North West Genomic Medicine Service Alliance
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: Output from a FHIR Validation - XML Representation

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<OperationOutcome xmlns="http://hl7.org/fhir">
  <id value="operation-outcome-validate"/>
  <meta>
    <profile
             value="https://nw-gmsa.github.io/StructureDefinition/OperationOutcome"/>
  </meta>
  <text>
    <status value="extensions"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: OperationOutcome operation-outcome-validate</b></p><a name="operation-outcome-validate"> </a><a name="hcoperation-outcome-validate"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-OperationOutcome.html">OperationOutcome</a></p></div><p><b>OperationOutcome Source File</b>: c:\validate\5edc5fdd-6c00-4875-a7da-e1cdf674a92e-in.json</p><blockquote><p><b>issue</b></p><p><b>OperationOutcome Line of Issue</b>: 437</p><p><b>OperationOutcome Column of Issue</b>: 6</p><p><b>OperationOutcome Source of Issue</b>: InstanceValidator</p><p><b>OperationOutcome Message ID</b>: Validation_VAL_Profile_Minimum</p><p><b>severity</b>: Error</p><p><b>code</b>: Structural Issue</p><p><b>details</b>: <span title="Codes:">ServiceRequest.identifier: minimum required = 1, but only found 0 (from https://nw-gmsa.github.io/StructureDefinition/ServiceRequest|0.0.6)</span></p><p><b>expression</b>: Bundle.entry[8].resource</p></blockquote><blockquote><p><b>issue</b></p><p><b>OperationOutcome Line of Issue</b>: 437</p><p><b>OperationOutcome Column of Issue</b>: 6</p><p><b>OperationOutcome Source of Issue</b>: InstanceValidator</p><p><b>OperationOutcome Message ID</b>: Extension_EXTP_Context_Wrong</p><p><b>severity</b>: Error</p><p><b>code</b>: Structural Issue</p><p><b>details</b>: <span title="Codes:">The extension https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-AdditionalContact is not allowed to be used at this point (allowed = e:ServiceRequest; this element is [Bundle.entry.resource])</span></p><p><b>expression</b>: Bundle.entry[8].resource</p></blockquote><blockquote><p><b>issue</b></p><p><b>OperationOutcome Line of Issue</b>: 437</p><p><b>OperationOutcome Column of Issue</b>: 6</p><p><b>OperationOutcome Source of Issue</b>: InstanceValidator</p><p><b>OperationOutcome Message ID</b>: Extension_EXTP_Context_Wrong</p><p><b>severity</b>: Error</p><p><b>code</b>: Structural Issue</p><p><b>details</b>: <span title="Codes:">The extension https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-Coverage is not allowed to be used at this point (allowed = e:ServiceRequest; this element is [Bundle.entry.resource])</span></p><p><b>expression</b>: Bundle.entry[8].resource</p></blockquote><blockquote><p><b>issue</b></p><p><b>OperationOutcome Line of Issue</b>: 492</p><p><b>OperationOutcome Column of Issue</b>: 8</p><p><b>OperationOutcome Source of Issue</b>: InstanceValidator</p><p><b>OperationOutcome Message ID</b>: Reference_REF_CantMatchChoice</p><p><b>severity</b>: Error</p><p><b>code</b>: Structural Issue</p><p><b>details</b>: <span title="Codes:">Unable to find a profile match for PractitionerRole/PractitionerRole-HazelSmithKingstonPathology-Example among choices: https://nw-gmsa.github.io/StructureDefinition/PractitionerRole</span></p><p><b>expression</b>: Bundle.entry[8].resource.requester</p></blockquote><blockquote><p><b>issue</b></p><p><b>OperationOutcome Line of Issue</b>: 575</p><p><b>OperationOutcome Column of Issue</b>: 8</p><p><b>OperationOutcome Source of Issue</b>: TerminologyEngine</p><p><b>OperationOutcome Message ID</b>: MSG_RETIRED</p><p><b>severity</b>: Information</p><p><b>code</b>: Business Rule Violation</p><p><b>details</b>: <span title="Codes:">Reference to retired CodeSystem https://fhir.hl7.org.uk/CodeSystem/UKCore-BiopsyState|1.0.0</span></p><p><b>expression</b>: Bundle.entry[9].resource/*Specimen/Specimen-CancerSolidTumor-Example*/.condition[0]</p></blockquote><blockquote><p><b>issue</b></p><p><b>OperationOutcome Line of Issue</b>: 350</p><p><b>OperationOutcome Column of Issue</b>: 4</p><p><b>OperationOutcome Source of Issue</b>: InstanceValidator</p><p><b>OperationOutcome Message ID</b>: BUNDLE_BUNDLE_ENTRY_REVERSE_MSG</p><p><b>severity</b>: Information</p><p><b>code</b>: Informational Note</p><p><b>details</b>: <span title="Codes:">Entry 'http://example.org/fhir/Observation/Observation-Necrosis-Example' isn't reachable by traversing forwards from the MessageHeader. Check that this is meant to be included (needed to process the message)</span></p><p><b>expression</b>: Bundle.entry[12]</p></blockquote><blockquote><p><b>issue</b></p><p><b>OperationOutcome Line of Issue</b>: 509</p><p><b>OperationOutcome Column of Issue</b>: 8</p><p><b>OperationOutcome Source of Issue</b>: InstanceValidator</p><p><b>OperationOutcome Message ID</b>: Details_for__matching_against_Profile_</p><p><b>severity</b>: Information</p><p><b>code</b>: Informational Note</p><p><b>details</b>: <span title="Codes:">This element does not match any known slice defined in the profile https://nw-gmsa.github.io/StructureDefinition/ServiceRequest|0.0.6 (this may not be a problem, but you should check that it's not intended to match a slice)</span></p><p><b>expression</b>: Bundle.entry[8].resource.supportingInfo[0]</p></blockquote><blockquote><p><b>issue</b></p><p><b>OperationOutcome Line of Issue</b>: 512</p><p><b>OperationOutcome Column of Issue</b>: 8</p><p><b>OperationOutcome Source of Issue</b>: InstanceValidator</p><p><b>OperationOutcome Message ID</b>: Details_for__matching_against_Profile_</p><p><b>severity</b>: Information</p><p><b>code</b>: Informational Note</p><p><b>details</b>: <span title="Codes:">This element does not match any known slice defined in the profile https://nw-gmsa.github.io/StructureDefinition/ServiceRequest|0.0.6 (this may not be a problem, but you should check that it's not intended to match a slice)</span></p><p><b>expression</b>: Bundle.entry[8].resource.supportingInfo[1]</p></blockquote><blockquote><p><b>issue</b></p><p><b>OperationOutcome Line of Issue</b>: 515</p><p><b>OperationOutcome Column of Issue</b>: 8</p><p><b>OperationOutcome Source of Issue</b>: InstanceValidator</p><p><b>OperationOutcome Message ID</b>: Details_for__matching_against_Profile_</p><p><b>severity</b>: Information</p><p><b>code</b>: Informational Note</p><p><b>details</b>: <span title="Codes:">This element does not match any known slice defined in the profile https://nw-gmsa.github.io/StructureDefinition/ServiceRequest|0.0.6 (this may not be a problem, but you should check that it's not intended to match a slice)</span></p><p><b>expression</b>: Bundle.entry[8].resource.supportingInfo[2]</p></blockquote><blockquote><p><b>issue</b></p><p><b>OperationOutcome Line of Issue</b>: 76</p><p><b>OperationOutcome Column of Issue</b>: 8</p><p><b>OperationOutcome Source of Issue</b>: TerminologyEngine</p><p><b>OperationOutcome Message ID</b>: Terminology_TX_NoValid_3_CC</p><p><b>severity</b>: Information</p><p><b>code</b>: Invalid Code</p><p><b>details</b>: <span title="Codes:">None of the codings provided are in the value set 'Practice Setting Code Value Set' (http://hl7.org/fhir/ValueSet/c80-practice-codes|4.0.1), and a coding is recommended to come from this value set (codes = https://fhir.hl7.org.uk/CodeSystem/UKCore-PracticeSettingCode#820)</span></p><p><b>expression</b>: Bundle.entry[1].resource/*PractitionerRole/PractitionerRole-HazelSmithKingstonPathology-Example*/.specialty[0]</p></blockquote><blockquote><p><b>issue</b></p><p><b>OperationOutcome Line of Issue</b>: 132</p><p><b>OperationOutcome Column of Issue</b>: 8</p><p><b>OperationOutcome Source of Issue</b>: TerminologyEngine</p><p><b>OperationOutcome Message ID</b>: Terminology_TX_NoValid_3_CC</p><p><b>severity</b>: Information</p><p><b>code</b>: Invalid Code</p><p><b>details</b>: <span title="Codes:">None of the codings provided are in the value set 'Practice Setting Code Value Set' (http://hl7.org/fhir/ValueSet/c80-practice-codes|4.0.1), and a coding is recommended to come from this value set (codes = https://fhir.hl7.org.uk/CodeSystem/UKCore-PracticeSettingCode#820)</span></p><p><b>expression</b>: Bundle.entry[2].resource/*PractitionerRole/PractitionerRole-JamesTaylorKingstonPathology-Example*/.specialty[0]</p></blockquote><blockquote><p><b>issue</b></p><p><b>OperationOutcome Line of Issue</b>: 184</p><p><b>OperationOutcome Column of Issue</b>: 8</p><p><b>OperationOutcome Source of Issue</b>: TerminologyEngine</p><p><b>OperationOutcome Message ID</b>: Terminology_TX_NoValid_3_CC</p><p><b>severity</b>: Information</p><p><b>code</b>: Invalid Code</p><p><b>details</b>: <span title="Codes:">None of the codings provided are in the value set 'Practice Setting Code Value Set' (http://hl7.org/fhir/ValueSet/c80-practice-codes|4.0.1), and a coding is recommended to come from this value set (codes = https://fhir.hl7.org.uk/CodeSystem/UKCore-PracticeSettingCode#820)</span></p><p><b>expression</b>: Bundle.entry[3].resource/*PractitionerRole/PractitionerRole-AnnaLaneKingstonPathology-Example*/.specialty[0]</p></blockquote><blockquote><p><b>issue</b></p><p><b>OperationOutcome Line of Issue</b>: 476</p><p><b>OperationOutcome Column of Issue</b>: 8</p><p><b>OperationOutcome Source of Issue</b>: TerminologyEngine</p><p><b>OperationOutcome Message ID</b>: Terminology_TX_NoValid_3_CC</p><p><b>severity</b>: Information</p><p><b>code</b>: Invalid Code</p><p><b>details</b>: <span title="Codes:">None of the codings provided are in the value set 'Laboratory Order' (http://hl7.eu/fhir/laboratory/ValueSet/lab-orderCodes-eu-lab|0.1.1), and a coding is recommended to come from this value set (codes = https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory#M119.5)</span></p><p><b>expression</b>: Bundle.entry[8].resource.code</p></blockquote><blockquote><p><b>issue</b></p><p><b>OperationOutcome Line of Issue</b>: 502</p><p><b>OperationOutcome Column of Issue</b>: 8</p><p><b>OperationOutcome Source of Issue</b>: TerminologyEngine</p><p><b>OperationOutcome Message ID</b>: Terminology_TX_NoValid_3_CC</p><p><b>severity</b>: Information</p><p><b>code</b>: Invalid Code</p><p><b>details</b>: <span title="Codes:">None of the codings provided are in the value set 'Genomic Condition Codes' (https://nw-gmsa.github.io/ValueSet/genomic-condition-codes|0.0.6), and a coding is recommended to come from this value set (codes = https://fhir.nhs.uk/CodeSystem/reasonfortesting-genomics#relapse)</span></p><p><b>expression</b>: Bundle.entry[8].resource.reasonCode[0]</p></blockquote><blockquote><p><b>issue</b></p><p><b>OperationOutcome Line of Issue</b>: 1</p><p><b>OperationOutcome Column of Issue</b>: 2</p><p><b>OperationOutcome Source of Issue</b>: InstanceValidator</p><p><b>OperationOutcome Message ID</b>: Bundle_BUNDLE_Entry_NotFound</p><p><b>severity</b>: Information</p><p><b>code</b>: Not Found</p><p><b>details</b>: <span title="Codes:">Can't find 'https://api.service.nhs.uk/personal-demographics/FHIR/R4/Patient/9449307555' in the bundle (Bundle.entry[4].resource.link[0].other)</span></p><p><b>expression</b>: Bundle</p></blockquote><blockquote><p><b>issue</b></p><p><b>OperationOutcome Line of Issue</b>: 492</p><p><b>OperationOutcome Column of Issue</b>: 8</p><p><b>OperationOutcome Source of Issue</b>: InstanceValidator</p><p><b>OperationOutcome Message ID</b>: Details_for__matching_against_Profile_</p><p><b>severity</b>: Information</p><p><b>code</b>: Structural Issue</p><p><b>details</b>: <span title="Codes:">Details for PractitionerRole/PractitionerRole-HazelSmithKingstonPathology-Example matching against profile https://nw-gmsa.github.io/StructureDefinition/PractitionerRole|0.0.6</span></p><p><b>expression</b>: Bundle.entry[8].resource.requester</p></blockquote><blockquote><p><b>issue</b></p><p><b>OperationOutcome Line of Issue</b>: 326</p><p><b>OperationOutcome Column of Issue</b>: 8</p><p><b>OperationOutcome Source of Issue</b>: TerminologyEngine</p><p><b>OperationOutcome Message ID</b>: Error_validating_code_running_without_terminology_services</p><p><b>severity</b>: Warning</p><p><b>code</b>: Business Rule Violation</p><p><b>details</b>: <span title="Codes:">Unable to validate code '%' in system 'http://unitsofmeasure.org' because the validator is running without terminology services</span></p><p><b>expression</b>: Bundle.entry[5].resource/*Observation/Observation-MultipleTumors-Example*/.value.ofType(Quantity)</p></blockquote><blockquote><p><b>issue</b></p><p><b>OperationOutcome Line of Issue</b>: 375</p><p><b>OperationOutcome Column of Issue</b>: 8</p><p><b>OperationOutcome Source of Issue</b>: TerminologyEngine</p><p><b>OperationOutcome Message ID</b>: Error_validating_code_running_without_terminology_services</p><p><b>severity</b>: Warning</p><p><b>code</b>: Business Rule Violation</p><p><b>details</b>: <span title="Codes:">Unable to validate code '%' in system 'http://unitsofmeasure.org' because the validator is running without terminology services</span></p><p><b>expression</b>: Bundle.entry[6].resource/*Observation/Observation-Necrosis-Example*/.value.ofType(Quantity)</p></blockquote><blockquote><p><b>issue</b></p><p><b>OperationOutcome Line of Issue</b>: 575</p><p><b>OperationOutcome Column of Issue</b>: 8</p><p><b>OperationOutcome Source of Issue</b>: TerminologyEngine</p><p><b>OperationOutcome Message ID</b>: Terminology_TX_NoValid_2_CC</p><p><b>severity</b>: Warning</p><p><b>code</b>: Invalid Code</p><p><b>details</b>: <span title="Codes:">None of the codings provided are in the value set 'hl7VS-specimenCondition' (http://terminology.hl7.org/ValueSet/v2-0493|2.0.0), and a coding should come from this value set unless it has no suitable code (note that the validator cannot judge what is suitable) (codes = https://fhir.hl7.org.uk/CodeSystem/UKCore-BiopsyState#fresh-unfixed)</span></p><p><b>expression</b>: Bundle.entry[9].resource/*Specimen/Specimen-CancerSolidTumor-Example*/.condition[0]</p></blockquote><blockquote><p><b>issue</b></p><p><b>OperationOutcome Line of Issue</b>: 303</p><p><b>OperationOutcome Column of Issue</b>: 6</p><p><b>OperationOutcome Source of Issue</b>: InstanceValidator</p><p><b>OperationOutcome Message ID</b>: All_observations_should_have_a_performer</p><p><b>severity</b>: Warning</p><p><b>code</b>: Invalid Content</p><p><b>details</b>: <span title="Codes:">Best Practice Recommendation: In general, all observations should have a performer</span></p><p><b>expression</b>: Bundle.entry[5].resource/*Observation/Observation-MultipleTumors-Example*/</p></blockquote><blockquote><p><b>issue</b></p><p><b>OperationOutcome Line of Issue</b>: 303</p><p><b>OperationOutcome Column of Issue</b>: 6</p><p><b>OperationOutcome Source of Issue</b>: InstanceValidator</p><p><b>OperationOutcome Message ID</b>: All_observations_should_have_a_performer</p><p><b>severity</b>: Warning</p><p><b>code</b>: Invalid Content</p><p><b>details</b>: <span title="Codes:">Best Practice Recommendation: In general, all observations should have a performer</span></p><p><b>expression</b>: Bundle.entry[5].resource</p></blockquote><blockquote><p><b>issue</b></p><p><b>OperationOutcome Line of Issue</b>: 352</p><p><b>OperationOutcome Column of Issue</b>: 6</p><p><b>OperationOutcome Source of Issue</b>: InstanceValidator</p><p><b>OperationOutcome Message ID</b>: All_observations_should_have_a_performer</p><p><b>severity</b>: Warning</p><p><b>code</b>: Invalid Content</p><p><b>details</b>: <span title="Codes:">Best Practice Recommendation: In general, all observations should have a performer</span></p><p><b>expression</b>: Bundle.entry[6].resource/*Observation/Observation-Necrosis-Example*/</p></blockquote><blockquote><p><b>issue</b></p><p><b>OperationOutcome Line of Issue</b>: 352</p><p><b>OperationOutcome Column of Issue</b>: 6</p><p><b>OperationOutcome Source of Issue</b>: InstanceValidator</p><p><b>OperationOutcome Message ID</b>: All_observations_should_have_a_performer</p><p><b>severity</b>: Warning</p><p><b>code</b>: Invalid Content</p><p><b>details</b>: <span title="Codes:">Best Practice Recommendation: In general, all observations should have a performer</span></p><p><b>expression</b>: Bundle.entry[6].resource</p></blockquote><blockquote><p><b>issue</b></p><p><b>OperationOutcome Line of Issue</b>: 311</p><p><b>OperationOutcome Column of Issue</b>: 8</p><p><b>OperationOutcome Source of Issue</b>: TerminologyEngine</p><p><b>severity</b>: Warning</p><p><b>code</b>: Not Found</p><p><b>details</b>: <span title="Codes:">A definition for CodeSystem 'http://snomed.info/sct' could not be found, so the code cannot be validated</span></p><p><b>expression</b>: Bundle.entry[5].resource/*Observation/Observation-MultipleTumors-Example*/.code.coding[0].system</p></blockquote><blockquote><p><b>issue</b></p><p><b>OperationOutcome Line of Issue</b>: 339</p><p><b>OperationOutcome Column of Issue</b>: 10</p><p><b>OperationOutcome Source of Issue</b>: TerminologyEngine</p><p><b>severity</b>: Warning</p><p><b>code</b>: Not Found</p><p><b>details</b>: <span title="Codes:">A definition for CodeSystem 'http://snomed.info/sct' could not be found, so the code cannot be validated</span></p><p><b>expression</b>: Bundle.entry[5].resource/*Observation/Observation-MultipleTumors-Example*/.component[0].code.coding[0].system</p></blockquote><blockquote><p><b>issue</b></p><p><b>OperationOutcome Line of Issue</b>: 360</p><p><b>OperationOutcome Column of Issue</b>: 8</p><p><b>OperationOutcome Source of Issue</b>: TerminologyEngine</p><p><b>severity</b>: Warning</p><p><b>code</b>: Not Found</p><p><b>details</b>: <span title="Codes:">A definition for CodeSystem 'http://snomed.info/sct' could not be found, so the code cannot be validated</span></p><p><b>expression</b>: Bundle.entry[6].resource/*Observation/Observation-Necrosis-Example*/.code.coding[0].system</p></blockquote><blockquote><p><b>issue</b></p><p><b>OperationOutcome Line of Issue</b>: 420</p><p><b>OperationOutcome Column of Issue</b>: 8</p><p><b>OperationOutcome Source of Issue</b>: TerminologyEngine</p><p><b>severity</b>: Warning</p><p><b>code</b>: Not Found</p><p><b>details</b>: <span title="Codes:">A definition for CodeSystem 'http://snomed.info/sct' could not be found, so the code cannot be validated</span></p><p><b>expression</b>: Bundle.entry[7].resource/*Condition/Condition-LungTumor-Example*/.code.coding[0].system</p></blockquote><blockquote><p><b>issue</b></p><p><b>OperationOutcome Line of Issue</b>: 476</p><p><b>OperationOutcome Column of Issue</b>: 8</p><p><b>OperationOutcome Source of Issue</b>: TerminologyEngine</p><p><b>severity</b>: Warning</p><p><b>code</b>: Not Found</p><p><b>details</b>: <span title="Codes:">A definition for CodeSystem 'https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory' version '9' could not be found, so the code cannot be validated. Valid versions: [0.0.6]</span></p><p><b>expression</b>: Bundle.entry[8].resource/*ServiceRequest/ServiceRequest-NonWGSTestOrderForm-CancerSolidTumor-Example*/.code.coding[0].system</p></blockquote><blockquote><p><b>issue</b></p><p><b>OperationOutcome Line of Issue</b>: 476</p><p><b>OperationOutcome Column of Issue</b>: 8</p><p><b>OperationOutcome Source of Issue</b>: TerminologyEngine</p><p><b>severity</b>: Warning</p><p><b>code</b>: Not Found</p><p><b>details</b>: <span title="Codes:">A definition for CodeSystem 'https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory' version '9' could not be found, so the code cannot be validated. Valid versions: [0.0.6]</span></p><p><b>expression</b>: Bundle.entry[8].resource.code.coding[0].system</p></blockquote><blockquote><p><b>issue</b></p><p><b>OperationOutcome Line of Issue</b>: 502</p><p><b>OperationOutcome Column of Issue</b>: 8</p><p><b>OperationOutcome Source of Issue</b>: TerminologyEngine</p><p><b>severity</b>: Warning</p><p><b>code</b>: Not Found</p><p><b>details</b>: <span title="Codes:">A definition for CodeSystem 'https://fhir.nhs.uk/CodeSystem/reasonfortesting-genomics' could not be found, so the code cannot be validated</span></p><p><b>expression</b>: Bundle.entry[8].resource/*ServiceRequest/ServiceRequest-NonWGSTestOrderForm-CancerSolidTumor-Example*/.reasonCode[0].coding[0].system</p></blockquote><blockquote><p><b>issue</b></p><p><b>OperationOutcome Line of Issue</b>: 502</p><p><b>OperationOutcome Column of Issue</b>: 8</p><p><b>OperationOutcome Source of Issue</b>: TerminologyEngine</p><p><b>severity</b>: Warning</p><p><b>code</b>: Not Found</p><p><b>details</b>: <span title="Codes:">A definition for CodeSystem 'https://fhir.nhs.uk/CodeSystem/reasonfortesting-genomics' could not be found, so the code cannot be validated</span></p><p><b>expression</b>: Bundle.entry[8].resource.reasonCode[0].coding[0].system</p></blockquote><blockquote><p><b>issue</b></p><p><b>OperationOutcome Line of Issue</b>: 540</p><p><b>OperationOutcome Column of Issue</b>: 8</p><p><b>OperationOutcome Source of Issue</b>: TerminologyEngine</p><p><b>severity</b>: Warning</p><p><b>code</b>: Not Found</p><p><b>details</b>: <span title="Codes:">A definition for CodeSystem 'http://snomed.info/sct' could not be found, so the code cannot be validated</span></p><p><b>expression</b>: Bundle.entry[9].resource/*Specimen/Specimen-CancerSolidTumor-Example*/.type.coding[0].system</p></blockquote><blockquote><p><b>issue</b></p><p><b>OperationOutcome Line of Issue</b>: 593</p><p><b>OperationOutcome Column of Issue</b>: 8</p><p><b>OperationOutcome Source of Issue</b>: TerminologyEngine</p><p><b>severity</b>: Warning</p><p><b>code</b>: Not Found</p><p><b>details</b>: <span title="Codes:">A definition for CodeSystem 'http://snomed.info/sct' could not be found, so the code cannot be validated</span></p><p><b>expression</b>: Bundle.entry[10].resource/*BodyStructure/BodyStructure-BodySiteLocationLungs-Example*/.morphology.coding[0].system</p></blockquote><blockquote><p><b>issue</b></p><p><b>OperationOutcome Line of Issue</b>: 600</p><p><b>OperationOutcome Column of Issue</b>: 8</p><p><b>OperationOutcome Source of Issue</b>: TerminologyEngine</p><p><b>severity</b>: Warning</p><p><b>code</b>: Not Found</p><p><b>details</b>: <span title="Codes:">A definition for CodeSystem 'http://snomed.info/sct' could not be found, so the code cannot be validated</span></p><p><b>expression</b>: Bundle.entry[10].resource/*BodyStructure/BodyStructure-BodySiteLocationLungs-Example*/.location.coding[0].system</p></blockquote></div>
  </text>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/operationoutcome-file">
    <valueString
                 value="c:\validate\5edc5fdd-6c00-4875-a7da-e1cdf674a92e-in.json"/>
  </extension>
  <issue>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line">
      <valueInteger value="437"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col">
      <valueInteger value="6"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source">
      <valueString value="InstanceValidator"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id">
      <valueCode value="Validation_VAL_Profile_Minimum"/>
    </extension>
    <severity value="error"/>
    <code value="structure"/>
    <details>
      <text
            value="ServiceRequest.identifier: minimum required = 1, but only found 0 (from https://nw-gmsa.github.io/StructureDefinition/ServiceRequest|0.0.6)"/>
    </details>
    <expression value="Bundle.entry[8].resource"/>
  </issue>
  <issue>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line">
      <valueInteger value="437"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col">
      <valueInteger value="6"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source">
      <valueString value="InstanceValidator"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id">
      <valueCode value="Extension_EXTP_Context_Wrong"/>
    </extension>
    <severity value="error"/>
    <code value="structure"/>
    <details>
      <text
            value="The extension https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-AdditionalContact is not allowed to be used at this point (allowed = e:ServiceRequest; this element is [Bundle.entry.resource])"/>
    </details>
    <expression value="Bundle.entry[8].resource"/>
  </issue>
  <issue>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line">
      <valueInteger value="437"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col">
      <valueInteger value="6"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source">
      <valueString value="InstanceValidator"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id">
      <valueCode value="Extension_EXTP_Context_Wrong"/>
    </extension>
    <severity value="error"/>
    <code value="structure"/>
    <details>
      <text
            value="The extension https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-Coverage is not allowed to be used at this point (allowed = e:ServiceRequest; this element is [Bundle.entry.resource])"/>
    </details>
    <expression value="Bundle.entry[8].resource"/>
  </issue>
  <issue>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line">
      <valueInteger value="492"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col">
      <valueInteger value="8"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source">
      <valueString value="InstanceValidator"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id">
      <valueCode value="Reference_REF_CantMatchChoice"/>
    </extension>
    <severity value="error"/>
    <code value="structure"/>
    <details>
      <text
            value="Unable to find a profile match for PractitionerRole/PractitionerRole-HazelSmithKingstonPathology-Example among choices: https://nw-gmsa.github.io/StructureDefinition/PractitionerRole"/>
    </details>
    <expression value="Bundle.entry[8].resource.requester"/>
  </issue>
  <issue>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line">
      <valueInteger value="575"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col">
      <valueInteger value="8"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source">
      <valueString value="TerminologyEngine"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id">
      <valueCode value="MSG_RETIRED"/>
    </extension>
    <severity value="information"/>
    <code value="business-rule"/>
    <details>
      <text
            value="Reference to retired CodeSystem https://fhir.hl7.org.uk/CodeSystem/UKCore-BiopsyState|1.0.0"/>
    </details>
    <expression
                value="Bundle.entry[9].resource/*Specimen/Specimen-CancerSolidTumor-Example*/.condition[0]"/>
  </issue>
  <issue>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line">
      <valueInteger value="350"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col">
      <valueInteger value="4"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source">
      <valueString value="InstanceValidator"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id">
      <valueCode value="BUNDLE_BUNDLE_ENTRY_REVERSE_MSG"/>
    </extension>
    <severity value="information"/>
    <code value="informational"/>
    <details>
      <text
            value="Entry 'http://example.org/fhir/Observation/Observation-Necrosis-Example' isn't reachable by traversing forwards from the MessageHeader. Check that this is meant to be included (needed to process the message)"/>
    </details>
    <expression value="Bundle.entry[12]"/>
  </issue>
  <issue>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line">
      <valueInteger value="509"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col">
      <valueInteger value="8"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source">
      <valueString value="InstanceValidator"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id">
      <valueCode value="Details_for__matching_against_Profile_"/>
    </extension>
    <severity value="information"/>
    <code value="informational"/>
    <details>
      <text
            value="This element does not match any known slice defined in the profile https://nw-gmsa.github.io/StructureDefinition/ServiceRequest|0.0.6 (this may not be a problem, but you should check that it's not intended to match a slice)"/>
    </details>
    <expression value="Bundle.entry[8].resource.supportingInfo[0]"/>
  </issue>
  <issue>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line">
      <valueInteger value="512"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col">
      <valueInteger value="8"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source">
      <valueString value="InstanceValidator"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id">
      <valueCode value="Details_for__matching_against_Profile_"/>
    </extension>
    <severity value="information"/>
    <code value="informational"/>
    <details>
      <text
            value="This element does not match any known slice defined in the profile https://nw-gmsa.github.io/StructureDefinition/ServiceRequest|0.0.6 (this may not be a problem, but you should check that it's not intended to match a slice)"/>
    </details>
    <expression value="Bundle.entry[8].resource.supportingInfo[1]"/>
  </issue>
  <issue>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line">
      <valueInteger value="515"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col">
      <valueInteger value="8"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source">
      <valueString value="InstanceValidator"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id">
      <valueCode value="Details_for__matching_against_Profile_"/>
    </extension>
    <severity value="information"/>
    <code value="informational"/>
    <details>
      <text
            value="This element does not match any known slice defined in the profile https://nw-gmsa.github.io/StructureDefinition/ServiceRequest|0.0.6 (this may not be a problem, but you should check that it's not intended to match a slice)"/>
    </details>
    <expression value="Bundle.entry[8].resource.supportingInfo[2]"/>
  </issue>
  <issue>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line">
      <valueInteger value="76"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col">
      <valueInteger value="8"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source">
      <valueString value="TerminologyEngine"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id">
      <valueCode value="Terminology_TX_NoValid_3_CC"/>
    </extension>
    <severity value="information"/>
    <code value="code-invalid"/>
    <details>
      <text
            value="None of the codings provided are in the value set 'Practice Setting Code Value Set' (http://hl7.org/fhir/ValueSet/c80-practice-codes|4.0.1), and a coding is recommended to come from this value set (codes = https://fhir.hl7.org.uk/CodeSystem/UKCore-PracticeSettingCode#820)"/>
    </details>
    <expression
                value="Bundle.entry[1].resource/*PractitionerRole/PractitionerRole-HazelSmithKingstonPathology-Example*/.specialty[0]"/>
  </issue>
  <issue>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line">
      <valueInteger value="132"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col">
      <valueInteger value="8"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source">
      <valueString value="TerminologyEngine"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id">
      <valueCode value="Terminology_TX_NoValid_3_CC"/>
    </extension>
    <severity value="information"/>
    <code value="code-invalid"/>
    <details>
      <text
            value="None of the codings provided are in the value set 'Practice Setting Code Value Set' (http://hl7.org/fhir/ValueSet/c80-practice-codes|4.0.1), and a coding is recommended to come from this value set (codes = https://fhir.hl7.org.uk/CodeSystem/UKCore-PracticeSettingCode#820)"/>
    </details>
    <expression
                value="Bundle.entry[2].resource/*PractitionerRole/PractitionerRole-JamesTaylorKingstonPathology-Example*/.specialty[0]"/>
  </issue>
  <issue>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line">
      <valueInteger value="184"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col">
      <valueInteger value="8"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source">
      <valueString value="TerminologyEngine"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id">
      <valueCode value="Terminology_TX_NoValid_3_CC"/>
    </extension>
    <severity value="information"/>
    <code value="code-invalid"/>
    <details>
      <text
            value="None of the codings provided are in the value set 'Practice Setting Code Value Set' (http://hl7.org/fhir/ValueSet/c80-practice-codes|4.0.1), and a coding is recommended to come from this value set (codes = https://fhir.hl7.org.uk/CodeSystem/UKCore-PracticeSettingCode#820)"/>
    </details>
    <expression
                value="Bundle.entry[3].resource/*PractitionerRole/PractitionerRole-AnnaLaneKingstonPathology-Example*/.specialty[0]"/>
  </issue>
  <issue>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line">
      <valueInteger value="476"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col">
      <valueInteger value="8"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source">
      <valueString value="TerminologyEngine"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id">
      <valueCode value="Terminology_TX_NoValid_3_CC"/>
    </extension>
    <severity value="information"/>
    <code value="code-invalid"/>
    <details>
      <text
            value="None of the codings provided are in the value set 'Laboratory Order' (http://hl7.eu/fhir/laboratory/ValueSet/lab-orderCodes-eu-lab|0.1.1), and a coding is recommended to come from this value set (codes = https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory#M119.5)"/>
    </details>
    <expression value="Bundle.entry[8].resource.code"/>
  </issue>
  <issue>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line">
      <valueInteger value="502"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col">
      <valueInteger value="8"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source">
      <valueString value="TerminologyEngine"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id">
      <valueCode value="Terminology_TX_NoValid_3_CC"/>
    </extension>
    <severity value="information"/>
    <code value="code-invalid"/>
    <details>
      <text
            value="None of the codings provided are in the value set 'Genomic Condition Codes' (https://nw-gmsa.github.io/ValueSet/genomic-condition-codes|0.0.6), and a coding is recommended to come from this value set (codes = https://fhir.nhs.uk/CodeSystem/reasonfortesting-genomics#relapse)"/>
    </details>
    <expression value="Bundle.entry[8].resource.reasonCode[0]"/>
  </issue>
  <issue>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line">
      <valueInteger value="1"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col">
      <valueInteger value="2"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source">
      <valueString value="InstanceValidator"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id">
      <valueCode value="Bundle_BUNDLE_Entry_NotFound"/>
    </extension>
    <severity value="information"/>
    <code value="not-found"/>
    <details>
      <text
            value="Can't find 'https://api.service.nhs.uk/personal-demographics/FHIR/R4/Patient/9449307555' in the bundle (Bundle.entry[4].resource.link[0].other)"/>
    </details>
    <expression value="Bundle"/>
  </issue>
  <issue>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line">
      <valueInteger value="492"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col">
      <valueInteger value="8"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source">
      <valueString value="InstanceValidator"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id">
      <valueCode value="Details_for__matching_against_Profile_"/>
    </extension>
    <severity value="information"/>
    <code value="structure"/>
    <details>
      <text
            value="Details for PractitionerRole/PractitionerRole-HazelSmithKingstonPathology-Example matching against profile https://nw-gmsa.github.io/StructureDefinition/PractitionerRole|0.0.6"/>
    </details>
    <expression value="Bundle.entry[8].resource.requester"/>
  </issue>
  <issue>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line">
      <valueInteger value="326"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col">
      <valueInteger value="8"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source">
      <valueString value="TerminologyEngine"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id">
      <valueCode
                 value="Error_validating_code_running_without_terminology_services"/>
    </extension>
    <severity value="warning"/>
    <code value="business-rule"/>
    <details>
      <text
            value="Unable to validate code '%' in system 'http://unitsofmeasure.org' because the validator is running without terminology services"/>
    </details>
    <expression
                value="Bundle.entry[5].resource/*Observation/Observation-MultipleTumors-Example*/.value.ofType(Quantity)"/>
  </issue>
  <issue>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line">
      <valueInteger value="375"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col">
      <valueInteger value="8"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source">
      <valueString value="TerminologyEngine"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id">
      <valueCode
                 value="Error_validating_code_running_without_terminology_services"/>
    </extension>
    <severity value="warning"/>
    <code value="business-rule"/>
    <details>
      <text
            value="Unable to validate code '%' in system 'http://unitsofmeasure.org' because the validator is running without terminology services"/>
    </details>
    <expression
                value="Bundle.entry[6].resource/*Observation/Observation-Necrosis-Example*/.value.ofType(Quantity)"/>
  </issue>
  <issue>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line">
      <valueInteger value="575"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col">
      <valueInteger value="8"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source">
      <valueString value="TerminologyEngine"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id">
      <valueCode value="Terminology_TX_NoValid_2_CC"/>
    </extension>
    <severity value="warning"/>
    <code value="code-invalid"/>
    <details>
      <text
            value="None of the codings provided are in the value set 'hl7VS-specimenCondition' (http://terminology.hl7.org/ValueSet/v2-0493|2.0.0), and a coding should come from this value set unless it has no suitable code (note that the validator cannot judge what is suitable) (codes = https://fhir.hl7.org.uk/CodeSystem/UKCore-BiopsyState#fresh-unfixed)"/>
    </details>
    <expression
                value="Bundle.entry[9].resource/*Specimen/Specimen-CancerSolidTumor-Example*/.condition[0]"/>
  </issue>
  <issue>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line">
      <valueInteger value="303"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col">
      <valueInteger value="6"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source">
      <valueString value="InstanceValidator"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id">
      <valueCode value="All_observations_should_have_a_performer"/>
    </extension>
    <severity value="warning"/>
    <code value="invalid"/>
    <details>
      <text
            value="Best Practice Recommendation: In general, all observations should have a performer"/>
    </details>
    <expression
                value="Bundle.entry[5].resource/*Observation/Observation-MultipleTumors-Example*/"/>
  </issue>
  <issue>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line">
      <valueInteger value="303"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col">
      <valueInteger value="6"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source">
      <valueString value="InstanceValidator"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id">
      <valueCode value="All_observations_should_have_a_performer"/>
    </extension>
    <severity value="warning"/>
    <code value="invalid"/>
    <details>
      <text
            value="Best Practice Recommendation: In general, all observations should have a performer"/>
    </details>
    <expression value="Bundle.entry[5].resource"/>
  </issue>
  <issue>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line">
      <valueInteger value="352"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col">
      <valueInteger value="6"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source">
      <valueString value="InstanceValidator"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id">
      <valueCode value="All_observations_should_have_a_performer"/>
    </extension>
    <severity value="warning"/>
    <code value="invalid"/>
    <details>
      <text
            value="Best Practice Recommendation: In general, all observations should have a performer"/>
    </details>
    <expression
                value="Bundle.entry[6].resource/*Observation/Observation-Necrosis-Example*/"/>
  </issue>
  <issue>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line">
      <valueInteger value="352"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col">
      <valueInteger value="6"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source">
      <valueString value="InstanceValidator"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id">
      <valueCode value="All_observations_should_have_a_performer"/>
    </extension>
    <severity value="warning"/>
    <code value="invalid"/>
    <details>
      <text
            value="Best Practice Recommendation: In general, all observations should have a performer"/>
    </details>
    <expression value="Bundle.entry[6].resource"/>
  </issue>
  <issue>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line">
      <valueInteger value="311"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col">
      <valueInteger value="8"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source">
      <valueString value="TerminologyEngine"/>
    </extension>
    <severity value="warning"/>
    <code value="not-found"/>
    <details>
      <text
            value="A definition for CodeSystem 'http://snomed.info/sct' could not be found, so the code cannot be validated"/>
    </details>
    <expression
                value="Bundle.entry[5].resource/*Observation/Observation-MultipleTumors-Example*/.code.coding[0].system"/>
  </issue>
  <issue>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line">
      <valueInteger value="339"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col">
      <valueInteger value="10"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source">
      <valueString value="TerminologyEngine"/>
    </extension>
    <severity value="warning"/>
    <code value="not-found"/>
    <details>
      <text
            value="A definition for CodeSystem 'http://snomed.info/sct' could not be found, so the code cannot be validated"/>
    </details>
    <expression
                value="Bundle.entry[5].resource/*Observation/Observation-MultipleTumors-Example*/.component[0].code.coding[0].system"/>
  </issue>
  <issue>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line">
      <valueInteger value="360"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col">
      <valueInteger value="8"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source">
      <valueString value="TerminologyEngine"/>
    </extension>
    <severity value="warning"/>
    <code value="not-found"/>
    <details>
      <text
            value="A definition for CodeSystem 'http://snomed.info/sct' could not be found, so the code cannot be validated"/>
    </details>
    <expression
                value="Bundle.entry[6].resource/*Observation/Observation-Necrosis-Example*/.code.coding[0].system"/>
  </issue>
  <issue>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line">
      <valueInteger value="420"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col">
      <valueInteger value="8"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source">
      <valueString value="TerminologyEngine"/>
    </extension>
    <severity value="warning"/>
    <code value="not-found"/>
    <details>
      <text
            value="A definition for CodeSystem 'http://snomed.info/sct' could not be found, so the code cannot be validated"/>
    </details>
    <expression
                value="Bundle.entry[7].resource/*Condition/Condition-LungTumor-Example*/.code.coding[0].system"/>
  </issue>
  <issue>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line">
      <valueInteger value="476"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col">
      <valueInteger value="8"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source">
      <valueString value="TerminologyEngine"/>
    </extension>
    <severity value="warning"/>
    <code value="not-found"/>
    <details>
      <text
            value="A definition for CodeSystem 'https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory' version '9' could not be found, so the code cannot be validated. Valid versions: [0.0.6]"/>
    </details>
    <expression
                value="Bundle.entry[8].resource/*ServiceRequest/ServiceRequest-NonWGSTestOrderForm-CancerSolidTumor-Example*/.code.coding[0].system"/>
  </issue>
  <issue>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line">
      <valueInteger value="476"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col">
      <valueInteger value="8"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source">
      <valueString value="TerminologyEngine"/>
    </extension>
    <severity value="warning"/>
    <code value="not-found"/>
    <details>
      <text
            value="A definition for CodeSystem 'https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory' version '9' could not be found, so the code cannot be validated. Valid versions: [0.0.6]"/>
    </details>
    <expression value="Bundle.entry[8].resource.code.coding[0].system"/>
  </issue>
  <issue>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line">
      <valueInteger value="502"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col">
      <valueInteger value="8"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source">
      <valueString value="TerminologyEngine"/>
    </extension>
    <severity value="warning"/>
    <code value="not-found"/>
    <details>
      <text
            value="A definition for CodeSystem 'https://fhir.nhs.uk/CodeSystem/reasonfortesting-genomics' could not be found, so the code cannot be validated"/>
    </details>
    <expression
                value="Bundle.entry[8].resource/*ServiceRequest/ServiceRequest-NonWGSTestOrderForm-CancerSolidTumor-Example*/.reasonCode[0].coding[0].system"/>
  </issue>
  <issue>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line">
      <valueInteger value="502"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col">
      <valueInteger value="8"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source">
      <valueString value="TerminologyEngine"/>
    </extension>
    <severity value="warning"/>
    <code value="not-found"/>
    <details>
      <text
            value="A definition for CodeSystem 'https://fhir.nhs.uk/CodeSystem/reasonfortesting-genomics' could not be found, so the code cannot be validated"/>
    </details>
    <expression
                value="Bundle.entry[8].resource.reasonCode[0].coding[0].system"/>
  </issue>
  <issue>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line">
      <valueInteger value="540"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col">
      <valueInteger value="8"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source">
      <valueString value="TerminologyEngine"/>
    </extension>
    <severity value="warning"/>
    <code value="not-found"/>
    <details>
      <text
            value="A definition for CodeSystem 'http://snomed.info/sct' could not be found, so the code cannot be validated"/>
    </details>
    <expression
                value="Bundle.entry[9].resource/*Specimen/Specimen-CancerSolidTumor-Example*/.type.coding[0].system"/>
  </issue>
  <issue>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line">
      <valueInteger value="593"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col">
      <valueInteger value="8"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source">
      <valueString value="TerminologyEngine"/>
    </extension>
    <severity value="warning"/>
    <code value="not-found"/>
    <details>
      <text
            value="A definition for CodeSystem 'http://snomed.info/sct' could not be found, so the code cannot be validated"/>
    </details>
    <expression
                value="Bundle.entry[10].resource/*BodyStructure/BodyStructure-BodySiteLocationLungs-Example*/.morphology.coding[0].system"/>
  </issue>
  <issue>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line">
      <valueInteger value="600"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col">
      <valueInteger value="8"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source">
      <valueString value="TerminologyEngine"/>
    </extension>
    <severity value="warning"/>
    <code value="not-found"/>
    <details>
      <text
            value="A definition for CodeSystem 'http://snomed.info/sct' could not be found, so the code cannot be validated"/>
    </details>
    <expression
                value="Bundle.entry[10].resource/*BodyStructure/BodyStructure-BodySiteLocationLungs-Example*/.location.coding[0].system"/>
  </issue>
</OperationOutcome>