Server Home  |  XIG Home  |  XIG Stats  | 

FHIRsmith Logo FHIR IG analytics

Packagetw.vgh.stroke
Resource TypeBundle
Idvalidation-oo.json
FHIR VersionR4

Resources that use this resource

No resources found


Resources that this resource uses

No resources found


Narrative

No narrative content found in resource


Source1

{
  "resourceType": "Bundle",
  "type": "collection",
  "timestamp": "2026-10-20T18:41:04.444+00:00",
  "entry": [
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/ImplementationGuide-tw.vgh.stroke",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ImplementationGuide-tw.vgh.stroke"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/Bundle-stroke-bundle-evt-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Bundle-stroke-bundle-evt-example",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 11
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 56
              },
              {
                "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://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeEncounter|1.0.0"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://www.vghks.gov.tw/evt-registry-id'"
            },
            "expression": [
              "Bundle/stroke-bundle-evt-example: Bundle.identifier.system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 38
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 59
              },
              {
                "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://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokePatient|1.0.0"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://www.vghks.gov.tw/patient-id'"
            },
            "expression": [
              "Bundle/stroke-bundle-evt-example: Bundle.entry[0].resource.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 75
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 69
              },
              {
                "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://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeOrganization|1.0.0"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://www.vghks.gov.tw/stroke-hospital-code'"
            },
            "expression": [
              "Bundle/stroke-bundle-evt-example: Bundle.entry[1].resource/*Organization/stroke-organization-vghks*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 305
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 62
              },
              {
                "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://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeRegistryResponse|1.0.0"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://www.vghks.gov.tw/evt-registry-id'"
            },
            "expression": [
              "Bundle/stroke-bundle-evt-example: Bundle.entry[5].resource.identifier.system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 389
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 62
              },
              {
                "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://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeRegistryResponse|1.0.0"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://www.vghks.gov.tw/evt-registry-id'"
            },
            "expression": [
              "Bundle/stroke-bundle-evt-example: Bundle.entry[6].resource.identifier.system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 461
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 76
              },
              {
                "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://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeOrganization|1.0.0"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://www.vghks.gov.tw/stroke-registry/consent-policy'"
            },
            "expression": [
              "Bundle/stroke-bundle-evt-example: Bundle.entry[7].resource.policy[0].uri"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 474
              },
              {
                "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/stroke-bundle-evt-example: Bundle.entry[8].resource/*Observation/stroke-arrival-mode-example*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 529
              },
              {
                "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/stroke-bundle-evt-example: Bundle.entry[9].resource/*Observation/stroke-last-known-well-example*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 576
              },
              {
                "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/stroke-bundle-evt-example: Bundle.entry[10].resource/*Observation/stroke-onset-time-only-example*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 576
              },
              {
                "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/stroke-bundle-evt-example: Bundle.entry[10].resource/*Observation/stroke-onset-time-only-example*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 623
              },
              {
                "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/stroke-bundle-evt-example: Bundle.entry[11].resource/*Observation/stroke-wake-up-stroke-example*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 664
              },
              {
                "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/stroke-bundle-evt-example: Bundle.entry[12].resource/*Observation/stroke-hypertension-history-example*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 711
              },
              {
                "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/stroke-bundle-evt-example: Bundle.entry[13].resource/*Observation/stroke-diabetes-history-unknown-example*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 760
              },
              {
                "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/stroke-bundle-evt-example: Bundle.entry[14].resource/*Observation/stroke-cigarettes-per-day-example*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 796
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-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"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeEncounter|1.0.0"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "UCUM Codes that contain human readable annotations like {cigarette} 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"
            },
            "expression": [
              "Bundle/stroke-bundle-evt-example: Bundle.entry[14].resource.value.ofType(Quantity)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 806
              },
              {
                "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/stroke-bundle-evt-example: Bundle.entry[15].resource/*Observation/stroke-cancer-name-example*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 847
              },
              {
                "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/stroke-bundle-evt-example: Bundle.entry[16].resource/*Observation/stroke-toast-classification-example*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 896
              },
              {
                "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/stroke-bundle-evt-example: Bundle.entry[17].resource/*Observation/stroke-pre-stroke-independent-example*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 943
              },
              {
                "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/stroke-bundle-evt-example: Bundle.entry[18].resource/*Observation/stroke-nihss-admission-example*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1172
              },
              {
                "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/stroke-bundle-evt-example: Bundle.entry[19].resource/*Observation/stroke-nihss-24h-example*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1401
              },
              {
                "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/stroke-bundle-evt-example: Bundle.entry[20].resource/*Observation/stroke-mrs-pre-stroke-example*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1401
              },
              {
                "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/stroke-bundle-evt-example: Bundle.entry[20].resource/*Observation/stroke-mrs-pre-stroke-example*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1447
              },
              {
                "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/stroke-bundle-evt-example: Bundle.entry[21].resource/*Observation/stroke-mrs-discharge-example*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1494
              },
              {
                "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/stroke-bundle-evt-example: Bundle.entry[22].resource/*Observation/stroke-gcs-example*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1578
              },
              {
                "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/stroke-bundle-evt-example: Bundle.entry[23].resource/*Observation/stroke-body-height-example*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1624
              },
              {
                "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/stroke-bundle-evt-example: Bundle.entry[24].resource/*Observation/stroke-body-weight-example*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1670
              },
              {
                "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/stroke-bundle-evt-example: Bundle.entry[25].resource/*Observation/stroke-body-temperature-example*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1716
              },
              {
                "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/stroke-bundle-evt-example: Bundle.entry[26].resource/*Observation/stroke-heart-rate-example*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1762
              },
              {
                "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/stroke-bundle-evt-example: Bundle.entry[27].resource/*Observation/stroke-respiratory-rate-example*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1808
              },
              {
                "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/stroke-bundle-evt-example: Bundle.entry[28].resource/*Observation/stroke-blood-pressure-example*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1884
              },
              {
                "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/stroke-bundle-evt-example: Bundle.entry[29].resource/*Observation/stroke-smoking-status-example*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1938
              },
              {
                "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/stroke-bundle-evt-example: Bundle.entry[30].resource/*Observation/stroke-lab-hemoglobin-example*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1981
              },
              {
                "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/stroke-bundle-evt-example: Bundle.entry[31].resource/*Observation/stroke-lab-inr-not-available-example*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2189
              },
              {
                "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": "Terminology_TX_ValueSet_NotFound"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeEncounter|1.0.0"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "ValueSet 'http://www.rsna.org/RadLex_Playbook.aspx' not found"
            },
            "expression": [
              "Bundle/stroke-bundle-evt-example: Bundle.entry[36].resource/*ImagingStudy/stroke-imagingstudy-ctp-example*/.procedureCode[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2243
              },
              {
                "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": "Terminology_TX_ValueSet_NotFound"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeEncounter|1.0.0"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "ValueSet 'http://www.rsna.org/RadLex_Playbook.aspx' not found"
            },
            "expression": [
              "Bundle/stroke-bundle-evt-example: Bundle.entry[37].resource.procedureCode[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2260
              },
              {
                "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/stroke-bundle-evt-example: Bundle.entry[38].resource/*Observation/stroke-imaging-aspects-example*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2301
              },
              {
                "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/stroke-bundle-evt-example: Bundle.entry[39].resource/*Observation/stroke-imaging-core-volume-example*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2484
              },
              {
                "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/stroke-bundle-evt-example: Bundle.entry[43].resource/*Observation/stroke-evt-target-vessel-example*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2530
              },
              {
                "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/stroke-bundle-evt-example: Bundle.entry[44].resource/*Observation/stroke-evt-aortic-arch-example*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2584
              },
              {
                "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/stroke-bundle-evt-example: Bundle.entry[45].resource/*Observation/stroke-evt-aspiration-rescue-example*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2638
              },
              {
                "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/stroke-bundle-evt-example: Bundle.entry[46].resource/*Observation/stroke-evt-stent-retriever-pass-count-example*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2684
              },
              {
                "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/stroke-bundle-evt-example: Bundle.entry[47].resource/*Observation/stroke-first-recanalization-example*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2684
              },
              {
                "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/stroke-bundle-evt-example: Bundle.entry[47].resource/*Observation/stroke-first-recanalization-example*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2729
              },
              {
                "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/stroke-bundle-evt-example: Bundle.entry[48].resource/*Observation/stroke-evt-final-tici-example*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2783
              },
              {
                "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/stroke-bundle-evt-example: Bundle.entry[49].resource/*Observation/stroke-evt-post-bp-target-example*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2783
              },
              {
                "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/stroke-bundle-evt-example: Bundle.entry[49].resource/*Observation/stroke-evt-post-bp-target-example*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2836
              },
              {
                "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/stroke-bundle-evt-example: Bundle.entry[50].resource/*Observation/stroke-evt-no-complication-example*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2836
              },
              {
                "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/stroke-bundle-evt-example: Bundle.entry[50].resource/*Observation/stroke-evt-no-complication-example*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2881
              },
              {
                "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/stroke-bundle-evt-example: Bundle.entry[51].resource/*Observation/stroke-evt-follow-up-imaging-ich-example*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2927
              },
              {
                "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/stroke-bundle-evt-example: Bundle.entry[52].resource/*Observation/stroke-complication-pneumonia-example*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2927
              },
              {
                "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/stroke-bundle-evt-example: Bundle.entry[52].resource/*Observation/stroke-complication-pneumonia-example*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2967
              },
              {
                "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/stroke-bundle-evt-example: Bundle.entry[53].resource/*Observation/stroke-complication-other-name-example*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2967
              },
              {
                "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/stroke-bundle-evt-example: Bundle.entry[53].resource/*Observation/stroke-complication-other-name-example*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3007
              },
              {
                "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/stroke-bundle-evt-example: Bundle.entry[54].resource/*Observation/stroke-neurologic-deterioration-example*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3007
              },
              {
                "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/stroke-bundle-evt-example: Bundle.entry[54].resource/*Observation/stroke-neurologic-deterioration-example*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3047
              },
              {
                "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/stroke-bundle-evt-example: Bundle.entry[55].resource/*Observation/stroke-discharge-destination-example*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3102
              },
              {
                "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/stroke-bundle-evt-example: Bundle.entry[56].resource/*Observation/stroke-three-month-residence-example*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3157
              },
              {
                "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/stroke-bundle-evt-example: Bundle.entry[57].resource/*Observation/stroke-recurrent-stroke-example*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3157
              },
              {
                "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/stroke-bundle-evt-example: Bundle.entry[57].resource/*Observation/stroke-recurrent-stroke-example*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3203
              },
              {
                "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/stroke-bundle-evt-example: Bundle.entry[58].resource/*Observation/stroke-recurrent-stroke-date-example*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3203
              },
              {
                "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/stroke-bundle-evt-example: Bundle.entry[58].resource/*Observation/stroke-recurrent-stroke-date-example*/"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/Bundle-stroke-bundle-ncva-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Bundle-stroke-bundle-ncva-example",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 11
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 70
              },
              {
                "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://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeEncounter|1.0.0"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://www.vghks.gov.tw/stroke-case-management-serial'"
            },
            "expression": [
              "Bundle/stroke-bundle-ncva-example: Bundle.identifier.system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 38
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 59
              },
              {
                "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://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokePatient|1.0.0"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://www.vghks.gov.tw/patient-id'"
            },
            "expression": [
              "Bundle/stroke-bundle-ncva-example: Bundle.entry[0].resource.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 75
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 69
              },
              {
                "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://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeOrganization|1.0.0"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://www.vghks.gov.tw/stroke-hospital-code'"
            },
            "expression": [
              "Bundle/stroke-bundle-ncva-example: Bundle.entry[1].resource/*Organization/stroke-organization-vghks*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 216
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 76
              },
              {
                "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://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeRegistryResponse|1.0.0"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://www.vghks.gov.tw/stroke-case-management-serial'"
            },
            "expression": [
              "Bundle/stroke-bundle-ncva-example: Bundle.entry[4].resource.identifier.system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 294
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 75
              },
              {
                "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://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeOrganization|1.0.0"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://www.vghks.gov.tw/stroke-registry-record'"
            },
            "expression": [
              "Bundle/stroke-bundle-ncva-example: Bundle.entry[5].resource.entity[0].what.identifier.system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 353
              },
              {
                "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/stroke-bundle-ncva-example: Bundle.entry[7].resource/*Observation/stroke-arrival-mode-example*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 408
              },
              {
                "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/stroke-bundle-ncva-example: Bundle.entry[8].resource/*Observation/stroke-patient-age-example*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 460
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/stroke-bundle-ncva-example: Bundle.entry[9].resource/*Observation/stroke-education-level-example*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 509
              },
              {
                "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/stroke-bundle-ncva-example: Bundle.entry[10].resource/*Observation/stroke-onset-time-only-example*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 509
              },
              {
                "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/stroke-bundle-ncva-example: Bundle.entry[10].resource/*Observation/stroke-onset-time-only-example*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 556
              },
              {
                "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/stroke-bundle-ncva-example: Bundle.entry[11].resource/*Observation/stroke-hypertension-history-example*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 603
              },
              {
                "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/stroke-bundle-ncva-example: Bundle.entry[12].resource/*Observation/stroke-diabetes-history-unknown-example*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 652
              },
              {
                "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/stroke-bundle-ncva-example: Bundle.entry[13].resource/*Observation/stroke-family-history-stroke-example*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 693
              },
              {
                "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/stroke-bundle-ncva-example: Bundle.entry[14].resource/*Observation/stroke-cigarettes-per-day-example*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 729
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-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"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeEncounter|1.0.0"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "UCUM Codes that contain human readable annotations like {cigarette} 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"
            },
            "expression": [
              "Bundle/stroke-bundle-ncva-example: Bundle.entry[14].resource.value.ofType(Quantity)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 739
              },
              {
                "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/stroke-bundle-ncva-example: Bundle.entry[15].resource/*Observation/stroke-toast-classification-example*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 788
              },
              {
                "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/stroke-bundle-ncva-example: Bundle.entry[16].resource/*Observation/stroke-ecg-atrial-fibrillation-example*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 829
              },
              {
                "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/stroke-bundle-ncva-example: Bundle.entry[17].resource/*Observation/stroke-icu-admission-example*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 870
              },
              {
                "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/stroke-bundle-ncva-example: Bundle.entry[18].resource/*Observation/stroke-neurologic-deterioration-example*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 870
              },
              {
                "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/stroke-bundle-ncva-example: Bundle.entry[18].resource/*Observation/stroke-neurologic-deterioration-example*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 910
              },
              {
                "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/stroke-bundle-ncva-example: Bundle.entry[19].resource/*Observation/stroke-nihss-admission-example*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1139
              },
              {
                "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/stroke-bundle-ncva-example: Bundle.entry[20].resource/*Observation/stroke-nihss-24h-example*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1368
              },
              {
                "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/stroke-bundle-ncva-example: Bundle.entry[21].resource/*Observation/stroke-mrs-discharge-example*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1415
              },
              {
                "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/stroke-bundle-ncva-example: Bundle.entry[22].resource/*Observation/stroke-mrs-case-management-example*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1456
              },
              {
                "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/stroke-bundle-ncva-example: Bundle.entry[23].resource/*Observation/stroke-gcs-example*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1540
              },
              {
                "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/stroke-bundle-ncva-example: Bundle.entry[24].resource/*Observation/stroke-body-height-example*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1586
              },
              {
                "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/stroke-bundle-ncva-example: Bundle.entry[25].resource/*Observation/stroke-body-weight-example*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1632
              },
              {
                "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/stroke-bundle-ncva-example: Bundle.entry[26].resource/*Observation/stroke-body-temperature-example*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1678
              },
              {
                "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/stroke-bundle-ncva-example: Bundle.entry[27].resource/*Observation/stroke-heart-rate-example*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1724
              },
              {
                "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/stroke-bundle-ncva-example: Bundle.entry[28].resource/*Observation/stroke-respiratory-rate-example*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1770
              },
              {
                "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/stroke-bundle-ncva-example: Bundle.entry[29].resource/*Observation/stroke-blood-pressure-example*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1846
              },
              {
                "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/stroke-bundle-ncva-example: Bundle.entry[30].resource/*Observation/stroke-occupation-example*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1846
              },
              {
                "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/stroke-bundle-ncva-example: Bundle.entry[30].resource/*Observation/stroke-occupation-example*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1895
              },
              {
                "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/stroke-bundle-ncva-example: Bundle.entry[31].resource/*Observation/stroke-smoking-status-example*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1949
              },
              {
                "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/stroke-bundle-ncva-example: Bundle.entry[32].resource/*Observation/stroke-lab-hemoglobin-example*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1992
              },
              {
                "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/stroke-bundle-ncva-example: Bundle.entry[33].resource/*Observation/stroke-lab-inr-not-available-example*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2041
              },
              {
                "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/stroke-bundle-ncva-example: Bundle.entry[34].resource/*Observation/stroke-reperfusion-time-only-example*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2041
              },
              {
                "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/stroke-bundle-ncva-example: Bundle.entry[34].resource/*Observation/stroke-reperfusion-time-only-example*/"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/Bundle-stroke-bundle-rapid-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Bundle-stroke-bundle-rapid-example",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 11
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 57
              },
              {
                "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://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeImagingStudy|1.0.0"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://www.vghks.gov.tw/rapid-record-key'"
            },
            "expression": [
              "Bundle/stroke-bundle-rapid-example: Bundle.identifier.system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 38
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 59
              },
              {
                "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://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokePatient|1.0.0"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://www.vghks.gov.tw/patient-id'"
            },
            "expression": [
              "Bundle/stroke-bundle-rapid-example: Bundle.entry[0].resource.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 75
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 69
              },
              {
                "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://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeOrganization|1.0.0"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://www.vghks.gov.tw/stroke-hospital-code'"
            },
            "expression": [
              "Bundle/stroke-bundle-rapid-example: Bundle.entry[1].resource/*Organization/stroke-organization-vghks*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 267
              },
              {
                "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": "Terminology_TX_ValueSet_NotFound"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokePatient|1.0.0"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "ValueSet 'http://www.rsna.org/RadLex_Playbook.aspx' not found"
            },
            "expression": [
              "Bundle/stroke-bundle-rapid-example: Bundle.entry[4].resource.procedureCode[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 294
              },
              {
                "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/stroke-bundle-rapid-example: Bundle.entry[5].resource/*Observation/stroke-rapid-aspects-example*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 294
              },
              {
                "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/stroke-bundle-rapid-example: Bundle.entry[5].resource/*Observation/stroke-rapid-aspects-example*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 336
              },
              {
                "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/stroke-bundle-rapid-example: Bundle.entry[6].resource/*Observation/stroke-rapid-core-volume-example*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 336
              },
              {
                "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/stroke-bundle-rapid-example: Bundle.entry[6].resource/*Observation/stroke-rapid-core-volume-example*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 383
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/stroke-bundle-rapid-example: Bundle.entry[7].resource/*Observation/stroke-rapid-tmax-volume-example*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 383
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_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/stroke-bundle-rapid-example: Bundle.entry[7].resource/*Observation/stroke-rapid-tmax-volume-example*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 430
              },
              {
                "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/stroke-bundle-rapid-example: Bundle.entry[8].resource/*Observation/stroke-rapid-mismatch-ratio-example*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 430
              },
              {
                "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/stroke-bundle-rapid-example: Bundle.entry[8].resource/*Observation/stroke-rapid-mismatch-ratio-example*/"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/CodeSystem-admission-source",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-admission-source"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/CodeSystem-affected-side",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-affected-side"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/CodeSystem-aortic-arch-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-aortic-arch-type"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/CodeSystem-arrival-mode",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-arrival-mode"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/CodeSystem-aspiration-strategy",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-aspiration-strategy"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/CodeSystem-assessment-phase",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-assessment-phase"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/CodeSystem-death-cause",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-death-cause"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/CodeSystem-discharge-destination",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-discharge-destination"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/CodeSystem-discharge-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-discharge-status"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/CodeSystem-education-level",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-education-level"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/CodeSystem-follow-up-care-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-follow-up-care-status"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/CodeSystem-ich-symptom",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-ich-symptom"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/CodeSystem-ivtpa-not-given-reason",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-ivtpa-not-given-reason"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/CodeSystem-mcta-collateral",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-mcta-collateral"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/CodeSystem-medication-recording-context",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-medication-recording-context"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/CodeSystem-occupation-category",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-occupation-category"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/CodeSystem-post-evt-bp-target",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-post-evt-bp-target"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/CodeSystem-pre-evt-ivtpa-site",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-pre-evt-ivtpa-site"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/CodeSystem-puncture-site",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-puncture-site"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/CodeSystem-rapid-scan-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-rapid-scan-type"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/CodeSystem-rescue-strategy",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-rescue-strategy"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/CodeSystem-smoking-status-detail",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-smoking-status-detail"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/CodeSystem-stenosis-grade",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-stenosis-grade"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/CodeSystem-stroke-medication",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-stroke-medication"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/CodeSystem-stroke-observation",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-stroke-observation"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/CodeSystem-stroke-procedure",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-stroke-procedure"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/CodeSystem-three-month-residence",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-three-month-residence"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/CodeSystem-tici-grade",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-tici-grade"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/CodeSystem-toast-classification",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-toast-classification"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/Condition-stroke-condition-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Condition-stroke-condition-example"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/Consent-stroke-consent-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Consent-stroke-consent-example",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 51
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 70
              },
              {
                "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://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeConsent|1.0.0"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://www.vghks.gov.tw/stroke-registry/consent-policy'"
            },
            "expression": [
              "Consent/stroke-consent-example: Consent.policy[0].uri"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/Encounter-stroke-encounter-er-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Encounter-stroke-encounter-er-example"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/Encounter-stroke-encounter-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Encounter-stroke-encounter-example"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/Encounter-stroke-encounter-other-er-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Encounter-stroke-encounter-other-er-example"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/ImagingStudy-stroke-imagingstudy-ctp-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ImagingStudy-stroke-imagingstudy-ctp-example",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Terminology_TX_ValueSet_NotFound"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeImagingStudy|1.0.0"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "ValueSet 'http://www.rsna.org/RadLex_Playbook.aspx' not found"
            },
            "expression": [
              "ImagingStudy/stroke-imagingstudy-ctp-example: ImagingStudy.procedureCode[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/ImagingStudy-stroke-imagingstudy-follow-up-mr-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ImagingStudy-stroke-imagingstudy-follow-up-mr-example",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 24
              },
              {
                "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": "Terminology_TX_ValueSet_NotFound"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeImagingStudy|1.0.0"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "ValueSet 'http://www.rsna.org/RadLex_Playbook.aspx' not found"
            },
            "expression": [
              "ImagingStudy/stroke-imagingstudy-follow-up-mr-example: ImagingStudy.procedureCode[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/MedicationAdministration-stroke-medadmin-intra-arterial-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "MedicationAdministration-stroke-medadmin-intra-arterial-example"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/MedicationAdministration-stroke-medadmin-ivtpa-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "MedicationAdministration-stroke-medadmin-ivtpa-example"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/MedicationAdministration-stroke-medadmin-sedation-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "MedicationAdministration-stroke-medadmin-sedation-example"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/MedicationStatement-stroke-medstatement-apixaban-discharge-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "MedicationStatement-stroke-medstatement-apixaban-discharge-example"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/MedicationStatement-stroke-medstatement-aspirin-inpatient-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "MedicationStatement-stroke-medstatement-aspirin-inpatient-example"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/MedicationStatement-stroke-medstatement-statin-pre-admission-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "MedicationStatement-stroke-medstatement-statin-pre-admission-example"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/Observation-stroke-arrival-mode-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-stroke-arrival-mode-example",
        "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/stroke-arrival-mode-example: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/Observation-stroke-blood-pressure-diastolic-missing-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-stroke-blood-pressure-diastolic-missing-example",
        "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/stroke-blood-pressure-diastolic-missing-example: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/Observation-stroke-blood-pressure-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-stroke-blood-pressure-example",
        "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/stroke-blood-pressure-example: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/Observation-stroke-body-height-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-stroke-body-height-example",
        "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/stroke-body-height-example: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/Observation-stroke-body-temperature-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-stroke-body-temperature-example",
        "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/stroke-body-temperature-example: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/Observation-stroke-body-weight-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-stroke-body-weight-example",
        "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/stroke-body-weight-example: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/Observation-stroke-cancer-name-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-stroke-cancer-name-example",
        "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/stroke-cancer-name-example: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/Observation-stroke-cigarettes-per-day-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-stroke-cigarettes-per-day-example",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 37
              },
              {
                "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"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeRiskFactor|1.0.0"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "UCUM Codes that contain human readable annotations like {cigarette} 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"
            },
            "expression": [
              "Observation/stroke-cigarettes-per-day-example: 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/stroke-cigarettes-per-day-example: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/Observation-stroke-complication-other-name-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-stroke-complication-other-name-example",
        "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/stroke-complication-other-name-example: 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/stroke-complication-other-name-example: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/Observation-stroke-complication-pneumonia-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-stroke-complication-pneumonia-example",
        "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/stroke-complication-pneumonia-example: 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/stroke-complication-pneumonia-example: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/Observation-stroke-diabetes-history-unknown-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-stroke-diabetes-history-unknown-example",
        "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/stroke-diabetes-history-unknown-example: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/Observation-stroke-discharge-destination-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-stroke-discharge-destination-example",
        "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/stroke-discharge-destination-example: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/Observation-stroke-ecg-atrial-fibrillation-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-stroke-ecg-atrial-fibrillation-example",
        "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/stroke-ecg-atrial-fibrillation-example: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/Observation-stroke-education-level-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-stroke-education-level-example",
        "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/stroke-education-level-example: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/Observation-stroke-evt-aortic-arch-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-stroke-evt-aortic-arch-example",
        "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/stroke-evt-aortic-arch-example: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/Observation-stroke-evt-aspiration-rescue-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-stroke-evt-aspiration-rescue-example",
        "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/stroke-evt-aspiration-rescue-example: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/Observation-stroke-evt-final-tici-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-stroke-evt-final-tici-example",
        "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/stroke-evt-final-tici-example: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/Observation-stroke-evt-follow-up-imaging-ich-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-stroke-evt-follow-up-imaging-ich-example",
        "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/stroke-evt-follow-up-imaging-ich-example: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/Observation-stroke-evt-no-complication-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-stroke-evt-no-complication-example",
        "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/stroke-evt-no-complication-example: 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/stroke-evt-no-complication-example: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/Observation-stroke-evt-post-bp-target-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-stroke-evt-post-bp-target-example",
        "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/stroke-evt-post-bp-target-example: 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/stroke-evt-post-bp-target-example: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/Observation-stroke-evt-stent-retriever-pass-count-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-stroke-evt-stent-retriever-pass-count-example",
        "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/stroke-evt-stent-retriever-pass-count-example: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/Observation-stroke-evt-target-vessel-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-stroke-evt-target-vessel-example",
        "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/stroke-evt-target-vessel-example: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/Observation-stroke-family-history-stroke-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-stroke-family-history-stroke-example",
        "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/stroke-family-history-stroke-example: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/Observation-stroke-first-recanalization-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-stroke-first-recanalization-example",
        "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/stroke-first-recanalization-example: 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/stroke-first-recanalization-example: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/Observation-stroke-gcs-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-stroke-gcs-example",
        "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/stroke-gcs-example: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/Observation-stroke-heart-rate-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-stroke-heart-rate-example",
        "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/stroke-heart-rate-example: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/Observation-stroke-hypertension-history-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-stroke-hypertension-history-example",
        "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/stroke-hypertension-history-example: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/Observation-stroke-icu-admission-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-stroke-icu-admission-example",
        "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/stroke-icu-admission-example: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/Observation-stroke-imaging-aspects-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-stroke-imaging-aspects-example",
        "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/stroke-imaging-aspects-example: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/Observation-stroke-imaging-core-volume-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-stroke-imaging-core-volume-example",
        "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/stroke-imaging-core-volume-example: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/Observation-stroke-imaging-cta-affected-side-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-stroke-imaging-cta-affected-side-example",
        "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/stroke-imaging-cta-affected-side-example: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/Observation-stroke-imaging-mismatch-ratio-unavailable-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-stroke-imaging-mismatch-ratio-unavailable-example",
        "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/stroke-imaging-mismatch-ratio-unavailable-example: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/Observation-stroke-ivtpa-not-given-onset-over-3h-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-stroke-ivtpa-not-given-onset-over-3h-example",
        "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/stroke-ivtpa-not-given-onset-over-3h-example: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/Observation-stroke-ivtpa-not-given-reason-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-stroke-ivtpa-not-given-reason-example",
        "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/stroke-ivtpa-not-given-reason-example: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/Observation-stroke-lab-hemoglobin-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-stroke-lab-hemoglobin-example",
        "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/stroke-lab-hemoglobin-example: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/Observation-stroke-lab-inr-not-available-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-stroke-lab-inr-not-available-example",
        "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/stroke-lab-inr-not-available-example: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/Observation-stroke-last-known-well-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-stroke-last-known-well-example",
        "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/stroke-last-known-well-example: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/Observation-stroke-mrs-case-management-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-stroke-mrs-case-management-example",
        "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/stroke-mrs-case-management-example: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/Observation-stroke-mrs-discharge-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-stroke-mrs-discharge-example",
        "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/stroke-mrs-discharge-example: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/Observation-stroke-mrs-pre-stroke-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-stroke-mrs-pre-stroke-example",
        "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/stroke-mrs-pre-stroke-example: 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/stroke-mrs-pre-stroke-example: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/Observation-stroke-neurologic-deterioration-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-stroke-neurologic-deterioration-example",
        "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/stroke-neurologic-deterioration-example: 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/stroke-neurologic-deterioration-example: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/Observation-stroke-nihss-24h-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-stroke-nihss-24h-example",
        "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/stroke-nihss-24h-example: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/Observation-stroke-nihss-admission-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-stroke-nihss-admission-example",
        "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/stroke-nihss-admission-example: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/Observation-stroke-occupation-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-stroke-occupation-example",
        "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/stroke-occupation-example: 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/stroke-occupation-example: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/Observation-stroke-onset-time-only-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-stroke-onset-time-only-example",
        "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/stroke-onset-time-only-example: 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/stroke-onset-time-only-example: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/Observation-stroke-patient-age-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-stroke-patient-age-example",
        "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/stroke-patient-age-example: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/Observation-stroke-pre-stroke-independent-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-stroke-pre-stroke-independent-example",
        "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/stroke-pre-stroke-independent-example: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/Observation-stroke-recurrent-stroke-date-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-stroke-recurrent-stroke-date-example",
        "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/stroke-recurrent-stroke-date-example: 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/stroke-recurrent-stroke-date-example: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/Observation-stroke-recurrent-stroke-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-stroke-recurrent-stroke-example",
        "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/stroke-recurrent-stroke-example: 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/stroke-recurrent-stroke-example: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/Observation-stroke-reperfusion-time-only-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-stroke-reperfusion-time-only-example",
        "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/stroke-reperfusion-time-only-example: 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/stroke-reperfusion-time-only-example: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/Observation-stroke-respiratory-rate-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-stroke-respiratory-rate-example",
        "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/stroke-respiratory-rate-example: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/Observation-stroke-smoking-status-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-stroke-smoking-status-example",
        "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/stroke-smoking-status-example: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/Observation-stroke-three-month-residence-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-stroke-three-month-residence-example",
        "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/stroke-three-month-residence-example: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/Observation-stroke-toast-classification-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-stroke-toast-classification-example",
        "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/stroke-toast-classification-example: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/Observation-stroke-wake-up-stroke-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-stroke-wake-up-stroke-example",
        "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/stroke-wake-up-stroke-example: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/Organization-stroke-organization-vghks",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Organization-stroke-organization-vghks",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 21
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 63
              },
              {
                "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://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeOrganization|1.0.0"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://www.vghks.gov.tw/stroke-hospital-code'"
            },
            "expression": [
              "Organization/stroke-organization-vghks: Organization.identifier[0].system"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/Patient-stroke-patient-deceased-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Patient-stroke-patient-deceased-example",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 21
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 53
              },
              {
                "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://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokePatient|1.0.0"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://www.vghks.gov.tw/patient-id'"
            },
            "expression": [
              "Patient/stroke-patient-deceased-example: Patient.identifier[0].system"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/Patient-stroke-patient-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Patient-stroke-patient-example",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 21
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 53
              },
              {
                "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://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokePatient|1.0.0"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://www.vghks.gov.tw/patient-id'"
            },
            "expression": [
              "Patient/stroke-patient-example: Patient.identifier[0].system"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/Practitioner-stroke-practitioner-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Practitioner-stroke-practitioner-example",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 21
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 51
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokePractitioner|1.0.0"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://www.vghks.gov.tw/staff-id'"
            },
            "expression": [
              "Practitioner/stroke-practitioner-example: Practitioner.identifier[0].system"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/Procedure-stroke-procedure-dysphagia-screening-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Procedure-stroke-procedure-dysphagia-screening-example"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/Procedure-stroke-procedure-evt-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Procedure-stroke-procedure-evt-example"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/Procedure-stroke-procedure-evt-puncture-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Procedure-stroke-procedure-evt-puncture-example"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/Procedure-stroke-procedure-stent-retriever-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Procedure-stroke-procedure-stent-retriever-example"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/Procedure-stroke-procedure-ventilation-not-done-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Procedure-stroke-procedure-ventilation-not-done-example"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/Provenance-stroke-provenance-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Provenance-stroke-provenance-example",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 57
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 69
              },
              {
                "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://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeProvenance|1.0.0"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://www.vghks.gov.tw/stroke-registry-record'"
            },
            "expression": [
              "Provenance/stroke-provenance-example: Provenance.entity[0].what.identifier.system"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/Questionnaire-stroke-registry",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Questionnaire-stroke-registry"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/QuestionnaireResponse-stroke-registry-response-evt-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "QuestionnaireResponse-stroke-registry-response-evt-example",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 155
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 56
              },
              {
                "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://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeRegistryResponse|1.0.0"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://www.vghks.gov.tw/evt-registry-id'"
            },
            "expression": [
              "QuestionnaireResponse/stroke-registry-response-evt-example: QuestionnaireResponse.identifier.system"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/QuestionnaireResponse-stroke-registry-response-rapid-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "QuestionnaireResponse-stroke-registry-response-rapid-example"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/ServiceRequest-stroke-servicerequest-ctp-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ServiceRequest-stroke-servicerequest-ctp-example",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 35
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 51
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeServiceRequest|1.0.0"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://www.vghks.gov.tw/order-id'"
            },
            "expression": [
              "ServiceRequest/stroke-servicerequest-ctp-example: ServiceRequest.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 9
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODESYSTEM"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeServiceRequest|1.0.0"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'http://www.vghks.gov.tw/exam-item-code' could not be found, so the code cannot be validated"
            },
            "expression": [
              "ServiceRequest/stroke-servicerequest-ctp-example: ServiceRequest.code.coding[1].system"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/StructureDefinition-StrokeAdmissionContext",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-StrokeAdmissionContext"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/StructureDefinition-StrokeBloodPressure",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-StrokeBloodPressure"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/StructureDefinition-StrokeBodyHeight",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-StrokeBodyHeight"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/StructureDefinition-StrokeBodyTemperature",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-StrokeBodyTemperature"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/StructureDefinition-StrokeBodyWeight",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-StrokeBodyWeight"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/StructureDefinition-StrokeCareProcess",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-StrokeCareProcess"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/StructureDefinition-StrokeCaseManagementBundle",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-StrokeCaseManagementBundle"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/StructureDefinition-StrokeCaseManagementLM",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-StrokeCaseManagementLM"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/StructureDefinition-StrokeClinicalAssessment",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-StrokeClinicalAssessment"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/StructureDefinition-StrokeComplication",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-StrokeComplication"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/StructureDefinition-StrokeCondition",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-StrokeCondition"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/StructureDefinition-StrokeConsent",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-StrokeConsent"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/StructureDefinition-StrokeEncounter",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-StrokeEncounter"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/StructureDefinition-StrokeEvtOutcome",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-StrokeEvtOutcome"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/StructureDefinition-StrokeEvtProcedureDetail",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-StrokeEvtProcedureDetail"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/StructureDefinition-StrokeEvtRegistryBundle",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-StrokeEvtRegistryBundle"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/StructureDefinition-StrokeEvtRegistryLM",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-StrokeEvtRegistryLM"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/StructureDefinition-StrokeGCS",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-StrokeGCS"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/StructureDefinition-StrokeHeartRate",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-StrokeHeartRate"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/StructureDefinition-StrokeImagingResult",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-StrokeImagingResult"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/StructureDefinition-StrokeImagingStudy",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-StrokeImagingStudy",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 66488
              },
              {
                "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://www.rsna.org/RadLex_Playbook.aspx'"
            },
            "expression": [
              "StructureDefinition/StrokeImagingStudy: StructureDefinition.snapshot.element[26].binding.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 70559
              },
              {
                "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://www.rsna.org/RadLex_Playbook.aspx'"
            },
            "expression": [
              "StructureDefinition/StrokeImagingStudy: StructureDefinition.snapshot.element[30].binding.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 119339
              },
              {
                "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://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1'"
            },
            "expression": [
              "StructureDefinition/StrokeImagingStudy: StructureDefinition.snapshot.element[72].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 'ImagingStudy.series.performer.function' binds to the value set 'http://hl7.org/fhir/ValueSet/series-performer-function' which is experimental, but this structure is not labeled as experimental"
            },
            "expression": [
              "StructureDefinition/StrokeImagingStudy: StructureDefinition.snapshot.element[65].binding"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/StructureDefinition-StrokeLaboratory",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-StrokeLaboratory"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/StructureDefinition-StrokeMRS",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-StrokeMRS"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/StructureDefinition-StrokeMedicationAdministration",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-StrokeMedicationAdministration"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/StructureDefinition-StrokeMedicationStatement",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-StrokeMedicationStatement",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "SD_TYPE_SLICER_PARTIAL_CONSTRAINT"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The Binding on the type slicer MedicationStatement.medication[x] applies to all its slices, but it only makes sense for some of its types, so it has no effect on the slices for Reference"
            },
            "expression": [
              "StructureDefinition/StrokeMedicationStatement: StructureDefinition.snapshot.element[16]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/StructureDefinition-StrokeNIHSS",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-StrokeNIHSS"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/StructureDefinition-StrokeOccupation",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-StrokeOccupation"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/StructureDefinition-StrokeOnsetTime",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-StrokeOnsetTime"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/StructureDefinition-StrokeOrganization",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-StrokeOrganization"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/StructureDefinition-StrokeOutcome",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-StrokeOutcome"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/StructureDefinition-StrokePatient",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-StrokePatient"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/StructureDefinition-StrokePractitioner",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-StrokePractitioner"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/StructureDefinition-StrokeProcedure",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-StrokeProcedure"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/StructureDefinition-StrokeProcedureResult",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-StrokeProcedureResult"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/StructureDefinition-StrokeProvenance",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-StrokeProvenance"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/StructureDefinition-StrokeRapidBundle",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-StrokeRapidBundle"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/StructureDefinition-StrokeRapidLM",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-StrokeRapidLM"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/StructureDefinition-StrokeRegistryResponse",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-StrokeRegistryResponse"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/StructureDefinition-StrokeRespiratoryRate",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-StrokeRespiratoryRate"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/StructureDefinition-StrokeRiskFactor",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-StrokeRiskFactor"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/StructureDefinition-StrokeServiceRequest",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-StrokeServiceRequest"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/StructureDefinition-StrokeSmokingStatus",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-StrokeSmokingStatus"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/StructureDefinition-assessment-phase",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-assessment-phase"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/StructureDefinition-event-time-only",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-event-time-only"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/StructureDefinition-medication-recording-context",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-medication-recording-context"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/ValueSet-admission-source",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-admission-source"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/ValueSet-affected-side",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-affected-side"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/ValueSet-anticoagulant-detail",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-anticoagulant-detail"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/ValueSet-aortic-arch-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-aortic-arch-type"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/ValueSet-arrival-mode",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-arrival-mode"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/ValueSet-aspiration-rescue",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-aspiration-rescue"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/ValueSet-aspiration-strategy",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-aspiration-strategy"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/ValueSet-assessment-phase",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-assessment-phase"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/ValueSet-death-cause",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-death-cause"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/ValueSet-discharge-destination",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-discharge-destination"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/ValueSet-discharge-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-discharge-status"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/ValueSet-education-level",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-education-level"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/ValueSet-follow-up-care-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-follow-up-care-status"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/ValueSet-ich-symptom",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-ich-symptom"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/ValueSet-ivtpa-not-given-reason",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-ivtpa-not-given-reason"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/ValueSet-mcta-collateral",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-mcta-collateral"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/ValueSet-medication-recording-context",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-medication-recording-context"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/ValueSet-noac",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-noac"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/ValueSet-occupation-category",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-occupation-category"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/ValueSet-post-evt-bp-target",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-post-evt-bp-target"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/ValueSet-pre-evt-ivtpa-site",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-pre-evt-ivtpa-site"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/ValueSet-puncture-site",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-puncture-site"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/ValueSet-rapid-scan-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-rapid-scan-type"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/ValueSet-smoking-status-detail",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-smoking-status-detail"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/ValueSet-stenosis-grade",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-stenosis-grade"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/ValueSet-stent-retriever-rescue",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-stent-retriever-rescue"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/ValueSet-stroke-admission-context-answer",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-stroke-admission-context-answer"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/ValueSet-stroke-admission-context-code",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-stroke-admission-context-code"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/ValueSet-stroke-care-process-answer",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-stroke-care-process-answer"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/ValueSet-stroke-care-process-code",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-stroke-care-process-code"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/ValueSet-stroke-clinical-assessment-answer",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-stroke-clinical-assessment-answer"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/ValueSet-stroke-clinical-assessment-code",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-stroke-clinical-assessment-code"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/ValueSet-stroke-complication-code",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-stroke-complication-code"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/ValueSet-stroke-evt-outcome-answer",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-stroke-evt-outcome-answer"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/ValueSet-stroke-evt-outcome-code",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-stroke-evt-outcome-code"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/ValueSet-stroke-evt-procedure-detail-answer",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-stroke-evt-procedure-detail-answer"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/ValueSet-stroke-evt-procedure-detail-code",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-stroke-evt-procedure-detail-code"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/ValueSet-stroke-imaging-result-answer",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-stroke-imaging-result-answer"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/ValueSet-stroke-imaging-result-code",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-stroke-imaging-result-code"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/ValueSet-stroke-laboratory-code",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-stroke-laboratory-code"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/ValueSet-stroke-medication",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-stroke-medication"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/ValueSet-stroke-observation",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-stroke-observation"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/ValueSet-stroke-onset-time-code",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-stroke-onset-time-code"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/ValueSet-stroke-outcome-answer",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-stroke-outcome-answer"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/ValueSet-stroke-outcome-code",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-stroke-outcome-code"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/ValueSet-stroke-procedure-result-code",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-stroke-procedure-result-code"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/ValueSet-stroke-procedure",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-stroke-procedure"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/ValueSet-stroke-risk-factor-code",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-stroke-risk-factor-code"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/ValueSet-three-month-residence",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-three-month-residence"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/ValueSet-tici-grade",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-tici-grade"
      }
    },
    {
      "fullUrl": "http://vgh-stroke-ig.fhir.tw/OperationOutcome/ValueSet-toast-classification",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-toast-classification"
      }
    }
  ]
}