diff --git a/org.hl7.fhir.r5/src/main/java/org/hl7/fhir/r5/renderers/CodeSystemRenderer.java b/org.hl7.fhir.r5/src/main/java/org/hl7/fhir/r5/renderers/CodeSystemRenderer.java
index 5f8dcf507..620b285e1 100644
--- a/org.hl7.fhir.r5/src/main/java/org/hl7/fhir/r5/renderers/CodeSystemRenderer.java
+++ b/org.hl7.fhir.r5/src/main/java/org/hl7/fhir/r5/renderers/CodeSystemRenderer.java
@@ -23,6 +23,7 @@ import org.hl7.fhir.r5.model.CodeSystem.PropertyComponent;
 import org.hl7.fhir.r5.model.Coding;
 import org.hl7.fhir.r5.model.Enumeration;
 import org.hl7.fhir.r5.model.Extension;
+import org.hl7.fhir.r5.model.PrimitiveType;
 import org.hl7.fhir.r5.model.Resource;
 import org.hl7.fhir.r5.model.StringType;
 import org.hl7.fhir.r5.renderers.CodeSystemRenderer.Translateable;
@@ -445,7 +446,7 @@ public class CodeSystemRenderer extends TerminologyRenderer {
 
     if (hasDisplay) {
       td = tr.td();
-      renderDisplayName(c, cs, td);
+      hasExtensions = renderDisplayName(c, cs, td, langs) || hasExtensions;
     } 
     if (hasDefinitions) {
       td = tr.td();
@@ -459,7 +460,7 @@ public class CodeSystemRenderer extends TerminologyRenderer {
           }
         }
 
-        if (getContext().getMultiLanguagePolicy() == MultiLanguagePolicy.NONE && (sl || ToolingExtensions.hasLanguageTranslations(defn))) {
+        if (getContext().getMultiLanguagePolicy() == MultiLanguagePolicy.NONE || !(sl || ToolingExtensions.hasLanguageTranslations(defn))) {
           if (hasMarkdownInDefinitions(cs)) {
             addMarkdown(renderStatusDiv(defn, td), defn.asStringValue());
           } else {
@@ -469,6 +470,7 @@ public class CodeSystemRenderer extends TerminologyRenderer {
           List<Translateable> list = new ArrayList<>();
           list.add(new Translateable(cs.getLanguage(), defn));
           for (Extension ext : defn.getExtensionsByUrl(ToolingExtensions.EXT_TRANSLATION)) {
+            hasExtensions = true;
             list.add(new Translateable(ext.getExtensionString("lang"), ext.getExtensionByUrl("content").getValueStringType()));
           }
           for (ConceptDefinitionDesignationComponent cd : c.getDesignation())  {
@@ -525,39 +527,30 @@ public class CodeSystemRenderer extends TerminologyRenderer {
     if (comment) {
       td = tr.td();
       Extension ext = c.getExtensionByUrl(ToolingExtensions.EXT_CS_COMMENT);
-      if (ext != null) {
+      if (ext != null &&  ext.hasValue() && ext.getValue().primitiveValue() != null) {
         hasExtensions = true;
-        String bc = ext.hasValue() ? ext.getValue().primitiveValue() : null;
-        Map<String, String> translations = ToolingExtensions.getLanguageTranslations(ext.getValue());
-
-        if (getContext().getLang() == null) {
-          if (bc != null)
-            td.addText(bc);
-        } else if (getContext().getLang().equals("*")) {
-          boolean sl = false;
-          for (String l : translations.keySet()) 
-            if (bc == null || !bc.equalsIgnoreCase(translations.get(l))) 
-              sl = true;
-          if (bc != null) {
-            td.addText((sl ? cs.getLanguage("en")+": " : "")+bc);
-          }
-          for (String l : translations.keySet()) {
-            if (bc == null || !bc.equalsIgnoreCase(translations.get(l))) {
-              if (!td.getChildNodes().isEmpty()) 
-                td.br();
-              td.addText(l+": "+translations.get(l));
-            }
-          }
-        } else if (getContext().getLang().equals(cs.getLanguage()) || (getContext().getLang().equals("en") && !cs.hasLanguage())) {
-          if (bc != null)
-            td.addText(bc);
+        StringType defn = context.getTranslatedElement((PrimitiveType<?>) ext.getValue());
+        if (getContext().getMultiLanguagePolicy() == MultiLanguagePolicy.NONE ||!(ToolingExtensions.hasLanguageTranslations(ext.getValue()))) {
+          td.addText(defn.asStringValue());
         } else {
-          if (bc != null)
-            translations.put(cs.getLanguage("en"), bc);
-          for (String l : translations.keySet()) { 
-            if (l.equals(getContext().getLang())) {
-              td.addText(translations.get(l));
+          List<Translateable> list = new ArrayList<>();
+          list.add(new Translateable(cs.getLanguage(), defn));
+          for (Extension ex : defn.getExtensionsByUrl(ToolingExtensions.EXT_TRANSLATION)) {
+            hasExtensions = true;
+            list.add(new Translateable(ex.getExtensionString("lang"), ex.getExtensionByUrl("content").getValueStringType()));
+          }
+          boolean first = true;
+          for (Translateable ti : list) {
+            if (first) {
+              first = false;
+            } else {
+              td.br();
             }
+
+            if (ti.lang != null) {
+              td.addText(ti.lang + ": ");
+            }
+            renderStatus(ti.getValue(), td).addText(ti.getValue().asStringValue());
           }
         }
       }      
@@ -633,7 +626,7 @@ public class CodeSystemRenderer extends TerminologyRenderer {
       a.addText(cc.getCode());
       if (hasDisplay) {
         td = tr.td();
-        renderDisplayName(cc, cs, td);
+        hasExtensions = renderDisplayName(cc, cs, td, langs) || hasExtensions;
       }
       int w = 1 + (deprecated ? 1 : 0) + (comment ? 1 : 0) + (version ? 1 : 0) + maps.size();
       if (properties != null) {
@@ -676,32 +669,44 @@ public class CodeSystemRenderer extends TerminologyRenderer {
   }
 
 
-  public void renderDisplayName(ConceptDefinitionComponent c, CodeSystem cs, XhtmlNode td) {
+  public boolean renderDisplayName(ConceptDefinitionComponent c, CodeSystem cs, XhtmlNode td, List<String> langs) {
+    boolean hasExtensions = false;
     if (c.hasDisplayElement()) {
-      if (getContext().getLang() == null) {
-        renderStatus(c.getDisplayElement(), td).addText(c.getDisplay());
-      } else if (getContext().getLang().equals("*")) {
-        boolean sl = false;
-        for (ConceptDefinitionDesignationComponent cd : c.getDesignation()) 
-          if (cd.getUse().is("http://terminology.hl7.org/CodeSystem/designation-usage", "display") && cd.hasLanguage() && !c.getDisplay().equalsIgnoreCase(cd.getValue())) 
-            sl = true;
-        td.addText((sl ? cs.getLanguage("en")+": " : "")+c.getDisplay());
-        for (ConceptDefinitionDesignationComponent cd : c.getDesignation()) {
-          if (cd.getUse().is("http://terminology.hl7.org/CodeSystem/designation-usage", "display") && cd.hasLanguage() && !c.getDisplay().equalsIgnoreCase(cd.getValue())) {
-            td.br();
-            td.addText(cd.getLanguage()+": "+cd.getValue());
-          }
+      StringType disp = c.getDisplayElement();
+      List<Translateable> list = new ArrayList<>();
+      list.add(new Translateable(cs.getLanguage(), disp));
+      for (Extension ext : disp.getExtensionsByUrl(ToolingExtensions.EXT_TRANSLATION)) {
+        if (!langs.contains(ext.getExtensionString("lang"))) {
+          hasExtensions = true;
+          list.add(new Translateable(ext.getExtensionString("lang"), ext.getExtensionByUrl("content").getValueStringType()));
         }
-     } else if (getContext().getLang().equals(cs.getLanguage()) || (getContext().getLang().equals("en") && !cs.hasLanguage())) {
-       renderStatus(c.getDisplayElement(), td).addText(c.getDisplay());
-     } else {
-       for (ConceptDefinitionDesignationComponent cd : c.getDesignation()) {
-         if (cd.getUse().is("http://terminology.hl7.org/CodeSystem/designation-usage", "display") && cd.hasLanguage() && cd.getLanguage().equals(getContext().getLang())) {
-           td.addText(cd.getValue());
-         }
-       }
-     }
+      }
+      for (ConceptDefinitionDesignationComponent cd : c.getDesignation())  {
+        if (cd.hasLanguage() && !langs.contains(cd.getLanguage()) && !c.getDefinition().equalsIgnoreCase(cd.getValue())) {
+          list.add(new Translateable(cd.getLanguage(), cd.getValueElement()));
+        }
+      }
+
+      if (getContext().getMultiLanguagePolicy() == MultiLanguagePolicy.NONE || list.size() <= 1) {
+        renderStatus(disp, td).addText(disp.asStringValue());
+      } else {
+        boolean first = true;
+        for (Translateable ti : list) {
+          if (first) {
+            first = false;
+          } else {
+            td.br();
+          }
+
+          if (ti.lang != null) {
+            td.addText(ti.lang + ": ");
+          }
+          renderStatus(ti.getValue(), td).addText(ti.getValue().asStringValue());
+        }      
+
+      }
     }
+    return hasExtensions;
   }
 
   private String getCodingReference(Coding cc, String system) {
diff --git a/org.hl7.fhir.r5/src/main/java/org/hl7/fhir/r5/renderers/DataRenderer.java b/org.hl7.fhir.r5/src/main/java/org/hl7/fhir/r5/renderers/DataRenderer.java
index 6ca95f97b..1781220d2 100644
--- a/org.hl7.fhir.r5/src/main/java/org/hl7/fhir/r5/renderers/DataRenderer.java
+++ b/org.hl7.fhir.r5/src/main/java/org/hl7/fhir/r5/renderers/DataRenderer.java
@@ -1422,14 +1422,16 @@ public class DataRenderer extends Renderer implements CodeResolver {
     if (x.getName().equals("blockquote")) {
       x = x.para();
     }
-    Currency c = Currency.getInstance(money.getCurrency());
+    Currency c = money.hasCurrency() ? Currency.getInstance(money.getCurrency()) : null;
     if (c != null) {
       XhtmlNode s = x.span(null, c.getDisplayName());
       s.tx(c.getSymbol(context.getLocale()));
       s.tx(getLocalizedBigDecimalValue(money.getValue(), c));
       x.tx(" ("+c.getCurrencyCode()+")");
     } else {
-      x.tx(money.getCurrency());
+      if (money.getCurrency() != null) {
+        x.tx(money.getCurrency());
+      }
       x.tx(money.getValue().toPlainString());
     }
   }
diff --git a/org.hl7.fhir.r5/src/main/java/org/hl7/fhir/r5/renderers/ParametersRenderer.java b/org.hl7.fhir.r5/src/main/java/org/hl7/fhir/r5/renderers/ParametersRenderer.java
index 5cf21fd0d..485b681e2 100644
--- a/org.hl7.fhir.r5/src/main/java/org/hl7/fhir/r5/renderers/ParametersRenderer.java
+++ b/org.hl7.fhir.r5/src/main/java/org/hl7/fhir/r5/renderers/ParametersRenderer.java
@@ -84,6 +84,7 @@ public class ParametersRenderer extends ResourceRenderer {
         XhtmlNode para = td.para();
         para.tx(rw.fhirType()+"/"+rw.getId());
         para.an(rw.fhirType()+"_"+rw.getId()).tx(" ");
+        para.an("hc"+rw.fhirType()+"_"+rw.getId()).tx(" ");
         XhtmlNode x = rw.getNarrative();
         if (x != null) {
           td.addChildren(x);
@@ -123,6 +124,7 @@ public class ParametersRenderer extends ResourceRenderer {
         XhtmlNode para = td.para();
         para.tx(r.fhirType()+"/"+r.getId());
         para.an(r.fhirType()+"_"+r.getId()).tx(" ");
+        para.an("hc"+r.fhirType()+"_"+r.getId()).tx(" ");
         ResourceRenderer rr = RendererFactory.factory(r, context);
         rr.render(td, r);
       } else if (p.hasPart()) {
diff --git a/org.hl7.fhir.r5/src/main/java/org/hl7/fhir/r5/renderers/utils/RenderingContext.java b/org.hl7.fhir.r5/src/main/java/org/hl7/fhir/r5/renderers/utils/RenderingContext.java
index 9dcc1ae7b..b9ecdd469 100644
--- a/org.hl7.fhir.r5/src/main/java/org/hl7/fhir/r5/renderers/utils/RenderingContext.java
+++ b/org.hl7.fhir.r5/src/main/java/org/hl7/fhir/r5/renderers/utils/RenderingContext.java
@@ -902,5 +902,15 @@ public class RenderingContext extends RenderingI18nContext {
     }
     return e.primitiveValue();
   }
+
+  public RenderingContext withLocale(Locale locale) {
+    setLocale(locale);
+    return this;
+  }
+
+  public RenderingContext withLocaleCode(String locale) {
+    setLocale(new Locale(locale));
+    return this;
+  }
   
 }
\ No newline at end of file
diff --git a/org.hl7.fhir.utilities/src/test/java/org/hl7/fhir/utilities/i18n/LocaleTests.java b/org.hl7.fhir.utilities/src/test/java/org/hl7/fhir/utilities/i18n/LocaleTests.java
new file mode 100644
index 000000000..6dfc3d10b
--- /dev/null
+++ b/org.hl7.fhir.utilities/src/test/java/org/hl7/fhir/utilities/i18n/LocaleTests.java
@@ -0,0 +1,27 @@
+package org.hl7.fhir.utilities.i18n;
+
+import java.util.Locale;
+
+import org.junit.jupiter.api.Assertions;
+import org.junit.jupiter.api.Test;
+
+public class LocaleTests {
+
+  @Test
+  public void testSimple() {
+    Locale l = new Locale("en");
+    Assertions.assertEquals("en", l.getLanguage());
+  }
+
+  @Test
+  public void testSimple2() {
+    Locale l = new Locale("*");
+    Assertions.assertEquals("*", l.getLanguage());
+  }
+
+  @Test
+  public void testSimpleX() {
+    Locale l = new Locale("xx");
+    Assertions.assertEquals("xx", l.getLanguage());
+  }
+}
diff --git a/org.hl7.fhir.validation/src/test/java/org/hl7/fhir/comparison/tests/ComparisonTests.java b/org.hl7.fhir.validation/src/test/java/org/hl7/fhir/comparison/tests/ComparisonTests.java
index 659c35cd0..8afdaaa93 100644
--- a/org.hl7.fhir.validation/src/test/java/org/hl7/fhir/comparison/tests/ComparisonTests.java
+++ b/org.hl7.fhir.validation/src/test/java/org/hl7/fhir/comparison/tests/ComparisonTests.java
@@ -9,6 +9,7 @@ import java.util.ArrayList;
 import java.util.Collections;
 import java.util.HashMap;
 import java.util.List;
+import java.util.Locale;
 import java.util.Map;
 
 import java.util.stream.Stream;
@@ -158,7 +159,7 @@ public class ComparisonTests {
     if (content.has("version")) {
       session.setAnnotate(true);
     }
-    RenderingContext lrc = new RenderingContext(context, new MarkDownProcessor(Dialect.COMMON_MARK), null, "http://hl7.org/fhir", "", "en", ResourceRendererMode.TECHNICAL, GenerationRules.IG_PUBLISHER);
+    RenderingContext lrc = new RenderingContext(context, new MarkDownProcessor(Dialect.COMMON_MARK), null, "http://hl7.org/fhir", "", new Locale("en"), ResourceRendererMode.TECHNICAL, GenerationRules.IG_PUBLISHER);
     lrc.setDestDir(Utilities.path("[tmp]", "comparison"));
     lrc.setPkp(new TestProfileKnowledgeProvider(context));
     if (content.has("version")) {