capillary refill [Time] of Nail bed' (en-US) or 'Capillary refill Time Nail Bed' (en-US) (for the language(s) 'en')"
            },
            "expression": [
              "StructureDefinition/acs-capillary-refill-time: StructureDefinition.differential.element[2].pattern.ofType(CodeableConcept).coding[0].display"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/StructureDefinition-acs-care-plan",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-acs-care-plan",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "SD_ED_EXPERIMENTAL_BINDING"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The definition for the element 'CarePlan.activity.detail.code' binds to the value set 'https://fhir-ig.digital.health.nz/ambulance-care-summary/ValueSet/acs-advice-to-patient-vs' which is experimental, but this structure is not labeled as experimental"
            },
            "expression": [
              "StructureDefinition/acs-care-plan: StructureDefinition.differential.element[6].binding"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "SD_ED_EXPERIMENTAL_BINDING"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The definition for the element 'CarePlan.activity.detail.code' binds to the value set 'https://fhir-ig.digital.health.nz/ambulance-care-summary/ValueSet/acs-advice-to-patient-vs' which is experimental, but this structure is not labeled as experimental"
            },
            "expression": [
              "StructureDefinition/acs-care-plan: StructureDefinition.snapshot.element[45].binding"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/StructureDefinition-acs-clinical-image",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-acs-clinical-image"
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/StructureDefinition-acs-current-medication",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-acs-current-medication",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 44423
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://nzmt.org.nz/vs'"
            },
            "expression": [
              "StructureDefinition/acs-current-medication: StructureDefinition.snapshot.element[17].binding.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 55868
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The slice 'medicationCodeableConcept' on path 'MedicationStatement.medication[x]' is not marked as 'must-support' which is not consistent with the element that defines the slicing, where 'must-support' is true"
            },
            "expression": [
              "StructureDefinition/acs-current-medication: StructureDefinition.snapshot"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/StructureDefinition-acs-ecg-interpretation",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-acs-ecg-interpretation",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "SD_ED_EXPERIMENTAL_BINDING"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The definition for the element 'Observation.value[x]' binds to the value set 'https://fhir-ig.digital.health.nz/ambulance-care-summary/ValueSet/acs-ecg-interpretation-vs' which is experimental, but this structure is not labeled as experimental"
            },
            "expression": [
              "StructureDefinition/acs-ecg-interpretation: StructureDefinition.differential.element[4].binding"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "SD_ED_EXPERIMENTAL_BINDING"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The definition for the element 'Observation.value[x]' binds to the value set 'https://fhir-ig.digital.health.nz/ambulance-care-summary/ValueSet/acs-ecg-interpretation-vs' which is experimental, but this structure is not labeled as experimental"
            },
            "expression": [
              "StructureDefinition/acs-ecg-interpretation: StructureDefinition.snapshot.element[21].binding"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/StructureDefinition-acs-encounter-diagnosis",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-acs-encounter-diagnosis",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "SD_ED_EXPERIMENTAL_BINDING"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The definition for the element 'Condition.code' binds to the value set 'https://fhir-ig.digital.health.nz/ambulance-care-summary/ValueSet/acs-encounter-diagnosis-vs' which is experimental, but this structure is not labeled as experimental"
            },
            "expression": [
              "StructureDefinition/acs-encounter-diagnosis: StructureDefinition.differential.element[2].binding"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "SD_ED_EXPERIMENTAL_BINDING"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The definition for the element 'Condition.code' binds to the value set 'https://fhir-ig.digital.health.nz/ambulance-care-summary/ValueSet/acs-encounter-diagnosis-vs' which is experimental, but this structure is not labeled as experimental"
            },
            "expression": [
              "StructureDefinition/acs-encounter-diagnosis: StructureDefinition.snapshot.element[15].binding"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/StructureDefinition-acs-end-tidal-co2",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-acs-end-tidal-co2",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 56100
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Carbon dioxide [Partial pressure] in Exhaled gas --at end expiration' for http://loinc.org#19889-5. Valid display is one of 3 choices: 'Carbon dioxide/Gas.total.at end expiration in Exhaled gas' (en-US), 'Carbon dioxide/Gas.total.at end expiration in Exhaled gas' (en-US) or 'CO2 VFr ExG' (en-US) (for the language(s) 'en')"
            },
            "expression": [
              "StructureDefinition/acs-end-tidal-co2: StructureDefinition.snapshot.element[14].pattern.ofType(CodeableConcept).coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 118281
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Carbon dioxide [Partial pressure] in Exhaled gas --at end expiration' for http://loinc.org#19889-5. Valid display is one of 3 choices: 'Carbon dioxide/Gas.total.at end expiration in Exhaled gas' (en-US), 'Carbon dioxide/Gas.total.at end expiration in Exhaled gas' (en-US) or 'CO2 VFr ExG' (en-US) (for the language(s) 'en')"
            },
            "expression": [
              "StructureDefinition/acs-end-tidal-co2: StructureDefinition.differential.element[2].pattern.ofType(CodeableConcept).coding[0].display"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/StructureDefinition-acs-falls-risk-assessment",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-acs-falls-risk-assessment"
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/StructureDefinition-acs-fast-stroke-assessment",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-acs-fast-stroke-assessment"
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/StructureDefinition-acs-glasgow-coma-score",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-acs-glasgow-coma-score"
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/StructureDefinition-acs-heart-rate",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-acs-heart-rate"
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/StructureDefinition-acs-history-of-incident",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-acs-history-of-incident"
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/StructureDefinition-acs-incident-event",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-acs-incident-event",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "SD_ED_EXPERIMENTAL_BINDING"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The definition for the element 'Observation.code' binds to the value set 'https://fhir-ig.digital.health.nz/ambulance-care-summary/ValueSet/acs-incident-event-vs' which is experimental, but this structure is not labeled as experimental"
            },
            "expression": [
              "StructureDefinition/acs-incident-event: StructureDefinition.differential.element[1].binding"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "SD_ED_EXPERIMENTAL_BINDING"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The definition for the element 'Observation.code' binds to the value set 'https://fhir-ig.digital.health.nz/ambulance-care-summary/ValueSet/acs-incident-event-vs' which is experimental, but this structure is not labeled as experimental"
            },
            "expression": [
              "StructureDefinition/acs-incident-event: StructureDefinition.snapshot.element[14].binding"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/StructureDefinition-acs-incident-location",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-acs-incident-location",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 37175
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_MULTIPLE_POSSIBLE_VERSIONS"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://terminology.hl7.org/ValueSet/v2-0116'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '3.0.0', found versions: 2.0.0 (from hl7.terminology.r4#6.5.0), 3.0.0 (from hl7.terminology.r4#7.2.0). Suggested fix: change the canonical reference from 'http://terminology.hl7.org/ValueSet/v2-0116' to 'http://terminology.hl7.org/ValueSet/v2-0116|3.0.0'"
            },
            "expression": [
              "StructureDefinition/acs-incident-location: StructureDefinition.snapshot.element[16].binding.valueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/StructureDefinition-acs-last-oral-intake",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-acs-last-oral-intake"
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/StructureDefinition-acs-medication-administration",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-acs-medication-administration",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "SD_ED_EXPERIMENTAL_BINDING"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The definition for the element 'MedicationAdministration.dosage.route' binds to the value set 'https://fhir-ig.digital.health.nz/ambulance-care-summary/ValueSet/acs-route-vs' which is experimental, but this structure is not labeled as experimental"
            },
            "expression": [
              "StructureDefinition/acs-medication-administration: StructureDefinition.differential.element[11].binding"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "SD_ED_EXPERIMENTAL_BINDING"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The definition for the element 'MedicationAdministration.dosage.route' binds to the value set 'https://fhir-ig.digital.health.nz/ambulance-care-summary/ValueSet/acs-route-vs' which is experimental, but this structure is not labeled as experimental"
            },
            "expression": [
              "StructureDefinition/acs-medication-administration: StructureDefinition.snapshot.element[38].binding"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/StructureDefinition-acs-medication-dispense",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-acs-medication-dispense",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 48463
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://nzmt.org.nz/vs'"
            },
            "expression": [
              "StructureDefinition/acs-medication-dispense: StructureDefinition.snapshot.element[15].binding.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "SD_ED_EXPERIMENTAL_BINDING"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The definition for the element 'MedicationDispense.dosageInstruction.route' binds to the value set 'https://fhir-ig.digital.health.nz/ambulance-care-summary/ValueSet/acs-route-vs' which is experimental, but this structure is not labeled as experimental"
            },
            "expression": [
              "StructureDefinition/acs-medication-dispense: StructureDefinition.differential.element[7].binding"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "SD_ED_EXPERIMENTAL_BINDING"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The definition for the element 'MedicationDispense.dosageInstruction.route' binds to the value set 'https://fhir-ig.digital.health.nz/ambulance-care-summary/ValueSet/acs-route-vs' which is experimental, but this structure is not labeled as experimental"
            },
            "expression": [
              "StructureDefinition/acs-medication-dispense: StructureDefinition.snapshot.element[46].binding"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 112796
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The slice 'medicationCodeableConcept' on path 'MedicationDispense.medication[x]' is not marked as 'must-support' which is not consistent with the element that defines the slicing, where 'must-support' is true"
            },
            "expression": [
              "StructureDefinition/acs-medication-dispense: StructureDefinition.snapshot"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The Implementation Guide contains no examples for this profile"
            },
            "expression": [
              "StructureDefinition.where(url = 'https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/acs-medication-dispense')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/StructureDefinition-acs-observation",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-acs-observation"
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/StructureDefinition-acs-oxygen-saturation",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-acs-oxygen-saturation"
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/StructureDefinition-acs-pain-score",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-acs-pain-score"
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/StructureDefinition-acs-past-medical-history",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-acs-past-medical-history"
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/StructureDefinition-acs-patient-age",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-acs-patient-age",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "SD_ED_EXPERIMENTAL_BINDING"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The definition for the element 'Observation.value[x].code' binds to the value set 'https://fhir-ig.digital.health.nz/ambulance-care-summary/ValueSet/acs-age-unit-vs' which is experimental, but this structure is not labeled as experimental"
            },
            "expression": [
              "StructureDefinition/acs-patient-age: StructureDefinition.differential.element[7].binding"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "SD_ED_EXPERIMENTAL_BINDING"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The definition for the element 'Observation.value[x].code' binds to the value set 'https://fhir-ig.digital.health.nz/ambulance-care-summary/ValueSet/acs-age-unit-vs' which is experimental, but this structure is not labeled as experimental"
            },
            "expression": [
              "StructureDefinition/acs-patient-age: StructureDefinition.snapshot.element[29].binding"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/StructureDefinition-acs-patient-competence-assessment",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-acs-patient-competence-assessment"
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/StructureDefinition-acs-patient-contact",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-acs-patient-contact"
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/StructureDefinition-acs-patient-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-acs-patient-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 52859
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Clinical status of patient (observable entity)' for http://snomed.info/sct#410536001. Valid display is one of 3 choices: 'Contraindicated (qualifier value)' (en), 'Contraindicated' (en) or 'Contra-indicated' (en) (for the language(s) 'en')"
            },
            "expression": [
              "StructureDefinition/acs-patient-status: StructureDefinition.snapshot.element[14].pattern.ofType(CodeableConcept).coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 107192
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Clinical status of patient (observable entity)' for http://snomed.info/sct#410536001. Valid display is one of 3 choices: 'Contraindicated (qualifier value)' (en), 'Contraindicated' (en) or 'Contra-indicated' (en) (for the language(s) 'en')"
            },
            "expression": [
              "StructureDefinition/acs-patient-status: StructureDefinition.differential.element[2].pattern.ofType(CodeableConcept).coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "SD_ED_EXPERIMENTAL_BINDING"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The definition for the element 'Observation.value[x]' binds to the value set 'https://fhir-ig.digital.health.nz/ambulance-care-summary/ValueSet/acs-patient-status-vs' which is experimental, but this structure is not labeled as experimental"
            },
            "expression": [
              "StructureDefinition/acs-patient-status: StructureDefinition.differential.element[4].binding"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "SD_ED_EXPERIMENTAL_BINDING"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The definition for the element 'Observation.value[x]' binds to the value set 'https://fhir-ig.digital.health.nz/ambulance-care-summary/ValueSet/acs-patient-status-vs' which is experimental, but this structure is not labeled as experimental"
            },
            "expression": [
              "StructureDefinition/acs-patient-status: StructureDefinition.snapshot.element[21].binding"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/StructureDefinition-acs-peak-expiratory-flow",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-acs-peak-expiratory-flow",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 56223
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Maximum expiratory gas flow Respiratory system airway by Peak flow meter' for http://loinc.org#33452-4. Valid display is one of 3 choices: 'Maximum expiratory gas flow Respiratory system airway' (en-US), 'Maximum expiratory gas flow Respiratory system airway' (en-US) or 'PEF Airway' (en-US) (for the language(s) 'en')"
            },
            "expression": [
              "StructureDefinition/acs-peak-expiratory-flow: StructureDefinition.snapshot.element[14].pattern.ofType(CodeableConcept).coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 118406
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Maximum expiratory gas flow Respiratory system airway by Peak flow meter' for http://loinc.org#33452-4. Valid display is one of 3 choices: 'Maximum expiratory gas flow Respiratory system airway' (en-US), 'Maximum expiratory gas flow Respiratory system airway' (en-US) or 'PEF Airway' (en-US) (for the language(s) 'en')"
            },
            "expression": [
              "StructureDefinition/acs-peak-expiratory-flow: StructureDefinition.differential.element[2].pattern.ofType(CodeableConcept).coding[0].display"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/StructureDefinition-acs-presenting-complaint",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-acs-presenting-complaint",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 53551
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Chief complaint' for http://loinc.org#67570-2. Valid display is one of 3 choices: 'Chief complaint per dispatch Reported.dispatch' (en-US), 'Chief complaint per dispatch Reported.dispatch' (en-US) or 'Cplaint per dispatch Reported.dispatch' (en-US) (for the language(s) 'en')"
            },
            "expression": [
              "StructureDefinition/acs-presenting-complaint: StructureDefinition.snapshot.element[15].pattern.ofType(CodeableConcept).coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 109800
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Chief complaint' for http://loinc.org#67570-2. Valid display is one of 3 choices: 'Chief complaint per dispatch Reported.dispatch' (en-US), 'Chief complaint per dispatch Reported.dispatch' (en-US) or 'Cplaint per dispatch Reported.dispatch' (en-US) (for the language(s) 'en')"
            },
            "expression": [
              "StructureDefinition/acs-presenting-complaint: StructureDefinition.differential.element[3].pattern.ofType(CodeableConcept).coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "SD_ED_EXPERIMENTAL_BINDING"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The definition for the element 'Observation.value[x]' binds to the value set 'https://fhir-ig.digital.health.nz/ambulance-care-summary/ValueSet/mpds-vs' which is experimental, but this structure is not labeled as experimental"
            },
            "expression": [
              "StructureDefinition/acs-presenting-complaint: StructureDefinition.differential.element[5].binding"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "SD_ED_EXPERIMENTAL_BINDING"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The definition for the element 'Observation.value[x]' binds to the value set 'https://fhir-ig.digital.health.nz/ambulance-care-summary/ValueSet/mpds-vs' which is experimental, but this structure is not labeled as experimental"
            },
            "expression": [
              "StructureDefinition/acs-presenting-complaint: StructureDefinition.snapshot.element[23].binding"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/StructureDefinition-acs-primary-survey",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-acs-primary-survey"
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/StructureDefinition-acs-procedure",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-acs-procedure",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "SD_ED_EXPERIMENTAL_BINDING"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The definition for the element 'Procedure.code' binds to the value set 'https://fhir-ig.digital.health.nz/ambulance-care-summary/ValueSet/acs-procedure-type-vs' which is experimental, but this structure is not labeled as experimental"
            },
            "expression": [
              "StructureDefinition/acs-procedure: StructureDefinition.differential.element[2].binding"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "SD_ED_EXPERIMENTAL_BINDING"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The definition for the element 'Procedure.code' binds to the value set 'https://fhir-ig.digital.health.nz/ambulance-care-summary/ValueSet/acs-procedure-type-vs' which is experimental, but this structure is not labeled as experimental"
            },
            "expression": [
              "StructureDefinition/acs-procedure: StructureDefinition.snapshot.element[17].binding"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/StructureDefinition-acs-pupil-reaction",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-acs-pupil-reaction",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 53740
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Pupillary function (observable entity)' for http://snomed.info/sct#301939004. Valid display is one of 6 choices: 'Miosis' (en), 'Small pupil' (en), 'Constricted pupil' (en), 'Constricted pupil (finding)' (en), 'Pupil constriction' (en) or 'Miotic pupil' (en) (for the language(s) 'en')"
            },
            "expression": [
              "StructureDefinition/acs-pupil-reaction: StructureDefinition.snapshot.element[14].pattern.ofType(CodeableConcept).coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 107948
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Pupillary function (observable entity)' for http://snomed.info/sct#301939004. Valid display is one of 6 choices: 'Miosis' (en), 'Small pupil' (en), 'Constricted pupil' (en), 'Constricted pupil (finding)' (en), 'Pupil constriction' (en) or 'Miotic pupil' (en) (for the language(s) 'en')"
            },
            "expression": [
              "StructureDefinition/acs-pupil-reaction: StructureDefinition.differential.element[2].pattern.ofType(CodeableConcept).coding[0].display"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/StructureDefinition-acs-pupil-size",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-acs-pupil-size",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 57773
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Unknown_Code_in_Version"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "error",
            "code": "code-invalid",
            "details": {
              "text": "Unknown code '367665004' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20250201' (International Edition)"
            },
            "expression": [
              "StructureDefinition/acs-pupil-size: StructureDefinition.snapshot.element[14].pattern.ofType(CodeableConcept).coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 119929
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Unknown_Code_in_Version"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "error",
            "code": "code-invalid",
            "details": {
              "text": "Unknown code '367665004' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20250201' (International Edition)"
            },
            "expression": [
              "StructureDefinition/acs-pupil-size: StructureDefinition.differential.element[2].pattern.ofType(CodeableConcept).coding[0].code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/StructureDefinition-acs-referral",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-acs-referral",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "SD_ED_EXPERIMENTAL_BINDING"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The definition for the element 'ServiceRequest.code' binds to the value set 'https://fhir-ig.digital.health.nz/ambulance-care-summary/ValueSet/acs-referral-pathway-vs' which is experimental, but this structure is not labeled as experimental"
            },
            "expression": [
              "StructureDefinition/acs-referral: StructureDefinition.differential.element[6].binding"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "SD_ED_EXPERIMENTAL_BINDING"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The definition for the element 'ServiceRequest.code' binds to the value set 'https://fhir-ig.digital.health.nz/ambulance-care-summary/ValueSet/acs-referral-pathway-vs' which is experimental, but this structure is not labeled as experimental"
            },
            "expression": [
              "StructureDefinition/acs-referral: StructureDefinition.snapshot.element[21].binding"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/StructureDefinition-acs-respiratory-rate",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-acs-respiratory-rate"
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/StructureDefinition-acs-skin-condition",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-acs-skin-condition",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 52762
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'General skin examination' for http://snomed.info/sct#225544001. Valid display is one of 3 choices: 'Skin appearance normal' (en), 'Skin normal' (en) or 'Skin appearance normal (finding)' (en) (for the language(s) 'en')"
            },
            "expression": [
              "StructureDefinition/acs-skin-condition: StructureDefinition.snapshot.element[14].pattern.ofType(CodeableConcept).coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 107073
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'General skin examination' for http://snomed.info/sct#225544001. Valid display is one of 3 choices: 'Skin appearance normal' (en), 'Skin normal' (en) or 'Skin appearance normal (finding)' (en) (for the language(s) 'en')"
            },
            "expression": [
              "StructureDefinition/acs-skin-condition: StructureDefinition.differential.element[2].pattern.ofType(CodeableConcept).coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "SD_ED_EXPERIMENTAL_BINDING"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The definition for the element 'Observation.value[x]' binds to the value set 'https://fhir-ig.digital.health.nz/ambulance-care-summary/ValueSet/acs-skin-condition-vs' which is experimental, but this structure is not labeled as experimental"
            },
            "expression": [
              "StructureDefinition/acs-skin-condition: StructureDefinition.differential.element[4].binding"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "SD_ED_EXPERIMENTAL_BINDING"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The definition for the element 'Observation.value[x]' binds to the value set 'https://fhir-ig.digital.health.nz/ambulance-care-summary/ValueSet/acs-skin-condition-vs' which is experimental, but this structure is not labeled as experimental"
            },
            "expression": [
              "StructureDefinition/acs-skin-condition: StructureDefinition.snapshot.element[21].binding"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/StructureDefinition-acs-smoking-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-acs-smoking-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "SD_ED_EXPERIMENTAL_BINDING"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The definition for the element 'Observation.value[x]' binds to the value set 'https://fhir-ig.digital.health.nz/ambulance-care-summary/ValueSet/acs-smoking-status-vs' which is experimental, but this structure is not labeled as experimental"
            },
            "expression": [
              "StructureDefinition/acs-smoking-status: StructureDefinition.differential.element[4].binding"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "SD_ED_EXPERIMENTAL_BINDING"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The definition for the element 'Observation.value[x]' binds to the value set 'https://fhir-ig.digital.health.nz/ambulance-care-summary/ValueSet/acs-smoking-status-vs' which is experimental, but this structure is not labeled as experimental"
            },
            "expression": [
              "StructureDefinition/acs-smoking-status: StructureDefinition.snapshot.element[21].binding"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/StructureDefinition-acs-transport-treatment-refusal",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-acs-transport-treatment-refusal"
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/StructureDefinition-acs-vaping-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-acs-vaping-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 52628
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Electronic cigarette use finding' for http://snomed.info/sct#722499006. Valid display is one of 4 choices: 'Electronic cigarette user (finding)' (en), 'Electronic cigarette user' (en), 'e-cigarette user' (en) or 'Vaper' (en) (for the language(s) 'en')"
            },
            "expression": [
              "StructureDefinition/acs-vaping-status: StructureDefinition.snapshot.element[14].pattern.ofType(CodeableConcept).coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 106948
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Electronic cigarette use finding' for http://snomed.info/sct#722499006. Valid display is one of 4 choices: 'Electronic cigarette user (finding)' (en), 'Electronic cigarette user' (en), 'e-cigarette user' (en) or 'Vaper' (en) (for the language(s) 'en')"
            },
            "expression": [
              "StructureDefinition/acs-vaping-status: StructureDefinition.differential.element[2].pattern.ofType(CodeableConcept).coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "SD_ED_EXPERIMENTAL_BINDING"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The definition for the element 'Observation.value[x]' binds to the value set 'https://fhir-ig.digital.health.nz/ambulance-care-summary/ValueSet/acs-vaping-status-vs' which is experimental, but this structure is not labeled as experimental"
            },
            "expression": [
              "StructureDefinition/acs-vaping-status: StructureDefinition.differential.element[4].binding"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "SD_ED_EXPERIMENTAL_BINDING"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The definition for the element 'Observation.value[x]' binds to the value set 'https://fhir-ig.digital.health.nz/ambulance-care-summary/ValueSet/acs-vaping-status-vs' which is experimental, but this structure is not labeled as experimental"
            },
            "expression": [
              "StructureDefinition/acs-vaping-status: StructureDefinition.snapshot.element[21].binding"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/StructureDefinition-administered-prn",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-administered-prn"
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/StructureDefinition-age-estimated",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-age-estimated"
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/StructureDefinition-ambulance-care-summary-bundle",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ambulance-care-summary-bundle"
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/StructureDefinition-ambulance-care-summary-composition",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ambulance-care-summary-composition",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 357755
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Ambulance Care Summary' for http://loinc.org#74207-2. Valid display is one of 3 choices: 'Prehospital summary Document' (en-US), 'Prehospital summary Document' (en-US) or 'Prehosp summary Doc' (en-US) (for the language(s) 'en')"
            },
            "expression": [
              "StructureDefinition/ambulance-care-summary-composition: StructureDefinition.snapshot.element[11].pattern.ofType(CodeableConcept).coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 425333
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'History of encounters' for http://loinc.org#46240-8. Valid display is one of 3 choices: 'History of Hospitalizations+Outpatient visits Narrative' (en-US), 'History of Hospitalizations+Outpatient visits Narrative' (en-US) or 'Hx of Hospitalizations+OP visits' (en-US) (for the language(s) 'en')"
            },
            "expression": [
              "StructureDefinition/ambulance-care-summary-composition: StructureDefinition.snapshot.element[59].pattern.ofType(CodeableConcept).coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 466194
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Patient Demographics' for http://loinc.org#45970-1. Valid display is one of 2 choices: 'Demographic information section' (en-US) or 'Demographic information section' (en-US) (for the language(s) 'en')"
            },
            "expression": [
              "StructureDefinition/ambulance-care-summary-composition: StructureDefinition.snapshot.element[87].pattern.ofType(CodeableConcept).coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 486516
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Social history' for http://loinc.org#29762-2. Valid display is one of 3 choices: 'Social history note' (en-US), 'Social history note' (en-US) or 'Social hx note' (en-US) (for the language(s) 'en')"
            },
            "expression": [
              "StructureDefinition/ambulance-care-summary-composition: StructureDefinition.snapshot.element[101].pattern.ofType(CodeableConcept).coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 506822
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Chief complaint' for http://loinc.org#10154-3. Valid display is one of 3 choices: 'Chief complaint Narrative - Reported' (en-US), 'Chief complaint Narrative - Reported' (en-US) or 'Chief complaint Reported' (en-US) (for the language(s) 'en')"
            },
            "expression": [
              "StructureDefinition/ambulance-care-summary-composition: StructureDefinition.snapshot.element[115].pattern.ofType(CodeableConcept).coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 588476
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'History of past illness' for http://loinc.org#11348-0. Valid display is one of 3 choices: 'History of Past illness note' (en-US), 'History of Past illness note' (en-US) or 'Hx of Past illness note' (en-US) (for the language(s) 'en')"
            },
            "expression": [
              "StructureDefinition/ambulance-care-summary-composition: StructureDefinition.snapshot.element[171].pattern.ofType(CodeableConcept).coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 608816
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Allergies and adverse reactions' for http://loinc.org#48765-2. Valid display is one of 3 choices: 'Allergies and adverse reactions Document' (en-US), 'Allergies and adverse reactions Document' (en-US) or 'Allergies &or adverse reactions Doc' (en-US) (for the language(s) 'en')"
            },
            "expression": [
              "StructureDefinition/ambulance-care-summary-composition: StructureDefinition.snapshot.element[185].pattern.ofType(CodeableConcept).coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 629082
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'History of medication use' for http://loinc.org#10160-0. Valid display is one of 3 choices: 'History of Medication use Narrative' (en-US), 'History of Medication use Narrative' (en-US) or 'Hx of Medication use' (en-US) (for the language(s) 'en')"
            },
            "expression": [
              "StructureDefinition/ambulance-care-summary-composition: StructureDefinition.snapshot.element[199].pattern.ofType(CodeableConcept).coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 649356
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Vital signs' for http://loinc.org#8716-3. Valid display is one of 3 choices: 'Vital signs note' (en-US), 'Vital signs note' (en-US) or 'Vital signs note' (en-US) (for the language(s) 'en')"
            },
            "expression": [
              "StructureDefinition/ambulance-care-summary-composition: StructureDefinition.snapshot.element[213].pattern.ofType(CodeableConcept).coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 690104
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'History of procedures' for http://loinc.org#47519-4. Valid display is one of 3 choices: 'History of Procedures Document' (en-US), 'History of Procedures Document' (en-US) or 'Procedures Hx Doc' (en-US) (for the language(s) 'en')"
            },
            "expression": [
              "StructureDefinition/ambulance-care-summary-composition: StructureDefinition.snapshot.element[241].pattern.ofType(CodeableConcept).coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 750854
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Plan of care' for http://loinc.org#18776-5. Valid display is one of 3 choices: 'Plan of care note' (en-US), 'Plan of care note' (en-US) or 'Plan of care note' (en-US) (for the language(s) 'en')"
            },
            "expression": [
              "StructureDefinition/ambulance-care-summary-composition: StructureDefinition.snapshot.element[283].pattern.ofType(CodeableConcept).coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 783161
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Ambulance Care Summary' for http://loinc.org#74207-2. Valid display is one of 3 choices: 'Prehospital summary Document' (en-US), 'Prehospital summary Document' (en-US) or 'Prehosp summary Doc' (en-US) (for the language(s) 'en')"
            },
            "expression": [
              "StructureDefinition/ambulance-care-summary-composition: StructureDefinition.differential.element[3].pattern.ofType(CodeableConcept).coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 786032
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'History of encounters' for http://loinc.org#46240-8. Valid display is one of 3 choices: 'History of Hospitalizations+Outpatient visits Narrative' (en-US), 'History of Hospitalizations+Outpatient visits Narrative' (en-US) or 'Hx of Hospitalizations+OP visits' (en-US) (for the language(s) 'en')"
            },
            "expression": [
              "StructureDefinition/ambulance-care-summary-composition: StructureDefinition.differential.element[15].pattern.ofType(CodeableConcept).coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 787826
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Patient Demographics' for http://loinc.org#45970-1. Valid display is one of 2 choices: 'Demographic information section' (en-US) or 'Demographic information section' (en-US) (for the language(s) 'en')"
            },
            "expression": [
              "StructureDefinition/ambulance-care-summary-composition: StructureDefinition.differential.element[23].pattern.ofType(CodeableConcept).coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 788522
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Social history' for http://loinc.org#29762-2. Valid display is one of 3 choices: 'Social history note' (en-US), 'Social history note' (en-US) or 'Social hx note' (en-US) (for the language(s) 'en')"
            },
            "expression": [
              "StructureDefinition/ambulance-care-summary-composition: StructureDefinition.differential.element[27].pattern.ofType(CodeableConcept).coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 789280
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Chief complaint' for http://loinc.org#10154-3. Valid display is one of 3 choices: 'Chief complaint Narrative - Reported' (en-US), 'Chief complaint Narrative - Reported' (en-US) or 'Chief complaint Reported' (en-US) (for the language(s) 'en')"
            },
            "expression": [
              "StructureDefinition/ambulance-care-summary-composition: StructureDefinition.differential.element[31].pattern.ofType(CodeableConcept).coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 792723
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'History of past illness' for http://loinc.org#11348-0. Valid display is one of 3 choices: 'History of Past illness note' (en-US), 'History of Past illness note' (en-US) or 'Hx of Past illness note' (en-US) (for the language(s) 'en')"
            },
            "expression": [
              "StructureDefinition/ambulance-care-summary-composition: StructureDefinition.differential.element[47].pattern.ofType(CodeableConcept).coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 793526
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Allergies and adverse reactions' for http://loinc.org#48765-2. Valid display is one of 3 choices: 'Allergies and adverse reactions Document' (en-US), 'Allergies and adverse reactions Document' (en-US) or 'Allergies &or adverse reactions Doc' (en-US) (for the language(s) 'en')"
            },
            "expression": [
              "StructureDefinition/ambulance-care-summary-composition: StructureDefinition.differential.element[51].pattern.ofType(CodeableConcept).coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 794245
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'History of medication use' for http://loinc.org#10160-0. Valid display is one of 3 choices: 'History of Medication use Narrative' (en-US), 'History of Medication use Narrative' (en-US) or 'Hx of Medication use' (en-US) (for the language(s) 'en')"
            },
            "expression": [
              "StructureDefinition/ambulance-care-summary-composition: StructureDefinition.differential.element[55].pattern.ofType(CodeableConcept).coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 794937
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Vital signs' for http://loinc.org#8716-3. Valid display is one of 3 choices: 'Vital signs note' (en-US), 'Vital signs note' (en-US) or 'Vital signs note' (en-US) (for the language(s) 'en')"
            },
            "expression": [
              "StructureDefinition/ambulance-care-summary-composition: StructureDefinition.differential.element[59].pattern.ofType(CodeableConcept).coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 796489
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'History of procedures' for http://loinc.org#47519-4. Valid display is one of 3 choices: 'History of Procedures Document' (en-US), 'History of Procedures Document' (en-US) or 'Procedures Hx Doc' (en-US) (for the language(s) 'en')"
            },
            "expression": [
              "StructureDefinition/ambulance-care-summary-composition: StructureDefinition.differential.element[67].pattern.ofType(CodeableConcept).coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 798676
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Plan of care' for http://loinc.org#18776-5. Valid display is one of 3 choices: 'Plan of care note' (en-US), 'Plan of care note' (en-US) or 'Plan of care note' (en-US) (for the language(s) 'en')"
            },
            "expression": [
              "StructureDefinition/ambulance-care-summary-composition: StructureDefinition.differential.element[79].pattern.ofType(CodeableConcept).coding[0].display"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/StructureDefinition-ambulance-care-summary-patient",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ambulance-care-summary-patient",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 134760
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The slice 'deceasedDateTime' on path 'Patient.deceased[x]' is not marked as 'must-support' which is not consistent with the element that defines the slicing, where 'must-support' is true"
            },
            "expression": [
              "StructureDefinition/ambulance-care-summary-patient: StructureDefinition.snapshot"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/StructureDefinition-ambulance-clinician",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ambulance-clinician"
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/StructureDefinition-ambulance-encounter",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ambulance-encounter",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 167389
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_MULTIPLE_POSSIBLE_VERSIONS"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://terminology.hl7.org/ValueSet/v2-0092'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '3.0.0', found versions: 2.0.0 (from hl7.terminology.r4#6.5.0), 3.0.0 (from hl7.terminology.r4#7.2.0). Suggested fix: change the canonical reference from 'http://terminology.hl7.org/ValueSet/v2-0092' to 'http://terminology.hl7.org/ValueSet/v2-0092|3.0.0'"
            },
            "expression": [
              "StructureDefinition/ambulance-encounter: StructureDefinition.snapshot.element[88].binding.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "SD_ED_EXPERIMENTAL_BINDING"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The definition for the element 'Encounter.type' binds to the value set 'https://fhir-ig.digital.health.nz/ambulance-care-summary/ValueSet/acs-encounter-type-vs' which is experimental, but this structure is not labeled as experimental"
            },
            "expression": [
              "StructureDefinition/ambulance-encounter: StructureDefinition.differential.element[10].binding"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "SD_ED_EXPERIMENTAL_BINDING"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The definition for the element 'Encounter.hospitalization.dischargeDisposition' binds to the value set 'https://fhir-ig.digital.health.nz/ambulance-care-summary/ValueSet/acs-encounter-disposition-vs' which is experimental, but this structure is not labeled as experimental"
            },
            "expression": [
              "StructureDefinition/ambulance-encounter: StructureDefinition.differential.element[20].binding"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "SD_ED_EXPERIMENTAL_BINDING"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The definition for the element 'Encounter.type' binds to the value set 'https://fhir-ig.digital.health.nz/ambulance-care-summary/ValueSet/acs-encounter-type-vs' which is experimental, but this structure is not labeled as experimental"
            },
            "expression": [
              "StructureDefinition/ambulance-encounter: StructureDefinition.snapshot.element[51].binding"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "SD_ED_EXPERIMENTAL_BINDING"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The definition for the element 'Encounter.hospitalization.dischargeDisposition' binds to the value set 'https://fhir-ig.digital.health.nz/ambulance-care-summary/ValueSet/acs-encounter-disposition-vs' which is experimental, but this structure is not labeled as experimental"
            },
            "expression": [
              "StructureDefinition/ambulance-encounter: StructureDefinition.snapshot.element[93].binding"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/StructureDefinition-ambulance-service-organization",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ambulance-service-organization"
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/StructureDefinition-ambulance-service-provider-role",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ambulance-service-provider-role"
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/StructureDefinition-contact-instruction",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-contact-instruction"
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/StructureDefinition-onset-unknown",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-onset-unknown",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The Implementation Guide contains no examples for this extension"
            },
            "expression": [
              "StructureDefinition.where(url = 'https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/onset-unknown')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/StructureDefinition-patient-consent-obtained",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-patient-consent-obtained",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The Implementation Guide contains no examples for this extension"
            },
            "expression": [
              "StructureDefinition.where(url = 'https://fhir-ig.digital.health.nz/ambulance-care-summary/StructureDefinition/patient-consent-obtained')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/StructureDefinition-receiving-facility",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-receiving-facility",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 48845
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_MULTIPLE_POSSIBLE_VERSIONS"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://terminology.hl7.org/ValueSet/v2-0116'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '3.0.0', found versions: 2.0.0 (from hl7.terminology.r4#6.5.0), 3.0.0 (from hl7.terminology.r4#7.2.0). Suggested fix: change the canonical reference from 'http://terminology.hl7.org/ValueSet/v2-0116' to 'http://terminology.hl7.org/ValueSet/v2-0116|3.0.0'"
            },
            "expression": [
              "StructureDefinition/receiving-facility: StructureDefinition.snapshot.element[25].binding.valueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/ValueSet-acs-advice-to-patient-vs",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-acs-advice-to-patient-vs"
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/ValueSet-acs-age-unit-vs",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-acs-age-unit-vs"
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/ValueSet-acs-ecg-interpretation-vs",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-acs-ecg-interpretation-vs"
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/ValueSet-acs-encounter-diagnosis-vs",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-acs-encounter-diagnosis-vs"
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/ValueSet-acs-encounter-disposition-vs",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-acs-encounter-disposition-vs"
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/ValueSet-acs-encounter-type-vs",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-acs-encounter-type-vs"
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/ValueSet-acs-incident-event-vs",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-acs-incident-event-vs"
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/ValueSet-acs-mechanism-of-injury-vs",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-acs-mechanism-of-injury-vs"
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/ValueSet-acs-patient-status-vs",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-acs-patient-status-vs"
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/ValueSet-acs-procedure-type-vs",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-acs-procedure-type-vs"
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/ValueSet-acs-referral-pathway-vs",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-acs-referral-pathway-vs"
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/ValueSet-acs-route-vs",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-acs-route-vs"
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/ValueSet-acs-skin-condition-vs",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-acs-skin-condition-vs"
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/ValueSet-acs-smoking-status-vs",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-acs-smoking-status-vs"
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/ValueSet-acs-supply-method-vs",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-acs-supply-method-vs"
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/ValueSet-acs-vaping-status-vs",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-acs-vaping-status-vs"
      }
    },
    {
      "fullUrl": "https://fhir-ig.digital.health.nz/ambulance-care-summary/OperationOutcome/ValueSet-mpds-vs",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-mpds-vs"
      }
    }
  ]
}