<?xml version="1.0" encoding="UTF-8"?><OperationOutcome xmlns="http://hl7.org/fhir"><id value="101"/><meta><tag><system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/><code value="HTEST"/><display value="test health data"/></tag></meta><text><status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p>The code "W" is not known and not legal Patient.gender.</p></div></text><issue><severity value="error"/><code value="code-invalid"/><details><text value="The code &quot;W&quot; is not known and not legal in this context"/></details><diagnostics value="Acme.Interop.FHIRProcessors.Patient.processGender line 2453"/><location value="/f:Patient/f:gender"/><expression value="Patient.gender"/></issue></OperationOutcome>