Release 4

This page is part of the FHIR Specification (v4.0.1: R4 - Mixed Normative and STU) in it's permanent home (it will always be available at this URL). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3 R2

Operationoutcome.profile.xml

FHIR Infrastructure Work Group Maturity Level: N/A Standards Status: Informative Compartments: Not linked to any defined compartments

Raw XML (canonical form + also see XML Format Specification)

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StructureDefinition for operationoutcome

<?xml version="1.0" encoding="UTF-8"?>
<StructureDefinition xmlns="http://hl7.org/fhir"><id value="OperationOutcome"/><meta ><lastUpdated value="2019年11月01日T09:29:23.356+11:00"/></meta><text ><status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><table border="0" cellpadding="0" cellspacing="0" style="border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;"><tr style="border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;"><th class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
 padding:0px 4px 0px 4px"><a href="formats.html#table" title="The logical name of the element">Name</a></th><th class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
 padding:0px 4px 0px 4px"><a href="formats.html#table" title="Information about the use of the element">Flags</a></th><th class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
 padding:0px 4px 0px 4px"><a href="formats.html#table" title="Minimum and Maximum # of times the the element can appear in the instance">Card.</a></th><th class="hierarchy" style="width: 100px"><a href="formats.html#table" title="Reference to the type of the element">Type</a></th><th class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
 padding:0px 4px 0px 4px"><a href="formats.html#table" title="Additional information about the element">Description &amp; Constraints</a><span style="float: right"><a href="formats.html#table" title="Legend for this format"><img alt="doco" src="help16.png" style="background-color: inherit"/></a></span></th></tr><tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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 AABJRU5ErkJggg==" style="background-color: white; background-color: inherit" title="Resource"/><span title="OperationOutcome : A collection of error, warning, or information messages that result
 from a system action.">OperationOutcome</span><a name="OperationOutcome"></a></td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
 padding:0px 4px 0px 4px"><a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a><a href="versions.html#std-process" style="padding-left: 3px; padding-right: 3px; border: 1px grey solid; font-weight: bold; color:
 black; background-color: #e6ffe6" title="Standards Status = Normative">N</a></td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
 padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
 padding:0px 4px 0px 4px"><a href="domainresource.html">DomainResource</a></td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
 padding:0px 4px 0px 4px">Information about the success/failure of an action
 <br />Elements defined in Ancestors: 
 <a href="resource.html#Resource" title="The logical id of the resource, as used in the URL for the resource. Once assigned, this
 value never changes.">id</a>, 
 <a href="resource.html#Resource" title="The metadata about the resource. This is content that is maintained by the infrastructure.
 Changes to the content might not always be associated with version changes to the resource.">meta</a>, 
 <a href="resource.html#Resource" title="A reference to a set of rules that were followed when the resource was constructed, and
 which must be understood when processing the content. Often, this is a reference to an
 implementation guide that defines the special rules along with other profiles etc.">implicitRules</a>, 
 <a href="resource.html#Resource" title="The base language in which the resource is written.">language</a>, 
 <a href="domainresource.html#DomainResource" title="A human-readable narrative that contains a summary of the resource and can be used to
 represent the content of the resource to a human. The narrative need not encode all the
 structured data, but is required to contain sufficient detail to make it &quot;clinically
 safe&quot; for a human to just read the narrative. Resource definitions may define what
 content should be represented in the narrative to ensure clinical safety.">text</a>, 
 <a href="domainresource.html#DomainResource" title="These resources do not have an independent existence apart from the resource that contains
 them - they cannot be identified independently, and nor can they have their own independent
 transaction scope.">contained</a>, 
 <a href="domainresource.html#DomainResource" title="May be used to represent additional information that is not part of the basic definition
 of the resource. To make the use of extensions safe and manageable, there is a strict
 set of governance applied to the definition and use of extensions. Though any implementer
 can define an extension, there is a set of requirements that SHALL be met as part of the
 definition of the extension.">extension</a>, 
 <a href="domainresource.html#DomainResource" title="May be used to represent additional information that is not part of the basic definition
 of the resource and that modifies the understanding of the element that contains it and/or
 the understanding of the containing element's descendants. Usually modifier elements provide
 negation or qualification. To make the use of extensions safe and manageable, there is
 a strict set of governance applied to the definition and use of extensions. Though any
 implementer is allowed to define an extension, there is a set of requirements that SHALL
 be met as part of the definition of the extension. Applications processing a resource
 are required to check for modifier extensions.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource
 (including cannot change the meaning of modifierExtension itself).">modifierExtension</a></td></tr><tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
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 5exg8Shl1ckRUQVaMVkQ2kCstKCEAOw==" style="background-color: #F7F7F7; background-color: inherit" title="Element"/><span title="OperationOutcome.issue : An error, warning, or information message that results from a
 system action.">issue</span><a name="OperationOutcome.issue"></a></td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
 solid; padding:0px 4px 0px 4px"><a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a></td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
 solid; padding:0px 4px 0px 4px">1..*</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
 solid; padding:0px 4px 0px 4px"><a href="backboneelement.html">BackboneElement</a></td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
 solid; padding:0px 4px 0px 4px">A single issue associated with the action
 <br /></td></tr><tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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 TRgwAAAABJRU5ErkJggg==" style="background-color: white; background-color: inherit" title="Primitive Data Type"/><span title="OperationOutcome.issue.severity : Indicates whether the issue indicates a variation from
 successful processing.">severity</span><a name="OperationOutcome.issue.severity"></a></td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
 padding:0px 4px 0px 4px"><a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a></td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
 padding:0px 4px 0px 4px">1..1</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
 padding:0px 4px 0px 4px"><a href="datatypes.html#code">code</a></td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
 padding:0px 4px 0px 4px">fatal | error | warning | information
 <br /><a href="valueset-issue-severity.html" title="How the issue affects the success of the action.">IssueSeverity</a> (
 <a href="terminologies.html#required" title="To be conformant, the concept in this element SHALL be from the specified value set.">Required</a>)
 </td></tr><tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
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 an OperationOutcome SHALL choose the most applicable code from the IssueType value set,
 and may additional provide its own code for the error in the details element.">code</span><a name="OperationOutcome.issue.code"></a></td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
 solid; padding:0px 4px 0px 4px"><a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a></td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
 solid; padding:0px 4px 0px 4px">1..1</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
 solid; padding:0px 4px 0px 4px"><a href="datatypes.html#code">code</a></td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
 solid; padding:0px 4px 0px 4px">Error or warning code
 <br /><a href="valueset-issue-type.html" title="A code that describes the type of issue.">IssueType</a> (
 <a href="terminologies.html#required" title="To be conformant, the concept in this element SHALL be from the specified value set.">Required</a>)
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 FVResrjoTPDzdcoU+F65CduVU6KAhhQa3F8Tx8nchBoYuqoTLZoAKFRIhqGwqJAULFx0GYpBQeChRIR4TJm6KJMhQRUSBAAA7" style="background-color: white; background-color: inherit" title="Data Type"/><span title="OperationOutcome.issue.details : Additional details about the error. This may be a text
 description of the error or a system code that identifies the error.">details</span><a name="OperationOutcome.issue.details"></a></td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
 padding:0px 4px 0px 4px"><a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a></td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
 padding:0px 4px 0px 4px">0..1</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
 padding:0px 4px 0px 4px"><a href="datatypes.html#CodeableConcept">CodeableConcept</a></td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
 padding:0px 4px 0px 4px">Additional details about the error
 <br /><a href="valueset-operation-outcome.html" title="A code that provides details as the exact issue.">Operation Outcome Codes</a> (
 <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value set. The
 value set merely provides examples of the types of concepts intended to be included.">Example</a>)
 </td></tr><tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iV
 BORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALElEQVR42u3QwQkAMAwDsezq/WdIO4XJQwa9DTdJpulv258AAMANIgA
 AADUPYAVAgAJ//usAAAAASUVORK5CYII=)"><img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
 3RJTUUH3wYeFzIs1vtcMQAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAE0lEQVQI12P4//8/AxMDAw
 NdCABMPwMo2ctnoQAAAABJRU5ErkJggg==" style="background-color: inherit"/><img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
 3RJTUUH3wYeFzIZgEiYEgAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAIElEQVQ4y2P8//8/AyWAiY
 FCMGrAqAGjBowaMGoAAgAALL0DKYQ0DPIAAAAASUVORK5CYII=" style="background-color: inherit"/><img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
 3RJTUUH3wYeFzI3XJ6V3QAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAANklEQVQ4y+2RsQ0AIAzDav
 7/2VzQwoCY4iWbZSmo1QGoUgNMghvWaIejPQW/CrrNCylIwcOCDYfLNRcNer4SAAAAAElFTkSuQmCC" style="background-color: inherit"/><img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAR
 klEQVQ4y2P8//8/AyWAhYFCMAgMuHjx4n+KXaCv+I0szW8WpCG8kFO1lGFKW/SIjAUYgxz/MzAwMDC+nqhDUTQyjuYFBgCNmhP4Ov
 TRgwAAAABJRU5ErkJggg==" style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type"/><span title="OperationOutcome.issue.diagnostics : Additional diagnostic information about the issue.">diagnostics</span><a name="OperationOutcome.issue.diagnostics"></a></td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
 solid; padding:0px 4px 0px 4px"><a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a></td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
 solid; padding:0px 4px 0px 4px">0..1</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
 solid; padding:0px 4px 0px 4px"><a href="datatypes.html#string">string</a></td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
 solid; padding:0px 4px 0px 4px">Additional diagnostic information about the issue</td></tr><tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
 padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iVBORw0KG
 goAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALElEQVR42u3QwQkAMAwDsezq/WdIO4XJQwa9DTdJpulv258AAMANIgAAADUPYA
 VAgAJ//usAAAAASUVORK5CYII=)"><img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
 3RJTUUH3wYeFzIs1vtcMQAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAE0lEQVQI12P4//8/AxMDAw
 NdCABMPwMo2ctnoQAAAABJRU5ErkJggg==" style="background-color: inherit"/><img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
 3RJTUUH3wYeFzIZgEiYEgAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAIElEQVQ4y2P8//8/AyWAiY
 FCMGrAqAGjBowaMGoAAgAALL0DKYQ0DPIAAAAASUVORK5CYII=" style="background-color: inherit"/><img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
 3RJTUUH3wYeFzI3XJ6V3QAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAANklEQVQ4y+2RsQ0AIAzDav
 7/2VzQwoCY4iWbZSmo1QGoUgNMghvWaIejPQW/CrrNCylIwcOCDYfLNRcNer4SAAAAAElFTkSuQmCC" style="background-color: inherit"/><img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAR
 klEQVQ4y2P8//8/AyWAhYFCMAgMuHjx4n+KXaCv+I0szW8WpCG8kFO1lGFKW/SIjAUYgxz/MzAwMDC+nqhDUTQyjuYFBgCNmhP4Ov
 TRgwAAAABJRU5ErkJggg==" style="background-color: white; background-color: inherit" title="Primitive Data Type"/><span title="OperationOutcome.issue.location : This element is deprecated because it is XML specific.
 It is replaced by issue.expression, which is format independent, and simpler to parse.
 
For resource issues, this will be a simple XPath limited to element names, repetition
 indicators and the default child accessor that identifies one of the elements in the resource
 that caused this issue to be raised. For HTTP errors, will be &quot;http.&quot; + the
 parameter name.">location</span><a name="OperationOutcome.issue.location"></a></td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
 padding:0px 4px 0px 4px"><a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a><a href="versions.html#std-process" style="padding-left: 3px; padding-right: 3px; border: 1px grey solid; font-weight: bold; color:
 black; background-color: #ffcccc" title="Standards Status = Deprecated">XD</a></td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
 padding:0px 4px 0px 4px">0..*</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
 padding:0px 4px 0px 4px"><a href="datatypes.html#string">string</a></td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
 padding:0px 4px 0px 4px">Deprecated: Path of element(s) related to issue
 <br /></td></tr><tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iV
 BORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAI0lEQVR42u3QIQEAAAACIL/6/4MvTAQOkLYBAAB4kAAAANwMad9AqkR
 jgNAAAAAASUVORK5CYII=)"><img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
 3RJTUUH3wYeFzIs1vtcMQAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAE0lEQVQI12P4//8/AxMDAw
 NdCABMPwMo2ctnoQAAAABJRU5ErkJggg==" style="background-color: inherit"/><img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
 3RJTUUH3wYeFzIZgEiYEgAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAIElEQVQ4y2P8//8/AyWAiY
 FCMGrAqAGjBowaMGoAAgAALL0DKYQ0DPIAAAAASUVORK5CYII=" style="background-color: inherit"/><img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
 3RJTUUH3wYeFzME+lXFigAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAANklEQVQ4y+3OsRUAIAjEUO
 L+O8cJABttJM11/x1qZAGqRBEVcNIqdWj1efDqQbb3HwwwwEfABmQUHSPM9dtDAAAAAElFTkSuQmCC" style="background-color: inherit"/><img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAR
 klEQVQ4y2P8//8/AyWAhYFCMAgMuHjx4n+KXaCv+I0szW8WpCG8kFO1lGFKW/SIjAUYgxz/MzAwMDC+nqhDUTQyjuYFBgCNmhP4Ov
 TRgwAAAABJRU5ErkJggg==" style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type"/><span title="OperationOutcome.issue.expression : A [simple subset of FHIRPath](fhirpath.html#simple)
 limited to element names, repetition indicators and the default child accessor that identifies
 one of the elements in the resource that caused this issue to be raised.">expression</span><a name="OperationOutcome.issue.expression"></a></td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
 solid; padding:0px 4px 0px 4px"><a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a></td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
 solid; padding:0px 4px 0px 4px">0..*</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
 solid; padding:0px 4px 0px 4px"><a href="datatypes.html#string">string</a></td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
 solid; padding:0px 4px 0px 4px">FHIRPath of element(s) related to issue
 <br /></td></tr><tr ><td class="hierarchy" colspan="5"><br /><a href="formats.html#table" title="Legend for this format"><img alt="doco" src="help16.png" style="background-color: inherit"/> Documentation for this format
 </a></td></tr></table></div></text><extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-category"><valueString value="Foundation.Other"/></extension><extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"><valueCode value="normative"/></extension><extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version"><valueCode value="4.0.0"/></extension><extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm"><valueInteger value="5"/></extension><extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg"><valueCode value="fhir"/></extension><url value="http://hl7.org/fhir/StructureDefinition/OperationOutcome"/><version value="4.0.1"/><name value="OperationOutcome"/><status value="active"/><date value="2019年11月01日T09:29:23+11:00"/><publisher value="Health Level Seven International (FHIR Infrastructure)"/><contact ><telecom ><system value="url"/><value value="http://hl7.org/fhir"/></telecom></contact><contact ><telecom ><system value="url"/><value value="http://www.hl7.org/Special/committees/fiwg/index.cfm"/></telecom></contact><description value="A collection of error, warning, or information messages that result from a system action."/><fhirVersion value="4.0.1"/><mapping ><identity value="rim"/><uri value="http://hl7.org/v3"/><name value="RIM Mapping"/></mapping><mapping ><identity value="v2"/><uri value="http://hl7.org/v2"/><name value="HL7 v2 Mapping"/></mapping><kind value="resource"/><abstract value="false"/><type value="OperationOutcome"/><baseDefinition value="http://hl7.org/fhir/StructureDefinition/DomainResource"/><derivation value="specialization"/><snapshot ><element id="OperationOutcome"><path value="OperationOutcome"/><short value="Information about the success/failure of an action"/><definition value="A collection of error, warning, or information messages that result from a system action."/><comment value="Can result from the failure of a REST call or be part of the response message returned
 from a request message."/><min value="0"/><max value="*"/><base ><path value="OperationOutcome"/><min value="0"/><max value="*"/></base><constraint ><key value="dom-2"/><severity value="error"/><human value="If the resource is contained in another resource, it SHALL NOT contain nested Resources"/><expression value="contained.contained.empty()"/><xpath value="not(parent::f:contained and f:contained)"/><source value="http://hl7.org/fhir/StructureDefinition/DomainResource"/></constraint><constraint ><key value="dom-3"/><severity value="error"/><human value="If the resource is contained in another resource, it SHALL be referred to from elsewhere
 in the resource or SHALL refer to the containing resource"/><expression value="contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonica
 l) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(refer
 ence = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(c
 anonical) = '#').exists()).not()).trace('unmatched', id).empty()"/><xpath value="not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:refere
 nce/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))"/><source value="http://hl7.org/fhir/StructureDefinition/DomainResource"/></constraint><constraint ><key value="dom-4"/><severity value="error"/><human value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or
 a meta.lastUpdated"/><expression value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"/><xpath value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))"/><source value="http://hl7.org/fhir/StructureDefinition/DomainResource"/></constraint><constraint ><key value="dom-5"/><severity value="error"/><human value="If a resource is contained in another resource, it SHALL NOT have a security label"/><expression value="contained.meta.security.empty()"/><xpath value="not(exists(f:contained/*/f:meta/f:security))"/><source value="http://hl7.org/fhir/StructureDefinition/DomainResource"/></constraint><constraint ><extensionurl="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice"><valueBooleanvalue="true"/></extension><extensionurl="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation"><valueMarkdownvalue="When a resource has no narrative, only systems that fully understand the data can display
 the resource to a human safely. Including a human readable representation in the resource
 makes for a much more robust eco-system and cheaper handling of resources by intermediary
 systems. Some ecosystems restrict distribution of resources to only those systems that
 do fully understand the resources, and as a consequence implementers may believe that
 the narrative is superfluous. However experience shows that such eco-systems often open
 up to new participants over time."/></extension><key value="dom-6"/><severity value="warning"/><human value="A resource should have narrative for robust management"/><expression value="text.`div`.exists()"/><xpath value="exists(f:text/h:div)"/><source value="http://hl7.org/fhir/StructureDefinition/DomainResource"/></constraint><isModifier value="false"/><isSummary value="false"/><mapping ><identity value="rim"/><map value="Entity. Role, or Act"/></mapping><mapping ><identity value="rim"/><map value="Grouping is handled through multiple repetitions from whatever context references the
 outcomes (no specific grouper required)"/></mapping></element><element id="OperationOutcome.id"><path value="OperationOutcome.id"/><short value="Logical id of this artifact"/><definition value="The logical id of the resource, as used in the URL for the resource. Once assigned, this
 value never changes."/><comment value="The only time that a resource does not have an id is when it is being submitted to the
 server using a create operation."/><min value="0"/><max value="1"/><base ><path value="Resource.id"/><min value="0"/><max value="1"/></base><!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic
 (j) --><type ><extensionurl="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"><valueUrlvalue="string"/></extension><code value="http://hl7.org/fhirpath/System.String"/></type><isModifier value="false"/><isSummary value="true"/></element><element id="OperationOutcome.meta"><path value="OperationOutcome.meta"/><short value="Metadata about the resource"/><definition value="The metadata about the resource. This is content that is maintained by the infrastructure.
 Changes to the content might not always be associated with version changes to the resource."/><min value="0"/><max value="1"/><base ><path value="Resource.meta"/><min value="0"/><max value="1"/></base><type ><code value="Meta"/></type><constraint ><key value="ele-1"/><severity value="error"/><human value="All FHIR elements must have a @value or children"/><expression value="hasValue() or (children().count() &gt; id.count())"/><xpath value="@value|f:*|h:div"/><source value="http://hl7.org/fhir/StructureDefinition/Element"/></constraint><isModifier value="false"/><isSummary value="true"/></element><element id="OperationOutcome.implicitRules"><path value="OperationOutcome.implicitRules"/><short value="A set of rules under which this content was created"/><definition value="A reference to a set of rules that were followed when the resource was constructed, and
 which must be understood when processing the content. Often, this is a reference to an
 implementation guide that defines the special rules along with other profiles etc."/><comment value="Asserting this rule set restricts the content to be only understood by a limited set of
 trading partners. This inherently limits the usefulness of the data in the long term.
 However, the existing health eco-system is highly fractured, and not yet ready to define,
 collect, and exchange data in a generally computable sense. Wherever possible, implementers
 and/or specification writers should avoid using this element. Often, when used, the URL
 is a reference to an implementation guide that defines these special rules as part of
 it's narrative along with other profiles, value sets, etc."/><min value="0"/><max value="1"/><base ><path value="Resource.implicitRules"/><min value="0"/><max value="1"/></base><type ><code value="uri"/></type><constraint ><key value="ele-1"/><severity value="error"/><human value="All FHIR elements must have a @value or children"/><expression value="hasValue() or (children().count() &gt; id.count())"/><xpath value="@value|f:*|h:div"/><source value="http://hl7.org/fhir/StructureDefinition/Element"/></constraint><isModifier value="true"/><isModifierReason value="This element is labeled as a modifier because the implicit rules may provide additional
 knowledge about the resource that modifies it's meaning or interpretation"/><isSummary value="true"/></element><element id="OperationOutcome.language"><path value="OperationOutcome.language"/><short value="Language of the resource content"/><definition value="The base language in which the resource is written."/><comment value="Language is provided to support indexing and accessibility (typically, services such as
 text to speech use the language tag). The html language tag in the narrative applies 
 to the narrative. The language tag on the resource may be used to specify the language
 of other presentations generated from the data in the resource. Not all the content has
 to be in the base language. The Resource.language should not be assumed to apply to the
 narrative automatically. If a language is specified, it should it also be specified on
 the div element in the html (see rules in HTML5 for information about the relationship
 between xml:lang and the html lang attribute)."/><min value="0"/><max value="1"/><base ><path value="Resource.language"/><min value="0"/><max value="1"/></base><type ><code value="code"/></type><constraint ><key value="ele-1"/><severity value="error"/><human value="All FHIR elements must have a @value or children"/><expression value="hasValue() or (children().count() &gt; id.count())"/><xpath value="@value|f:*|h:div"/><source value="http://hl7.org/fhir/StructureDefinition/Element"/></constraint><isModifier value="false"/><isSummary value="false"/><binding ><extensionurl="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet"><valueCanonicalvalue="http://hl7.org/fhir/ValueSet/all-languages"/></extension><extensionurl="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"><valueStringvalue="Language"/></extension><extensionurl="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding"><valueBooleanvalue="true"/></extension><strength value="preferred"/><description value="A human language."/><valueSet value="http://hl7.org/fhir/ValueSet/languages"/></binding></element><element id="OperationOutcome.text"><path value="OperationOutcome.text"/><short value="Text summary of the resource, for human interpretation"/><definition value="A human-readable narrative that contains a summary of the resource and can be used to
 represent the content of the resource to a human. The narrative need not encode all the
 structured data, but is required to contain sufficient detail to make it &quot;clinically
 safe&quot; for a human to just read the narrative. Resource definitions may define what
 content should be represented in the narrative to ensure clinical safety."/><comment value="Contained resources do not have narrative. Resources that are not contained SHOULD have
 a narrative. In some cases, a resource may only have text with little or no additional
 discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary
 for data from legacy systems where information is captured as a &quot;text blob&quot;
 or where text is additionally entered raw or narrated and encoded information is added
 later."/><alias value="narrative"/><alias value="html"/><alias value="xhtml"/><alias value="display"/><min value="0"/><max value="1"/><base ><path value="DomainResource.text"/><min value="0"/><max value="1"/></base><type ><code value="Narrative"/></type><constraint ><key value="ele-1"/><severity value="error"/><human value="All FHIR elements must have a @value or children"/><expression value="hasValue() or (children().count() &gt; id.count())"/><xpath value="@value|f:*|h:div"/><source value="http://hl7.org/fhir/StructureDefinition/Element"/></constraint><isModifier value="false"/><isSummary value="false"/><mapping ><identity value="rim"/><map value="Act.text?"/></mapping></element><element id="OperationOutcome.contained"><path value="OperationOutcome.contained"/><short value="Contained, inline Resources"/><definition value="These resources do not have an independent existence apart from the resource that contains
 them - they cannot be identified independently, and nor can they have their own independent
 transaction scope."/><comment value="This should never be done when the content can be identified properly, as once identification
 is lost, it is extremely difficult (and context dependent) to restore it again. Contained
 resources may have profiles and tags In their meta elements, but SHALL NOT have security
 labels."/><alias value="inline resources"/><alias value="anonymous resources"/><alias value="contained resources"/><min value="0"/><max value="*"/><base ><path value="DomainResource.contained"/><min value="0"/><max value="*"/></base><type ><code value="Resource"/></type><isModifier value="false"/><isSummary value="false"/><mapping ><identity value="rim"/><map value="N/A"/></mapping></element><element id="OperationOutcome.extension"><path value="OperationOutcome.extension"/><short value="Additional content defined by implementations"/><definition value="May be used to represent additional information that is not part of the basic definition
 of the resource. To make the use of extensions safe and manageable, there is a strict
 set of governance applied to the definition and use of extensions. Though any implementer
 can define an extension, there is a set of requirements that SHALL be met as part of the
 definition of the extension."/><comment value="There can be no stigma associated with the use of extensions by any application, project,
 or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
 The use of extensions is what allows the FHIR specification to retain a core level of
 simplicity for everyone."/><alias value="extensions"/><alias value="user content"/><min value="0"/><max value="*"/><base ><path value="DomainResource.extension"/><min value="0"/><max value="*"/></base><type ><code value="Extension"/></type><constraint ><key value="ele-1"/><severity value="error"/><human value="All FHIR elements must have a @value or children"/><expression value="hasValue() or (children().count() &gt; id.count())"/><xpath value="@value|f:*|h:div"/><source value="http://hl7.org/fhir/StructureDefinition/Element"/></constraint><constraint ><key value="ext-1"/><severity value="error"/><human value="Must have either extensions or value[x], not both"/><expression value="extension.exists() != value.exists()"/><xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/><source value="http://hl7.org/fhir/StructureDefinition/Extension"/></constraint><isModifier value="false"/><isSummary value="false"/><mapping ><identity value="rim"/><map value="N/A"/></mapping></element><element id="OperationOutcome.modifierExtension"><path value="OperationOutcome.modifierExtension"/><short value="Extensions that cannot be ignored"/><definition value="May be used to represent additional information that is not part of the basic definition
 of the resource and that modifies the understanding of the element that contains it and/or
 the understanding of the containing element's descendants. Usually modifier elements provide
 negation or qualification. To make the use of extensions safe and manageable, there is
 a strict set of governance applied to the definition and use of extensions. Though any
 implementer is allowed to define an extension, there is a set of requirements that SHALL
 be met as part of the definition of the extension. Applications processing a resource
 are required to check for modifier extensions.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource
 (including cannot change the meaning of modifierExtension itself)."/><comment value="There can be no stigma associated with the use of extensions by any application, project,
 or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
 The use of extensions is what allows the FHIR specification to retain a core level of
 simplicity for everyone."/><requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly
 distinguished from the vast majority of extensions which can be safely ignored. This
 promotes interoperability by eliminating the need for implementers to prohibit the presence
 of extensions. For further information, see the [definition of modifier extensions](extensibility.ht
 ml#modifierExtension)."/><alias value="extensions"/><alias value="user content"/><min value="0"/><max value="*"/><base ><path value="DomainResource.modifierExtension"/><min value="0"/><max value="*"/></base><type ><code value="Extension"/></type><constraint ><key value="ele-1"/><severity value="error"/><human value="All FHIR elements must have a @value or children"/><expression value="hasValue() or (children().count() &gt; id.count())"/><xpath value="@value|f:*|h:div"/><source value="http://hl7.org/fhir/StructureDefinition/Element"/></constraint><constraint ><key value="ext-1"/><severity value="error"/><human value="Must have either extensions or value[x], not both"/><expression value="extension.exists() != value.exists()"/><xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/><source value="http://hl7.org/fhir/StructureDefinition/Extension"/></constraint><isModifier value="true"/><isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the resource
 that contains them"/><isSummary value="false"/><mapping ><identity value="rim"/><map value="N/A"/></mapping></element><element id="OperationOutcome.issue"><path value="OperationOutcome.issue"/><short value="A single issue associated with the action"/><definition value="An error, warning, or information message that results from a system action."/><min value="1"/><max value="*"/><base ><path value="OperationOutcome.issue"/><min value="1"/><max value="*"/></base><type ><code value="BackboneElement"/></type><constraint ><key value="ele-1"/><severity value="error"/><human value="All FHIR elements must have a @value or children"/><expression value="hasValue() or (children().count() &gt; id.count())"/><xpath value="@value|f:*|h:div"/><source value="http://hl7.org/fhir/StructureDefinition/Element"/></constraint><isModifier value="false"/><isSummary value="true"/><mapping ><identity value="v2"/><map value="ERR"/></mapping><mapping ><identity value="rim"/><map value="AcknowledgementDetail or Observation[classCode=&quot;ALRT&quot; and moodCode=&quot;EVN&quot;]"/></mapping></element><element id="OperationOutcome.issue.id"><path value="OperationOutcome.issue.id"/><representation value="xmlAttr"/><short value="Unique id for inter-element referencing"/><definition value="Unique id for the element within a resource (for internal references). This may be any
 string value that does not contain spaces."/><min value="0"/><max value="1"/><base ><path value="Element.id"/><min value="0"/><max value="1"/></base><!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic
 (j) --><type ><extensionurl="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"><valueUrlvalue="string"/></extension><code value="http://hl7.org/fhirpath/System.String"/></type><isModifier value="false"/><isSummary value="false"/><mapping ><identity value="rim"/><map value="n/a"/></mapping></element><element id="OperationOutcome.issue.extension"><path value="OperationOutcome.issue.extension"/><short value="Additional content defined by implementations"/><definition value="May be used to represent additional information that is not part of the basic definition
 of the element. To make the use of extensions safe and manageable, there is a strict set
 of governance applied to the definition and use of extensions. Though any implementer
 can define an extension, there is a set of requirements that SHALL be met as part of the
 definition of the extension."/><comment value="There can be no stigma associated with the use of extensions by any application, project,
 or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
 The use of extensions is what allows the FHIR specification to retain a core level of
 simplicity for everyone."/><alias value="extensions"/><alias value="user content"/><min value="0"/><max value="*"/><base ><path value="Element.extension"/><min value="0"/><max value="*"/></base><type ><code value="Extension"/></type><constraint ><key value="ele-1"/><severity value="error"/><human value="All FHIR elements must have a @value or children"/><expression value="hasValue() or (children().count() &gt; id.count())"/><xpath value="@value|f:*|h:div"/><source value="http://hl7.org/fhir/StructureDefinition/Element"/></constraint><constraint ><key value="ext-1"/><severity value="error"/><human value="Must have either extensions or value[x], not both"/><expression value="extension.exists() != value.exists()"/><xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/><source value="http://hl7.org/fhir/StructureDefinition/Extension"/></constraint><isModifier value="false"/><isSummary value="false"/><mapping ><identity value="rim"/><map value="n/a"/></mapping></element><element id="OperationOutcome.issue.modifierExtension"><path value="OperationOutcome.issue.modifierExtension"/><short value="Extensions that cannot be ignored even if unrecognized"/><definition value="May be used to represent additional information that is not part of the basic definition
 of the element and that modifies the understanding of the element in which it is contained
 and/or the understanding of the containing element's descendants. Usually modifier elements
 provide negation or qualification. To make the use of extensions safe and manageable,
 there is a strict set of governance applied to the definition and use of extensions. Though
 any implementer can define an extension, there is a set of requirements that SHALL be
 met as part of the definition of the extension. Applications processing a resource are
 required to check for modifier extensions.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource
 (including cannot change the meaning of modifierExtension itself)."/><comment value="There can be no stigma associated with the use of extensions by any application, project,
 or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
 The use of extensions is what allows the FHIR specification to retain a core level of
 simplicity for everyone."/><requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly
 distinguished from the vast majority of extensions which can be safely ignored. This
 promotes interoperability by eliminating the need for implementers to prohibit the presence
 of extensions. For further information, see the [definition of modifier extensions](extensibility.ht
 ml#modifierExtension)."/><alias value="extensions"/><alias value="user content"/><alias value="modifiers"/><min value="0"/><max value="*"/><base ><path value="BackboneElement.modifierExtension"/><min value="0"/><max value="*"/></base><type ><code value="Extension"/></type><constraint ><key value="ele-1"/><severity value="error"/><human value="All FHIR elements must have a @value or children"/><expression value="hasValue() or (children().count() &gt; id.count())"/><xpath value="@value|f:*|h:div"/><source value="http://hl7.org/fhir/StructureDefinition/Element"/></constraint><constraint ><key value="ext-1"/><severity value="error"/><human value="Must have either extensions or value[x], not both"/><expression value="extension.exists() != value.exists()"/><xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/><source value="http://hl7.org/fhir/StructureDefinition/Extension"/></constraint><isModifier value="true"/><isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element
 that contains them"/><isSummary value="true"/><mapping ><identity value="rim"/><map value="N/A"/></mapping></element><element id="OperationOutcome.issue.severity"><path value="OperationOutcome.issue.severity"/><short value="fatal | error | warning | information"/><definition value="Indicates whether the issue indicates a variation from successful processing."/><comment value="This is labeled as &quot;Is Modifier&quot; because applications should not confuse hints
 and warnings with errors."/><requirements value="Indicates how relevant the issue is to the overall success of the action."/><min value="1"/><max value="1"/><base ><path value="OperationOutcome.issue.severity"/><min value="1"/><max value="1"/></base><type ><code value="code"/></type><constraint ><key value="ele-1"/><severity value="error"/><human value="All FHIR elements must have a @value or children"/><expression value="hasValue() or (children().count() &gt; id.count())"/><xpath value="@value|f:*|h:div"/><source value="http://hl7.org/fhir/StructureDefinition/Element"/></constraint><isModifier value="false"/><isSummary value="true"/><binding ><extensionurl="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"><valueStringvalue="IssueSeverity"/></extension><strength value="required"/><description value="How the issue affects the success of the action."/><valueSet value="http://hl7.org/fhir/ValueSet/issue-severity|4.0.1"/></binding><mapping ><identity value="v2"/><map value="ERR-4"/></mapping><mapping ><identity value="rim"/><map value="./typeCode[parent::AcknowledgmentDetail] or unique(./inboundRelationship[parent::Observation
 and typeCode='SUBJ' and isNormalActRelationship()]/source[classCode=&quot;OBS&quot; and
 moodCode=&quot;EVN&quot; and implies(code, ActCode#SEV and isNormalAct())/value[xsi:type=&quot;CD&qu
 ot;]"/></mapping></element><element id="OperationOutcome.issue.code"><path value="OperationOutcome.issue.code"/><short value="Error or warning code"/><definition value="Describes the type of the issue. The system that creates an OperationOutcome SHALL choose
 the most applicable code from the IssueType value set, and may additional provide its
 own code for the error in the details element."/><requirements value="Expresses the issue in a human and computer-friendly way, allowing the requesting system
 to behave differently based on the type of issue.
The required element provides a base level of computable interoperability across all systems
 for processing an outcome, allowing systems to respond appropriately regardless of the
 internal system error codes returned."/><min value="1"/><max value="1"/><base ><path value="OperationOutcome.issue.code"/><min value="1"/><max value="1"/></base><type ><code value="code"/></type><constraint ><key value="ele-1"/><severity value="error"/><human value="All FHIR elements must have a @value or children"/><expression value="hasValue() or (children().count() &gt; id.count())"/><xpath value="@value|f:*|h:div"/><source value="http://hl7.org/fhir/StructureDefinition/Element"/></constraint><isModifier value="false"/><isSummary value="true"/><binding ><extensionurl="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"><valueStringvalue="IssueType"/></extension><strength value="required"/><description value="A code that describes the type of issue."/><valueSet value="http://hl7.org/fhir/ValueSet/issue-type|4.0.1"/></binding><mapping ><identity value="v2"/><map value="ERR-3"/></mapping><mapping ><identity value="rim"/><map value="./code"/></mapping></element><element id="OperationOutcome.issue.details"><path value="OperationOutcome.issue.details"/><short value="Additional details about the error"/><definition value="Additional details about the error. This may be a text description of the error or a system
 code that identifies the error."/><comment value="A human readable description of the error issue SHOULD be placed in details.text."/><min value="0"/><max value="1"/><base ><path value="OperationOutcome.issue.details"/><min value="0"/><max value="1"/></base><type ><code value="CodeableConcept"/></type><constraint ><key value="ele-1"/><severity value="error"/><human value="All FHIR elements must have a @value or children"/><expression value="hasValue() or (children().count() &gt; id.count())"/><xpath value="@value|f:*|h:div"/><source value="http://hl7.org/fhir/StructureDefinition/Element"/></constraint><isModifier value="false"/><isSummary value="true"/><binding ><extensionurl="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"><valueStringvalue="IssueDetails"/></extension><strength value="example"/><description value="A code that provides details as the exact issue."/><valueSet value="http://hl7.org/fhir/ValueSet/operation-outcome"/></binding><mapping ><identity value="v2"/><map value="ERR-5"/></mapping><mapping ><identity value="rim"/><map value="./code"/></mapping></element><element id="OperationOutcome.issue.diagnostics"><path value="OperationOutcome.issue.diagnostics"/><short value="Additional diagnostic information about the issue"/><definition value="Additional diagnostic information about the issue."/><comment value="This may be a description of how a value is erroneous, a stack dump to help trace the
 issue or other troubleshooting information."/><min value="0"/><max value="1"/><base ><path value="OperationOutcome.issue.diagnostics"/><min value="0"/><max value="1"/></base><type ><code value="string"/></type><constraint ><key value="ele-1"/><severity value="error"/><human value="All FHIR elements must have a @value or children"/><expression value="hasValue() or (children().count() &gt; id.count())"/><xpath value="@value|f:*|h:div"/><source value="http://hl7.org/fhir/StructureDefinition/Element"/></constraint><isModifier value="false"/><isSummary value="true"/><mapping ><identity value="v2"/><map value="ERR-8"/></mapping><mapping ><identity value="rim"/><map value="./text[parent::AcknowledgmentDetail]"/></mapping></element><element id="OperationOutcome.issue.location"><extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"><valueCode value="deprecated"/></extension><path value="OperationOutcome.issue.location"/><short value="Deprecated: Path of element(s) related to issue"/><definition value="This element is deprecated because it is XML specific. It is replaced by issue.expression,
 which is format independent, and simpler to parse. 
For resource issues, this will be a simple XPath limited to element names, repetition
 indicators and the default child accessor that identifies one of the elements in the resource
 that caused this issue to be raised. For HTTP errors, will be &quot;http.&quot; + the
 parameter name."/><comment value="The root of the XPath is the resource or bundle that generated OperationOutcome. Each
 XPath SHALL resolve to a single node. This element is deprecated, and is being replaced
 by expression."/><requirements value="Allows systems to highlight or otherwise guide users to elements implicated in issues
 to allow them to be fixed more easily."/><min value="0"/><max value="*"/><base ><path value="OperationOutcome.issue.location"/><min value="0"/><max value="*"/></base><type ><code value="string"/></type><constraint ><key value="ele-1"/><severity value="error"/><human value="All FHIR elements must have a @value or children"/><expression value="hasValue() or (children().count() &gt; id.count())"/><xpath value="@value|f:*|h:div"/><source value="http://hl7.org/fhir/StructureDefinition/Element"/></constraint><isModifier value="false"/><isSummary value="true"/><mapping ><identity value="v2"/><map value="ERR-2"/></mapping><mapping ><identity value="rim"/><map value="./location[parent::AcknowledgmentDetail]"/></mapping></element><element id="OperationOutcome.issue.expression"><path value="OperationOutcome.issue.expression"/><short value="FHIRPath of element(s) related to issue"/><definition value="A [simple subset of FHIRPath](fhirpath.html#simple) limited to element names, repetition
 indicators and the default child accessor that identifies one of the elements in the resource
 that caused this issue to be raised."/><comment value="The root of the FHIRPath is the resource or bundle that generated OperationOutcome. Each
 FHIRPath SHALL resolve to a single node."/><requirements value="Allows systems to highlight or otherwise guide users to elements implicated in issues
 to allow them to be fixed more easily."/><min value="0"/><max value="*"/><base ><path value="OperationOutcome.issue.expression"/><min value="0"/><max value="*"/></base><type ><code value="string"/></type><constraint ><key value="ele-1"/><severity value="error"/><human value="All FHIR elements must have a @value or children"/><expression value="hasValue() or (children().count() &gt; id.count())"/><xpath value="@value|f:*|h:div"/><source value="http://hl7.org/fhir/StructureDefinition/Element"/></constraint><isModifier value="false"/><isSummary value="true"/><mapping ><identity value="v2"/><map value="ERR-2"/></mapping><mapping ><identity value="rim"/><map value="./location[parent::AcknowledgmentDetail]"/></mapping></element></snapshot><differential ><element id="OperationOutcome"><path value="OperationOutcome"/><short value="Information about the success/failure of an action"/><definition value="A collection of error, warning, or information messages that result from a system action."/><comment value="Can result from the failure of a REST call or be part of the response message returned
 from a request message."/><min value="0"/><max value="*"/><mapping ><identity value="rim"/><map value="Grouping is handled through multiple repetitions from whatever context references the
 outcomes (no specific grouper required)"/></mapping></element><element id="OperationOutcome.issue"><path value="OperationOutcome.issue"/><short value="A single issue associated with the action"/><definition value="An error, warning, or information message that results from a system action."/><min value="1"/><max value="*"/><type ><code value="BackboneElement"/></type><isSummary value="true"/><mapping ><identity value="v2"/><map value="ERR"/></mapping><mapping ><identity value="rim"/><map value="AcknowledgementDetail or Observation[classCode=&quot;ALRT&quot; and moodCode=&quot;EVN&quot;]"/></mapping></element><element id="OperationOutcome.issue.severity"><path value="OperationOutcome.issue.severity"/><short value="fatal | error | warning | information"/><definition value="Indicates whether the issue indicates a variation from successful processing."/><comment value="This is labeled as &quot;Is Modifier&quot; because applications should not confuse hints
 and warnings with errors."/><requirements value="Indicates how relevant the issue is to the overall success of the action."/><min value="1"/><max value="1"/><type ><code value="code"/></type><isSummary value="true"/><binding ><extensionurl="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"><valueStringvalue="IssueSeverity"/></extension><strength value="required"/><description value="How the issue affects the success of the action."/><valueSet value="http://hl7.org/fhir/ValueSet/issue-severity|4.0.1"/></binding><mapping ><identity value="v2"/><map value="ERR-4"/></mapping><mapping ><identity value="rim"/><map value="./typeCode[parent::AcknowledgmentDetail] or unique(./inboundRelationship[parent::Observation
 and typeCode='SUBJ' and isNormalActRelationship()]/source[classCode=&quot;OBS&quot; and
 moodCode=&quot;EVN&quot; and implies(code, ActCode#SEV and isNormalAct())/value[xsi:type=&quot;CD&qu
 ot;]"/></mapping></element><element id="OperationOutcome.issue.code"><path value="OperationOutcome.issue.code"/><short value="Error or warning code"/><definition value="Describes the type of the issue. The system that creates an OperationOutcome SHALL choose
 the most applicable code from the IssueType value set, and may additional provide its
 own code for the error in the details element."/><requirements value="Expresses the issue in a human and computer-friendly way, allowing the requesting system
 to behave differently based on the type of issue.
The required element provides a base level of computable interoperability across all systems
 for processing an outcome, allowing systems to respond appropriately regardless of the
 internal system error codes returned."/><min value="1"/><max value="1"/><type ><code value="code"/></type><isSummary value="true"/><binding ><extensionurl="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"><valueStringvalue="IssueType"/></extension><strength value="required"/><description value="A code that describes the type of issue."/><valueSet value="http://hl7.org/fhir/ValueSet/issue-type|4.0.1"/></binding><mapping ><identity value="v2"/><map value="ERR-3"/></mapping><mapping ><identity value="rim"/><map value="./code"/></mapping></element><element id="OperationOutcome.issue.details"><path value="OperationOutcome.issue.details"/><short value="Additional details about the error"/><definition value="Additional details about the error. This may be a text description of the error or a system
 code that identifies the error."/><comment value="A human readable description of the error issue SHOULD be placed in details.text."/><min value="0"/><max value="1"/><type ><code value="CodeableConcept"/></type><isSummary value="true"/><binding ><extensionurl="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"><valueStringvalue="IssueDetails"/></extension><strength value="example"/><description value="A code that provides details as the exact issue."/><valueSet value="http://hl7.org/fhir/ValueSet/operation-outcome"/></binding><mapping ><identity value="v2"/><map value="ERR-5"/></mapping><mapping ><identity value="rim"/><map value="./code"/></mapping></element><element id="OperationOutcome.issue.diagnostics"><path value="OperationOutcome.issue.diagnostics"/><short value="Additional diagnostic information about the issue"/><definition value="Additional diagnostic information about the issue."/><comment value="This may be a description of how a value is erroneous, a stack dump to help trace the
 issue or other troubleshooting information."/><min value="0"/><max value="1"/><type ><code value="string"/></type><isSummary value="true"/><mapping ><identity value="v2"/><map value="ERR-8"/></mapping><mapping ><identity value="rim"/><map value="./text[parent::AcknowledgmentDetail]"/></mapping></element><element id="OperationOutcome.issue.location"><extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"><valueCode value="deprecated"/></extension><path value="OperationOutcome.issue.location"/><short value="Deprecated: Path of element(s) related to issue"/><definition value="This element is deprecated because it is XML specific. It is replaced by issue.expression,
 which is format independent, and simpler to parse. 
For resource issues, this will be a simple XPath limited to element names, repetition
 indicators and the default child accessor that identifies one of the elements in the resource
 that caused this issue to be raised. For HTTP errors, will be &quot;http.&quot; + the
 parameter name."/><comment value="The root of the XPath is the resource or bundle that generated OperationOutcome. Each
 XPath SHALL resolve to a single node. This element is deprecated, and is being replaced
 by expression."/><requirements value="Allows systems to highlight or otherwise guide users to elements implicated in issues
 to allow them to be fixed more easily."/><min value="0"/><max value="*"/><type ><code value="string"/></type><isSummary value="true"/><mapping ><identity value="v2"/><map value="ERR-2"/></mapping><mapping ><identity value="rim"/><map value="./location[parent::AcknowledgmentDetail]"/></mapping></element><element id="OperationOutcome.issue.expression"><path value="OperationOutcome.issue.expression"/><short value="FHIRPath of element(s) related to issue"/><definition value="A [simple subset of FHIRPath](fhirpath.html#simple) limited to element names, repetition
 indicators and the default child accessor that identifies one of the elements in the resource
 that caused this issue to be raised."/><comment value="The root of the FHIRPath is the resource or bundle that generated OperationOutcome. Each
 FHIRPath SHALL resolve to a single node."/><requirements value="Allows systems to highlight or otherwise guide users to elements implicated in issues
 to allow them to be fixed more easily."/><min value="0"/><max value="*"/><type ><code value="string"/></type><isSummary value="true"/><mapping ><identity value="v2"/><map value="ERR-2"/></mapping><mapping ><identity value="rim"/><map value="./location[parent::AcknowledgmentDetail]"/></mapping></element></differential></StructureDefinition>

Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.

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