diff --git a/org.hl7.fhir.r5/src/main/java/org/hl7/fhir/r5/context/SimpleWorkerContext.java b/org.hl7.fhir.r5/src/main/java/org/hl7/fhir/r5/context/SimpleWorkerContext.java
index 002d4dadb..86efc6b4a 100644
--- a/org.hl7.fhir.r5/src/main/java/org/hl7/fhir/r5/context/SimpleWorkerContext.java
+++ b/org.hl7.fhir.r5/src/main/java/org/hl7/fhir/r5/context/SimpleWorkerContext.java
@@ -498,7 +498,11 @@ public class SimpleWorkerContext extends BaseWorkerContext implements IWorkerCon
       for (PackageResourceInformation pri : pi.listIndexedResources(types)) {
         if (!pri.getFilename().contains("ig-r4") && (loader == null || loader.wantLoad(pi, pri))) {
           try {
-            registerResourceFromPackage(new PackageResourceLoader(pri, loader), new PackageInformation(pi));
+            if (!pri.hasId()) {
+              loadDefinitionItem(pri.getFilename(), new FileInputStream(pri.getFilename()), loader, null, new PackageInformation(pi));
+            } else {
+              registerResourceFromPackage(new PackageResourceLoader(pri, loader), new PackageInformation(pi));
+            }
             t++;
           } catch (FHIRException e) {
             throw new FHIRException(formatMessage(I18nConstants.ERROR_READING__FROM_PACKAGE__, pri.getFilename(), pi.name(), pi.version(), e.getMessage()), e);
diff --git a/org.hl7.fhir.utilities/src/main/java/org/hl7/fhir/utilities/npm/NpmPackage.java b/org.hl7.fhir.utilities/src/main/java/org/hl7/fhir/utilities/npm/NpmPackage.java
index c6882c553..84f1d5c7a 100644
--- a/org.hl7.fhir.utilities/src/main/java/org/hl7/fhir/utilities/npm/NpmPackage.java
+++ b/org.hl7.fhir.utilities/src/main/java/org/hl7/fhir/utilities/npm/NpmPackage.java
@@ -144,6 +144,9 @@ public class NpmPackage {
     public String getSupplements() {
       return supplements;
     }
+    public boolean hasId() {
+      return !Utilities.noString(id);
+    }
     
   }
   public class IndexVersionSorter implements Comparator<JsonObject> {