FHIRcast, published by HL7 International / Infrastructure And Messaging. This guide is not an authorized publication; it is the continuous build for version 3.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhircast-docs/ and changes regularly. See the Directory of published versions

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Resource Profile: OperationOutcome for Subscriber generated sync-error events

Defines the structure of an OperationOutcome to be used in sync-error events send by a Suscriber indicting refusal to follow context.

Usage:

• Examples for this Resource Profile: OperationOutcome/FhircastSubscriberSyncErrorOperationOutcome-Example

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from FhircastSyncErrorOperationOutcome

Name	Flags	Card.	Type	Description & Constraints
OperationOutcome		0..*	FhircastSyncErrorOperationOutcome	Information about the success/failure of an action
Slices for issue				Content/Rules for all slices
issue:fhircast		1..1	BackboneElement	A single issue associated with the action
severity		1..1	code	fatal | error | warning | information Required Pattern: warning
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
OperationOutcome		0..*	FhircastSyncErrorOperationOutcome	Information about the success/failure of an action
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for issue	SΣ	1..*	BackboneElement	A single issue associated with the action Slice: Unordered, Open by value:code
issue:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
severity	Σ	1..1	code	fatal | error | warning | information Binding: IssueSeverity (required): How the issue affects the success of the action.
code	Σ	1..1	code	Error or warning code Binding: IssueType (required): A code that describes the type of issue.
issue:fhircast	Σ	1..1	BackboneElement	A single issue associated with the action
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
severity	Σ	1..1	code	fatal | error | warning | information Binding: IssueSeverity (required): How the issue affects the success of the action. Required Pattern: warning
code	Σ	1..1	code	Error or warning code Binding: IssueType (required): A code that describes the type of issue. Required Pattern: processing
details	SΣ	1..1	CodeableConcept	Additional details about the error Binding: OperationOutcomeCodes (example): A code that provides details as the exact issue.
Slices for coding	Σ	3..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:eventid	Σ	1..1	Coding	Code defined by a terminology system
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: https://fhircast.hl7.org/events/syncerror/eventid
coding:eventname	Σ	1..1	Coding	Code defined by a terminology system
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: https://fhircast.hl7.org/events/syncerror/eventname
coding:subscribername	Σ	1..1	Coding	Code defined by a terminology system
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: https://fhircast.hl7.org/events/syncerror/subscribername
diagnostics	SΣ	1..1	string	This field SHALL contain a human readable description of the source and reason for the error.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
OperationOutcome.issue.severity	required	IssueSeverity http://hl7.org/fhir/ValueSet/issue-severity|4.0.1 from the FHIR Standard
OperationOutcome.issue.code	required	IssueType http://hl7.org/fhir/ValueSet/issue-type|4.0.1 from the FHIR Standard
OperationOutcome.issue:fhircast.severity	required	Pattern: warning http://hl7.org/fhir/ValueSet/issue-severity|4.0.1 from the FHIR Standard
OperationOutcome.issue:fhircast.code	required	Pattern: processing http://hl7.org/fhir/ValueSet/issue-type|4.0.1 from the FHIR Standard
OperationOutcome.issue:fhircast.details	example	OperationOutcomeCodes http://hl7.org/fhir/ValueSet/operation-outcome from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	OperationOutcome	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	OperationOutcome	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 : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	OperationOutcome	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	OperationOutcome	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	OperationOutcome	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Name	Flags	Card.	Type	Description & Constraints
OperationOutcome		0..*	FhircastSyncErrorOperationOutcome	Information about the success/failure of an action
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for issue	SΣ	1..*	BackboneElement	A single issue associated with the action Slice: Unordered, Open by value:code
issue:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
severity	Σ	1..1	code	fatal | error | warning | information Binding: IssueSeverity (required): How the issue affects the success of the action.
code	Σ	1..1	code	Error or warning code Binding: IssueType (required): A code that describes the type of issue.
details	Σ	0..1	CodeableConcept	Additional details about the error Binding: OperationOutcomeCodes (example): A code that provides details as the exact issue.
diagnostics	Σ	0..1	string	Additional diagnostic information about the issue
location	Σ	0..*	string	Deprecated: Path of element(s) related to issue
expression	Σ	0..*	string	FHIRPath of element(s) related to issue
issue:fhircast	Σ	1..1	BackboneElement	A single issue associated with the action
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
severity	Σ	1..1	code	fatal | error | warning | information Binding: IssueSeverity (required): How the issue affects the success of the action. Required Pattern: warning
code	Σ	1..1	code	Error or warning code Binding: IssueType (required): A code that describes the type of issue. Required Pattern: processing
details	SΣ	1..1	CodeableConcept	Additional details about the error Binding: OperationOutcomeCodes (example): A code that provides details as the exact issue.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	3..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:eventid	Σ	1..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: https://fhircast.hl7.org/events/syncerror/eventid
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	The event id of the related event.
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:eventname	Σ	1..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: https://fhircast.hl7.org/events/syncerror/eventname
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	The event eventname of the related event.
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:subscribername	Σ	1..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: https://fhircast.hl7.org/events/syncerror/subscribername
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	The subscribername of the subscriber causing the event.
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
diagnostics	SΣ	1..1	string	This field SHALL contain a human readable description of the source and reason for the error.
location	Σ	0..*	string	Deprecated: Path of element(s) related to issue
expression	Σ	0..*	string	FHIRPath of element(s) related to issue
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
OperationOutcome.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
OperationOutcome.issue.severity	required	IssueSeverity http://hl7.org/fhir/ValueSet/issue-severity|4.0.1 from the FHIR Standard
OperationOutcome.issue.code	required	IssueType http://hl7.org/fhir/ValueSet/issue-type|4.0.1 from the FHIR Standard
OperationOutcome.issue.details	example	OperationOutcomeCodes http://hl7.org/fhir/ValueSet/operation-outcome from the FHIR Standard
OperationOutcome.issue:fhircast.severity	required	Pattern: warning http://hl7.org/fhir/ValueSet/issue-severity|4.0.1 from the FHIR Standard
OperationOutcome.issue:fhircast.code	required	Pattern: processing http://hl7.org/fhir/ValueSet/issue-type|4.0.1 from the FHIR Standard
OperationOutcome.issue:fhircast.details	example	OperationOutcomeCodes http://hl7.org/fhir/ValueSet/operation-outcome from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	OperationOutcome	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	OperationOutcome	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 : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	OperationOutcome	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	OperationOutcome	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	OperationOutcome	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from FhircastSyncErrorOperationOutcome

Summary

Differential View

This structure is derived from FhircastSyncErrorOperationOutcome

Name	Flags	Card.	Type	Description & Constraints
OperationOutcome		0..*	FhircastSyncErrorOperationOutcome	Information about the success/failure of an action
Slices for issue				Content/Rules for all slices
issue:fhircast		1..1	BackboneElement	A single issue associated with the action
severity		1..1	code	fatal | error | warning | information Required Pattern: warning
Documentation for this format

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
OperationOutcome		0..*	FhircastSyncErrorOperationOutcome	Information about the success/failure of an action
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for issue	SΣ	1..*	BackboneElement	A single issue associated with the action Slice: Unordered, Open by value:code
issue:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
severity	Σ	1..1	code	fatal | error | warning | information Binding: IssueSeverity (required): How the issue affects the success of the action.
code	Σ	1..1	code	Error or warning code Binding: IssueType (required): A code that describes the type of issue.
issue:fhircast	Σ	1..1	BackboneElement	A single issue associated with the action
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
severity	Σ	1..1	code	fatal | error | warning | information Binding: IssueSeverity (required): How the issue affects the success of the action. Required Pattern: warning
code	Σ	1..1	code	Error or warning code Binding: IssueType (required): A code that describes the type of issue. Required Pattern: processing
details	SΣ	1..1	CodeableConcept	Additional details about the error Binding: OperationOutcomeCodes (example): A code that provides details as the exact issue.
Slices for coding	Σ	3..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:eventid	Σ	1..1	Coding	Code defined by a terminology system
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: https://fhircast.hl7.org/events/syncerror/eventid
coding:eventname	Σ	1..1	Coding	Code defined by a terminology system
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: https://fhircast.hl7.org/events/syncerror/eventname
coding:subscribername	Σ	1..1	Coding	Code defined by a terminology system
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: https://fhircast.hl7.org/events/syncerror/subscribername
diagnostics	SΣ	1..1	string	This field SHALL contain a human readable description of the source and reason for the error.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
OperationOutcome.issue.severity	required	IssueSeverity http://hl7.org/fhir/ValueSet/issue-severity|4.0.1 from the FHIR Standard
OperationOutcome.issue.code	required	IssueType http://hl7.org/fhir/ValueSet/issue-type|4.0.1 from the FHIR Standard
OperationOutcome.issue:fhircast.severity	required	Pattern: warning http://hl7.org/fhir/ValueSet/issue-severity|4.0.1 from the FHIR Standard
OperationOutcome.issue:fhircast.code	required	Pattern: processing http://hl7.org/fhir/ValueSet/issue-type|4.0.1 from the FHIR Standard
OperationOutcome.issue:fhircast.details	example	OperationOutcomeCodes http://hl7.org/fhir/ValueSet/operation-outcome from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	OperationOutcome	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	OperationOutcome	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 : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	OperationOutcome	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	OperationOutcome	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	OperationOutcome	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
OperationOutcome		0..*	FhircastSyncErrorOperationOutcome	Information about the success/failure of an action
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for issue	SΣ	1..*	BackboneElement	A single issue associated with the action Slice: Unordered, Open by value:code
issue:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
severity	Σ	1..1	code	fatal | error | warning | information Binding: IssueSeverity (required): How the issue affects the success of the action.
code	Σ	1..1	code	Error or warning code Binding: IssueType (required): A code that describes the type of issue.
details	Σ	0..1	CodeableConcept	Additional details about the error Binding: OperationOutcomeCodes (example): A code that provides details as the exact issue.
diagnostics	Σ	0..1	string	Additional diagnostic information about the issue
location	Σ	0..*	string	Deprecated: Path of element(s) related to issue
expression	Σ	0..*	string	FHIRPath of element(s) related to issue
issue:fhircast	Σ	1..1	BackboneElement	A single issue associated with the action
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
severity	Σ	1..1	code	fatal | error | warning | information Binding: IssueSeverity (required): How the issue affects the success of the action. Required Pattern: warning
code	Σ	1..1	code	Error or warning code Binding: IssueType (required): A code that describes the type of issue. Required Pattern: processing
details	SΣ	1..1	CodeableConcept	Additional details about the error Binding: OperationOutcomeCodes (example): A code that provides details as the exact issue.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	3..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:eventid	Σ	1..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: https://fhircast.hl7.org/events/syncerror/eventid
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	The event id of the related event.
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:eventname	Σ	1..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: https://fhircast.hl7.org/events/syncerror/eventname
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	The event eventname of the related event.
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:subscribername	Σ	1..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: https://fhircast.hl7.org/events/syncerror/subscribername
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	The subscribername of the subscriber causing the event.
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
diagnostics	SΣ	1..1	string	This field SHALL contain a human readable description of the source and reason for the error.
location	Σ	0..*	string	Deprecated: Path of element(s) related to issue
expression	Σ	0..*	string	FHIRPath of element(s) related to issue
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
OperationOutcome.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
OperationOutcome.issue.severity	required	IssueSeverity http://hl7.org/fhir/ValueSet/issue-severity|4.0.1 from the FHIR Standard
OperationOutcome.issue.code	required	IssueType http://hl7.org/fhir/ValueSet/issue-type|4.0.1 from the FHIR Standard
OperationOutcome.issue.details	example	OperationOutcomeCodes http://hl7.org/fhir/ValueSet/operation-outcome from the FHIR Standard
OperationOutcome.issue:fhircast.severity	required	Pattern: warning http://hl7.org/fhir/ValueSet/issue-severity|4.0.1 from the FHIR Standard
OperationOutcome.issue:fhircast.code	required	Pattern: processing http://hl7.org/fhir/ValueSet/issue-type|4.0.1 from the FHIR Standard
OperationOutcome.issue:fhircast.details	example	OperationOutcomeCodes http://hl7.org/fhir/ValueSet/operation-outcome from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	OperationOutcome	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	OperationOutcome	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 : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	OperationOutcome	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	OperationOutcome	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	OperationOutcome	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from FhircastSyncErrorOperationOutcome

Summary

Other representations of profile: CSV, Excel, Schematron