diff --git a/hapi-fhir-docs/src/main/java/ca/uhn/hapi/fhir/docs/RepositoryValidatingInterceptorExamples.java b/hapi-fhir-docs/src/main/java/ca/uhn/hapi/fhir/docs/RepositoryValidatingInterceptorExamples.java
index 89eb0360318..896f021375e 100644
--- a/hapi-fhir-docs/src/main/java/ca/uhn/hapi/fhir/docs/RepositoryValidatingInterceptorExamples.java
+++ b/hapi-fhir-docs/src/main/java/ca/uhn/hapi/fhir/docs/RepositoryValidatingInterceptorExamples.java
@@ -28,6 +28,7 @@ import ca.uhn.fhir.jpa.interceptor.validation.RepositoryValidatingRuleBuilder;
 import ca.uhn.fhir.validation.ResultSeverityEnum;
 import org.springframework.context.ApplicationContext;
 
+import javax.annotation.Nonnull;
 import java.util.List;
 
 @SuppressWarnings("unused")
@@ -107,11 +108,44 @@ public class RepositoryValidatingInterceptorExamples {
 		ruleBuilder
 			.forResourcesOfType("Patient")
 			.requireValidationToDeclaredProfiles()
-			.dontReject()
+			.neverReject()
 			.tagOnSeverity(ResultSeverityEnum.ERROR, "http://example.com", "validation-failure");
 		//END SNIPPET: requireValidationToDeclaredProfilesTagOnFailure
 	}
 
+	public void requireValidationToDeclaredProfilesAdditionalOptions() {
+		RepositoryValidatingRuleBuilder ruleBuilder = myAppCtx.getBean(RepositoryValidatingRuleBuilder.class);
+
+		//START SNIPPET: requireValidationToDeclaredProfilesAdditionalOptions
+		ruleBuilder
+			.forResourcesOfType("Patient")
+			.requireValidationToDeclaredProfiles()
+
+			// Configure the validator to never reject extensions
+			.allowAnyExtensions()
+
+			// Configure the validator to not perform terminology validation
+			.disableTerminologyChecks()
+
+			// Configure the validator to raise an error if a resource being
+			// validated declares a profile, and the StructureDefinition for
+			// this profile can not be found.
+			.errorOnUnknownProfiles()
+
+			// Configure the validator to suppress the information-level
+			// message that is added to the validation result if a profile
+			// StructureDefinition does not declare a binding for a coded
+			// field.
+			.suppressNoBindingMessage()
+
+			// Configure the validator to suppress the warning-level message
+			// that is added when validating a code that can't be found in a
+			// ValueSet that has an extensible binding.
+			.suppressWarningForExtensibleValueSetValidation();
+		//END SNIPPET: requireValidationToDeclaredProfilesAdditionalOptions
+	}
+
+
 	public void disallowProfiles() {
 		RepositoryValidatingRuleBuilder ruleBuilder = myAppCtx.getBean(RepositoryValidatingRuleBuilder.class);
 
diff --git a/hapi-fhir-docs/src/main/resources/ca/uhn/hapi/fhir/docs/validation/repository_validating_interceptor.md b/hapi-fhir-docs/src/main/resources/ca/uhn/hapi/fhir/docs/validation/repository_validating_interceptor.md
index 1368526eeb5..7c26bd43c21 100644
--- a/hapi-fhir-docs/src/main/resources/ca/uhn/hapi/fhir/docs/validation/repository_validating_interceptor.md
+++ b/hapi-fhir-docs/src/main/resources/ca/uhn/hapi/fhir/docs/validation/repository_validating_interceptor.md
@@ -95,6 +95,13 @@ By default, resource updates/changes resulting in failing validation will cause
 {{snippet:classpath:/ca/uhn/hapi/fhir/docs/RepositoryValidatingInterceptorExamples.java|requireValidationToDeclaredProfilesTagOnFailure}}
 ```
 
+## Configuring the Validator
+
+The following snippet shows a number of additional optional settings that can be chained onto the validation rule. 
+
+```java
+{{snippet:classpath:/ca/uhn/hapi/fhir/docs/RepositoryValidatingInterceptorExamples.java|requireValidationToDeclaredProfilesAdditionalOptions}}
+```
 
 # Rules: Disallow Specific Profiles
 
diff --git a/hapi-fhir-jpaserver-base/src/main/java/ca/uhn/fhir/jpa/interceptor/validation/RepositoryValidatingRuleBuilder.java b/hapi-fhir-jpaserver-base/src/main/java/ca/uhn/fhir/jpa/interceptor/validation/RepositoryValidatingRuleBuilder.java
index 2f79c4534c8..fbe10366af2 100644
--- a/hapi-fhir-jpaserver-base/src/main/java/ca/uhn/fhir/jpa/interceptor/validation/RepositoryValidatingRuleBuilder.java
+++ b/hapi-fhir-jpaserver-base/src/main/java/ca/uhn/fhir/jpa/interceptor/validation/RepositoryValidatingRuleBuilder.java
@@ -226,7 +226,7 @@ public final class RepositoryValidatingRuleBuilder implements IRuleRoot {
 			 * Specifies that the resource should not be rejected from storage even if it does not pass validation.
 			 */
 			@Nonnull
-			public FinalizedRequireValidationRule dontReject() {
+			public FinalizedRequireValidationRule neverReject() {
 				myRule.dontReject();
 				return this;
 			}
@@ -292,6 +292,57 @@ public final class RepositoryValidatingRuleBuilder implements IRuleRoot {
 				return this;
 			}
 
+			/**
+			 * Configure the validator to never reject extensions
+			 */
+			@Nonnull
+			public FinalizedRequireValidationRule allowAnyExtensions() {
+				myRule.getValidator().setAnyExtensionsAllowed(true);
+				return this;
+			}
+
+			/**
+			 * Configure the validator to not perform terminology validation
+			 */
+			@Nonnull
+			public FinalizedRequireValidationRule disableTerminologyChecks() {
+				myRule.getValidator().setNoTerminologyChecks(true);
+				return this;
+			}
+
+			/**
+			 * Configure the validator to raise an error if a resource being validated
+			 * declares a profile, and the StructureDefinition for this profile
+			 * can not be found.
+			 */
+			@Nonnull
+			public FinalizedRequireValidationRule errorOnUnknownProfiles() {
+				myRule.getValidator().setErrorForUnknownProfiles(true);
+				return this;
+			}
+
+			/**
+			 * Configure the validator to suppress the information-level message that
+			 * is added to the validation result if a profile StructureDefinition does
+			 * not declare a binding for a coded field.
+			 */
+			@Nonnull
+			public FinalizedRequireValidationRule suppressNoBindingMessage() {
+				myRule.getValidator().setNoBindingMsgSuppressed(true);
+				return this;
+			}
+
+			/**
+			 * Configure the validator to suppress the warning-level message that
+			 * is added when validating a code that can't be found in an ValueSet that
+			 * has an extensible binding.
+			 */
+			@Nonnull
+			public FinalizedRequireValidationRule suppressWarningForExtensibleValueSetValidation() {
+				myRule.getValidator().setNoExtensibleWarnings(true);
+				return this;
+			}
+
 		}
 
 	}
diff --git a/hapi-fhir-jpaserver-base/src/main/java/ca/uhn/fhir/jpa/interceptor/validation/RequireValidationRule.java b/hapi-fhir-jpaserver-base/src/main/java/ca/uhn/fhir/jpa/interceptor/validation/RequireValidationRule.java
index fb5f5f9847b..2d4857332be 100644
--- a/hapi-fhir-jpaserver-base/src/main/java/ca/uhn/fhir/jpa/interceptor/validation/RequireValidationRule.java
+++ b/hapi-fhir-jpaserver-base/src/main/java/ca/uhn/fhir/jpa/interceptor/validation/RequireValidationRule.java
@@ -117,6 +117,14 @@ class RequireValidationRule extends BaseTypedRule {
 			.toString();
 	}
 
+	public FhirInstanceValidator getValidator() {
+		return myValidator;
+	}
+
+	public void setAllowAnyExtensions() {
+		myValidator.setAnyExtensionsAllowed(true);
+	}
+
 	private static class TagOnSeverity {
 		private final int mySeverity;
 		private final String myTagSystem;
diff --git a/hapi-fhir-jpaserver-base/src/test/java/ca/uhn/fhir/jpa/interceptor/validation/RepositoryValidatingInterceptorR4Test.java b/hapi-fhir-jpaserver-base/src/test/java/ca/uhn/fhir/jpa/interceptor/validation/RepositoryValidatingInterceptorR4Test.java
index 6a9b8d5b652..d48e9cbe61f 100644
--- a/hapi-fhir-jpaserver-base/src/test/java/ca/uhn/fhir/jpa/interceptor/validation/RepositoryValidatingInterceptorR4Test.java
+++ b/hapi-fhir-jpaserver-base/src/test/java/ca/uhn/fhir/jpa/interceptor/validation/RepositoryValidatingInterceptorR4Test.java
@@ -264,13 +264,40 @@ public class RepositoryValidatingInterceptorR4Test extends BaseJpaR4Test {
 		}
 	}
 
+	@Test
+	public void testRequireValidation_AdditionalOptions() {
+		List<IRepositoryValidatingRule> rules = newRuleBuilder()
+			.forResourcesOfType("Observation")
+			.requireValidationToDeclaredProfiles()
+			.withBestPracticeWarningLevel("IGNORE")
+			.allowAnyExtensions()
+			.disableTerminologyChecks()
+			.errorOnUnknownProfiles()
+			.suppressNoBindingMessage()
+			.suppressWarningForExtensibleValueSetValidation()
+			.build();
+
+		myValInterceptor.setRules(rules);
+
+		Observation obs = new Observation();
+		obs.getCode().addCoding().setSystem("http://foo").setCode("123").setDisplay("help im a bug");
+		obs.setStatus(Observation.ObservationStatus.AMENDED);
+		try {
+			IIdType id = myObservationDao.create(obs).getId();
+			assertEquals("1", id.getVersionIdPart());
+		} catch (PreconditionFailedException e) {
+			// should not happen
+			fail(myFhirCtx.newJsonParser().setPrettyPrint(true).encodeResourceToString(e.getOperationOutcome()));
+		}
+	}
+
 	@Test
 	public void testRequireValidation_FailNoRejectAndTag() {
 		List<IRepositoryValidatingRule> rules = newRuleBuilder()
 			.forResourcesOfType("Observation")
 			.requireValidationToDeclaredProfiles()
 			.withBestPracticeWarningLevel("IGNORE")
-			.dontReject()
+			.neverReject()
 			.tagOnSeverity(ResultSeverityEnum.ERROR, "http://foo", "validation-error")
 			.build();
 		myValInterceptor.setRules(rules);