Fix value set validation to validate codes in example code systems

org.hl7.fhir.r5/src/main/java/org/hl7/fhir/r5/terminologies/validation/ValueSetValidator.java

@@ -590,13 +590,14 @@ public class ValueSetValidator extends ValueSetProcessBase {
             break;
           }
           warningMessage = warningMessage + ", so the code has not been validated";
-          if (!inExpansion && cs.getContent() != CodeSystemContentMode.FRAGMENT) { // we're going to give it a go if it's a fragment
+          if (!options.isExampleOK() && !inExpansion && cs.getContent() != CodeSystemContentMode.FRAGMENT) { // we're going to give it a go if it's a fragment
             throw new VSCheckerException(warningMessage, null, true);
           }
         }
 
         if (cs != null /*&& (cs.getContent() == CodeSystemContentMode.COMPLETE || cs.getContent() == CodeSystemContentMode.FRAGMENT)*/) {
-          if (!(cs.getContent() == CodeSystemContentMode.COMPLETE || cs.getContent() == CodeSystemContentMode.FRAGMENT)) {
+          if (!(cs.getContent() == CodeSystemContentMode.COMPLETE || cs.getContent() == CodeSystemContentMode.FRAGMENT ||
+              (options.isExampleOK() && cs.getContent() == CodeSystemContentMode.EXAMPLE))) {
             if (inInclude) {
               ConceptReferenceComponent cc = findInInclude(code);
               if (cc != null) {
@@ -608,7 +609,7 @@ public class ValueSetValidator extends ValueSetProcessBase {
               }
             }
             // we can't validate that here. 
-            throw new FHIRException("Unable to evaluate based on empty code system");
+            throw new FHIRException("Unable to evaluate based on code system with status = "+cs.getContent().toCode());
           }
           res = validateCode(path, code, cs, null, info);
           res.setIssues(issues);

org.hl7.fhir.utilities/src/main/java/org/hl7/fhir/utilities/validation/ValidationOptions.java

@@ -22,6 +22,7 @@ public class ValidationOptions {
   private boolean useValueSetDisplays;
   private boolean englishOk = true;
   private boolean activeOnly = false;
+  private boolean exampleOK = false;
   private FhirPublication fhirVersion;
 
   public ValidationOptions(FhirPublication fhirVersion) {
@@ -270,6 +271,19 @@ public class ValidationOptions {
     return this;
   }
 
+  public boolean isExampleOK() {
+    return exampleOK;
+  }
+
+  public ValidationOptions setExampleOK(boolean exampleOK) {
+    this.exampleOK = exampleOK;
+    return this;
+  }
+  
+  public ValidationOptions withExampleOK() {
+    return setExampleOK(true);
+  }
+
   public ValidationOptions copy() {
     ValidationOptions n = new ValidationOptions(fhirVersion);
     n.langs = langs == null ? null : langs.copy();
@@ -282,13 +296,14 @@ public class ValidationOptions {
     n.membershipOnly = membershipOnly;
     n.useValueSetDisplays = useValueSetDisplays;   
     n.displayWarningMode = displayWarningMode;
+    n.exampleOK = exampleOK;
     return n;
   }
   
 
   public String toJson() {
     return "\"langs\":\""+( langs == null ? "" : langs.toString())+"\", \"useServer\":\""+Boolean.toString(useServer)+"\", \"useClient\":\""+Boolean.toString(useClient)+"\", "+
-       "\"guessSystem\":\""+Boolean.toString(guessSystem)+"\", \"activeOnly\":\""+Boolean.toString(activeOnly)+"\", \"membershipOnly\":\""+Boolean.toString(membershipOnly)+"\", \"displayWarningMode\":\""+Boolean.toString(displayWarningMode)+"\", \"versionFlexible\":\""+Boolean.toString(versionFlexible)+"\"";
+       "\"guessSystem\":\""+Boolean.toString(guessSystem)+"\", \"activeOnly\":\""+Boolean.toString(activeOnly)+(exampleOK ? "\", \"exampleOK\":\""+Boolean.toString(exampleOK) : "")+"\", \"membershipOnly\":\""+Boolean.toString(membershipOnly)+"\", \"displayWarningMode\":\""+Boolean.toString(displayWarningMode)+"\", \"versionFlexible\":\""+Boolean.toString(versionFlexible)+"\"";
   }
 
   public String langSummary() {

org.hl7.fhir.validation/src/main/java/org/hl7/fhir/validation/cli/services/ValidationService.java

@@ -652,7 +652,7 @@ public class ValidationService {
     String dst = cliContext.getOutput();
     Utilities.createDirectory(dst);
     
-    Set<TranslationUnit> translations = new HashSet<>();
+    List<TranslationUnit> translations = new ArrayList<>();
     for (String input : cliContext.getInputs()) {
       loadTranslationSource(translations, input);
     }
@@ -671,7 +671,7 @@ public class ValidationService {
     System.out.println("Done - imported "+t+" translations into "+refs.size()+ " in "+dst);
   }
   
-  private void loadTranslationSource(Set<TranslationUnit> translations, String input) {
+  private void loadTranslationSource(List<TranslationUnit> translations, String input) {
     File f = new File(input);
     if (f.exists()) {
       if (f.isDirectory()) {

org.hl7.fhir.validation/src/main/java/org/hl7/fhir/validation/instance/type/ValueSetValidator.java

@@ -295,15 +295,15 @@ public class ValueSetValidator extends BaseValidator {
             System.out.println("  : Validate "+batch.size()+" codes from "+system+" for "+vsid);
           }
           try {
-            context.validateCodeBatch(ValidationOptions.defaults(), batch, null);
+            context.validateCodeBatch(ValidationOptions.defaults().withExampleOK(), batch, null);
             if (parent.isDebug()) {
               System.out.println("  :   .. "+(System.currentTimeMillis()-t)+"ms");
             }
             for (VSCodingValidationRequest cv : batch) {
               if (version == null) {
-                warningOrHint(errors, NO_RULE_DATE, IssueType.BUSINESSRULE, cv.getStack().getLiteralPath(), cv.getResult().isOk(), !retired, I18nConstants.VALUESET_INCLUDE_INVALID_CONCEPT_CODE, system, cv.getCoding().getCode());
+                warningOrHint(errors, NO_RULE_DATE, IssueType.BUSINESSRULE, cv.getStack().getLiteralPath(), cv.getResult().isOk(), !retired, I18nConstants.VALUESET_INCLUDE_INVALID_CONCEPT_CODE, system, cv.getCoding().getCode(), cv.getResult().getMessage());
               } else {
-                warningOrHint(errors, NO_RULE_DATE, IssueType.BUSINESSRULE, cv.getStack().getLiteralPath(), cv.getResult().isOk(), !retired, I18nConstants.VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER, system, version, cv.getCoding().getCode());
+                warningOrHint(errors, NO_RULE_DATE, IssueType.BUSINESSRULE, cv.getStack().getLiteralPath(), cv.getResult().isOk(), !retired, I18nConstants.VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER, system, version, cv.getCoding().getCode(), cv.getResult().getMessage());
               }
             }
           } catch (Exception e) {
@@ -333,7 +333,7 @@ public class ValueSetValidator extends BaseValidator {
     slv.checkConcept(code, display);
 
     if (version == null) {
-      ValidationResult vv = context.validateCode(ValidationOptions.defaults(), new Coding(system, code, null), null);
+      ValidationResult vv = context.validateCode(ValidationOptions.defaults().withExampleOK(), new Coding(system, code, null), null);
       if (vv.getErrorClass() == TerminologyServiceErrorClass.CODESYSTEM_UNSUPPORTED) {
         if (isExampleUrl(system)) {
           if (isAllowExamples()) {
@@ -347,19 +347,19 @@ public class ValueSetValidator extends BaseValidator {
         return false;
       } else {
         boolean ok = vv.isOk();
-        warning(errors, NO_RULE_DATE, IssueType.BUSINESSRULE, stack, ok, I18nConstants.VALUESET_INCLUDE_INVALID_CONCEPT_CODE, system, code);
+        warning(errors, NO_RULE_DATE, IssueType.BUSINESSRULE, stack, ok, I18nConstants.VALUESET_INCLUDE_INVALID_CONCEPT_CODE, system, code, vv.getMessage());
         if (vv.getMessage() != null) {
           hint(errors, NO_RULE_DATE, IssueType.BUSINESSRULE, stack, false, vv.getMessage());
         }
       }
     } else {
-      ValidationResult vv = context.validateCode(ValidationOptions.defaults(), new Coding(system, code, null).setVersion(version), null);
+      ValidationResult vv = context.validateCode(ValidationOptions.defaults().withExampleOK(), new Coding(system, code, null).setVersion(version), null);
       if (vv.getErrorClass() == TerminologyServiceErrorClass.CODESYSTEM_UNSUPPORTED) {
         warning(errors, NO_RULE_DATE, IssueType.BUSINESSRULE, stackInc.getLiteralPath(), false, I18nConstants.VALUESET_UNC_SYSTEM_WARNING_VER, system+"#"+version, vv.getMessage());            
         return false;        
       } else {
         boolean ok = vv.isOk();
-        warning(errors, NO_RULE_DATE, IssueType.BUSINESSRULE, stack, ok, I18nConstants.VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER, system, version, code);
+        warning(errors, NO_RULE_DATE, IssueType.BUSINESSRULE, stack, ok, I18nConstants.VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER, system, version, code, vv.getMessage());
         if (vv.getMessage() != null) {
           hint(errors, NO_RULE_DATE, IssueType.BUSINESSRULE, stack, false, vv.getMessage());
         }

org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/4.0.1/http___something_something.cache

@@ -19,3 +19,23 @@ v: {
 
 }
 -------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://something/something",
+  "code" : "something"
+}, "valueSet" :null, "langs":"en, en-US", "useServer":"true", "useClient":"true", "guessSystem":"false", "activeOnly":"false", "exampleOK":"true", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"true", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "severity" : "error",
+  "error" : "A definition for CodeSystem 'http://something/something' could not be found, so the code cannot be validated",
+  "class" : "CODESYSTEM_UNSUPPORTED",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
+}
+-------------------------------------------------------------------------------------

org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/4.0.1/snomed.cache

@@ -443,6 +443,23 @@ v: {
     "location" : ["CodeableConcept.coding[0].code"],
     "expression" : ["CodeableConcept.coding[0].code"]
   },
+  {
+    "extension" : [{
+      "url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-server",
+      "valueUrl" : "http://tx-dev.fhir.org/r4"
+    }],
+    "severity" : "information",
+    "code" : "invalid",
+    "details" : {
+      "coding" : [{
+        "system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type",
+        "code" : "code-rule"
+      }],
+      "text" : "The code '1419004' is valid but is not active"
+    },
+    "location" : ["CodeableConcept.coding[0].code"],
+    "expression" : ["CodeableConcept.coding[0].code"]
+  },
   {
     "extension" : [{
       "url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-server",
@@ -731,6 +748,23 @@ v: {
     "location" : ["CodeableConcept.coding[0].code"],
     "expression" : ["CodeableConcept.coding[0].code"]
   },
+  {
+    "extension" : [{
+      "url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-server",
+      "valueUrl" : "http://tx-dev.fhir.org/r4"
+    }],
+    "severity" : "information",
+    "code" : "invalid",
+    "details" : {
+      "coding" : [{
+        "system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type",
+        "code" : "code-rule"
+      }],
+      "text" : "The code '324252006' is valid but is not active"
+    },
+    "location" : ["CodeableConcept.coding[0].code"],
+    "expression" : ["CodeableConcept.coding[0].code"]
+  },
   {
     "extension" : [{
       "url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-server",
@@ -922,6 +956,23 @@ v: {
     "location" : ["CodeableConcept.coding[0].code"],
     "expression" : ["CodeableConcept.coding[0].code"]
   },
+  {
+    "extension" : [{
+      "url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-server",
+      "valueUrl" : "http://tx-dev.fhir.org/r4"
+    }],
+    "severity" : "information",
+    "code" : "invalid",
+    "details" : {
+      "coding" : [{
+        "system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type",
+        "code" : "code-rule"
+      }],
+      "text" : "The code '602001' is valid but is not active"
+    },
+    "location" : ["CodeableConcept.coding[0].code"],
+    "expression" : ["CodeableConcept.coding[0].code"]
+  },
   {
     "extension" : [{
       "url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-server",
@@ -1452,6 +1503,23 @@ v: {
     "location" : ["CodeableConcept.coding[0].code"],
     "expression" : ["CodeableConcept.coding[0].code"]
   },
+  {
+    "extension" : [{
+      "url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-server",
+      "valueUrl" : "http://tx-dev.fhir.org/r4"
+    }],
+    "severity" : "information",
+    "code" : "invalid",
+    "details" : {
+      "coding" : [{
+        "system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type",
+        "code" : "code-rule"
+      }],
+      "text" : "The code '1419004' is valid but is not active"
+    },
+    "location" : ["CodeableConcept.coding[0].code"],
+    "expression" : ["CodeableConcept.coding[0].code"]
+  },
   {
     "extension" : [{
       "url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-server",
@@ -6589,6 +6657,23 @@ v: {
     "location" : ["CodeableConcept.coding[0].code"],
     "expression" : ["CodeableConcept.coding[0].code"]
   },
+  {
+    "extension" : [{
+      "url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-server",
+      "valueUrl" : "http://tx-dev.fhir.org/r4"
+    }],
+    "severity" : "information",
+    "code" : "invalid",
+    "details" : {
+      "coding" : [{
+        "system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type",
+        "code" : "code-rule"
+      }],
+      "text" : "The code '58108001' is valid but is not active"
+    },
+    "location" : ["CodeableConcept.coding[0].code"],
+    "expression" : ["CodeableConcept.coding[0].code"]
+  },
   {
     "extension" : [{
       "url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-server",
@@ -7136,7 +7221,6 @@ v: {
   "error" : "Unknown code 'something' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20240201'",
   "class" : "UNKNOWN",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome",
   "issue" : [{
@@ -7193,10 +7277,89 @@ v: {
   "system" : "http://snomed.info/sct",
   "version" : "http://snomed.info/sct/900000000000207008/version/20240201",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
 
 }
 -------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://snomed.info/sct",
+  "code" : "1"
+}, "valueSet" :null, "langs":"en, en-US", "useServer":"true", "useClient":"true", "guessSystem":"false", "activeOnly":"false", "exampleOK":"true", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"true", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "code" : "1",
+  "severity" : "error",
+  "error" : "Unknown code '1' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20240201'",
+  "class" : "UNKNOWN",
+  "server" : "http://tx-dev.fhir.org/r4",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome",
+  "issue" : [{
+    "extension" : [{
+      "url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-server",
+      "valueUrl" : "http://tx-dev.fhir.org/r4"
+    }],
+    "severity" : "error",
+    "code" : "code-invalid",
+    "details" : {
+      "coding" : [{
+        "system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type",
+        "code" : "invalid-code"
+      }],
+      "text" : "Unknown code '1' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20240201'"
+    },
+    "location" : ["Coding.code"],
+    "expression" : ["Coding.code"]
+  }]
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://snomed.info/sct",
+  "code" : "2"
+}, "valueSet" :null, "langs":"en, en-US", "useServer":"true", "useClient":"true", "guessSystem":"false", "activeOnly":"false", "exampleOK":"true", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"true", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "code" : "2",
+  "severity" : "error",
+  "error" : "Unknown code '2' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20240201'",
+  "class" : "UNKNOWN",
+  "server" : "http://tx-dev.fhir.org/r4",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome",
+  "issue" : [{
+    "extension" : [{
+      "url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-server",
+      "valueUrl" : "http://tx-dev.fhir.org/r4"
+    }],
+    "severity" : "error",
+    "code" : "code-invalid",
+    "details" : {
+      "coding" : [{
+        "system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type",
+        "code" : "invalid-code"
+      }],
+      "text" : "Unknown code '2' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20240201'"
+    },
+    "location" : ["Coding.code"],
+    "expression" : ["Coding.code"]
+  }]
+}
+
+}
+-------------------------------------------------------------------------------------

org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/4.0.1/uvsdcCodeSystemCSPHQ9.cache

@@ -15,7 +15,6 @@ v: {
   "system" : "http://hl7.org/fhir/uv/sdc/CodeSystem/CSPHQ9",
   "version" : "3.0.0",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome",
   "issue" : [{
@@ -53,7 +52,6 @@ v: {
   "system" : "http://hl7.org/fhir/uv/sdc/CodeSystem/CSPHQ9",
   "version" : "3.0.0",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome",
   "issue" : [{
@@ -91,7 +89,6 @@ v: {
   "system" : "http://hl7.org/fhir/uv/sdc/CodeSystem/CSPHQ9",
   "version" : "3.0.0",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome",
   "issue" : [{
@@ -123,6 +120,157 @@ v: {
     "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
   }]
 }}####
+v: {
+  "display" : "Nearly every day",
+  "code" : "Nearly every day",
+  "system" : "http://hl7.org/fhir/uv/sdc/CodeSystem/CSPHQ9",
+  "version" : "3.0.0",
+  "server" : "http://tx-dev.fhir.org/r4",
+  "issues" : {
+  "resourceType" : "OperationOutcome",
+  "issue" : [{
+    "extension" : [{
+      "url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-server",
+      "valueUrl" : "http://tx-dev.fhir.org/r4"
+    }],
+    "severity" : "information",
+    "code" : "business-rule",
+    "details" : {
+      "coding" : [{
+        "system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type",
+        "code" : "status-check"
+      }],
+      "text" : "Reference to draft CodeSystem http://hl7.org/fhir/uv/sdc/CodeSystem/CSPHQ9|3.0.0"
+    }
+  }]
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://hl7.org/fhir/uv/sdc/CodeSystem/CSPHQ9",
+  "code" : "Not-at-all"
+}, "valueSet" :null, "langs":"en, en-US", "useServer":"true", "useClient":"true", "guessSystem":"false", "activeOnly":"false", "exampleOK":"true", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"true", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "display" : "Not at all",
+  "code" : "Not-at-all",
+  "system" : "http://hl7.org/fhir/uv/sdc/CodeSystem/CSPHQ9",
+  "version" : "3.0.0",
+  "server" : "http://tx-dev.fhir.org/r4",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome",
+  "issue" : [{
+    "extension" : [{
+      "url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-server",
+      "valueUrl" : "http://tx-dev.fhir.org/r4"
+    }],
+    "severity" : "information",
+    "code" : "business-rule",
+    "details" : {
+      "coding" : [{
+        "system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type",
+        "code" : "status-check"
+      }],
+      "text" : "Reference to draft CodeSystem http://hl7.org/fhir/uv/sdc/CodeSystem/CSPHQ9|3.0.0"
+    }
+  }]
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://hl7.org/fhir/uv/sdc/CodeSystem/CSPHQ9",
+  "code" : "Several-days"
+}, "valueSet" :null, "langs":"en, en-US", "useServer":"true", "useClient":"true", "guessSystem":"false", "activeOnly":"false", "exampleOK":"true", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"true", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "display" : "Several days",
+  "code" : "Several-days",
+  "system" : "http://hl7.org/fhir/uv/sdc/CodeSystem/CSPHQ9",
+  "version" : "3.0.0",
+  "server" : "http://tx-dev.fhir.org/r4",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome",
+  "issue" : [{
+    "extension" : [{
+      "url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-server",
+      "valueUrl" : "http://tx-dev.fhir.org/r4"
+    }],
+    "severity" : "information",
+    "code" : "business-rule",
+    "details" : {
+      "coding" : [{
+        "system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type",
+        "code" : "status-check"
+      }],
+      "text" : "Reference to draft CodeSystem http://hl7.org/fhir/uv/sdc/CodeSystem/CSPHQ9|3.0.0"
+    }
+  }]
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://hl7.org/fhir/uv/sdc/CodeSystem/CSPHQ9",
+  "code" : "More than half the days"
+}, "valueSet" :null, "langs":"en, en-US", "useServer":"true", "useClient":"true", "guessSystem":"false", "activeOnly":"false", "exampleOK":"true", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"true", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "display" : "More than half the days",
+  "code" : "More than half the days",
+  "system" : "http://hl7.org/fhir/uv/sdc/CodeSystem/CSPHQ9",
+  "version" : "3.0.0",
+  "server" : "http://tx-dev.fhir.org/r4",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome",
+  "issue" : [{
+    "extension" : [{
+      "url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-server",
+      "valueUrl" : "http://tx-dev.fhir.org/r4"
+    }],
+    "severity" : "information",
+    "code" : "business-rule",
+    "details" : {
+      "coding" : [{
+        "system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type",
+        "code" : "status-check"
+      }],
+      "text" : "Reference to draft CodeSystem http://hl7.org/fhir/uv/sdc/CodeSystem/CSPHQ9|3.0.0"
+    }
+  }]
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://hl7.org/fhir/uv/sdc/CodeSystem/CSPHQ9",
+  "code" : "Nearly every day"
+}, "valueSet" :null, "langs":"en, en-US", "useServer":"true", "useClient":"true", "guessSystem":"false", "activeOnly":"false", "exampleOK":"true", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"true", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
 v: {
   "display" : "Nearly every day",
   "code" : "Nearly every day",

org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/5.0.0/snomed.cache

@@ -469,7 +469,6 @@ v: {
   "system" : "http://snomed.info/sct",
   "version" : "http://snomed.info/sct/900000000000207008/version/20240201",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -493,7 +492,6 @@ v: {
   "system" : "http://snomed.info/sct",
   "version" : "http://snomed.info/sct/900000000000207008/version/20240201",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -561,7 +559,6 @@ v: {
   "version" : "http://snomed.info/sct/731000124108/version/20230901",
   "server" : "http://tx-dev.fhir.org/r4",
   "inactive" : true,
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome",
   "issue" : [{
@@ -580,6 +577,23 @@ v: {
     },
     "location" : ["CodeableConcept.coding[0].code"],
     "expression" : ["CodeableConcept.coding[0].code"]
+  },
+  {
+    "extension" : [{
+      "url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-server",
+      "valueUrl" : "http://tx-dev.fhir.org/r4"
+    }],
+    "severity" : "information",
+    "code" : "invalid",
+    "details" : {
+      "coding" : [{
+        "system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type",
+        "code" : "code-rule"
+      }],
+      "text" : "The code '132037003' is valid but is not active"
+    },
+    "location" : ["CodeableConcept.coding[0].code"],
+    "expression" : ["CodeableConcept.coding[0].code"]
   }]
 }
 
@@ -644,7 +658,6 @@ v: {
   "system" : "http://snomed.info/sct",
   "version" : "http://snomed.info/sct/900000000000207008/version/20240201",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -667,7 +680,6 @@ v: {
   "system" : "http://snomed.info/sct",
   "version" : "http://snomed.info/sct/900000000000207008/version/20240201",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -691,7 +703,6 @@ v: {
   "system" : "http://snomed.info/sct",
   "version" : "http://snomed.info/sct/900000000000207008/version/20240201",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -715,7 +726,6 @@ v: {
   "system" : "http://snomed.info/sct",
   "version" : "http://snomed.info/sct/900000000000207008/version/20240201",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -739,7 +749,6 @@ v: {
   "error" : "The provided code 'http://snomed.info/sct#106004' was not found in the value set 'http://hl7.org/fhir/ValueSet/clinical-findings--0|5.0.0'",
   "class" : "UNKNOWN",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome",
   "issue" : [{
@@ -786,7 +795,6 @@ v: {
   "system" : "http://snomed.info/sct",
   "version" : "http://snomed.info/sct/900000000000207008/version/20240201",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -810,7 +818,6 @@ v: {
   "system" : "http://snomed.info/sct",
   "version" : "http://snomed.info/sct/900000000000207008/version/20240201",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -835,7 +842,6 @@ v: {
   "version" : "http://snomed.info/sct/900000000000207008/version/20240201",
   "server" : "http://tx-dev.fhir.org/r4",
   "inactive" : true,
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome",
   "issue" : [{
@@ -854,6 +860,23 @@ v: {
     },
     "location" : ["CodeableConcept.coding[0].code"],
     "expression" : ["CodeableConcept.coding[0].code"]
+  },
+  {
+    "extension" : [{
+      "url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-server",
+      "valueUrl" : "http://tx-dev.fhir.org/r4"
+    }],
+    "severity" : "information",
+    "code" : "invalid",
+    "details" : {
+      "coding" : [{
+        "system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type",
+        "code" : "code-rule"
+      }],
+      "text" : "The code '58108001' is valid but is not active"
+    },
+    "location" : ["CodeableConcept.coding[0].code"],
+    "expression" : ["CodeableConcept.coding[0].code"]
   }]
 }
 
@@ -876,7 +899,6 @@ v: {
   "system" : "http://snomed.info/sct",
   "version" : "http://snomed.info/sct/900000000000207008/version/20240201",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -900,7 +922,6 @@ v: {
   "system" : "http://snomed.info/sct",
   "version" : "http://snomed.info/sct/900000000000207008/version/20240201",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -924,7 +945,6 @@ v: {
   "system" : "http://snomed.info/sct",
   "version" : "http://snomed.info/sct/900000000000207008/version/20240201",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -948,7 +968,6 @@ v: {
   "system" : "http://snomed.info/sct",
   "version" : "http://snomed.info/sct/900000000000207008/version/20240201",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -972,7 +991,6 @@ v: {
   "system" : "http://snomed.info/sct",
   "version" : "http://snomed.info/sct/900000000000207008/version/20240201",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -996,7 +1014,6 @@ v: {
   "system" : "http://snomed.info/sct",
   "version" : "http://snomed.info/sct/900000000000207008/version/20240201",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -1020,7 +1037,6 @@ v: {
   "system" : "http://snomed.info/sct",
   "version" : "http://snomed.info/sct/900000000000207008/version/20240201",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -1043,7 +1059,6 @@ v: {
   "system" : "http://snomed.info/sct",
   "version" : "http://snomed.info/sct/900000000000207008/version/20240201",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -1066,7 +1081,6 @@ v: {
   "system" : "http://snomed.info/sct",
   "version" : "http://snomed.info/sct/900000000000207008/version/20240201",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -1083,6 +1097,74 @@ v: {
     "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
   }]
 }}####
+v: {
+  "display" : "No status change",
+  "code" : "260388006",
+  "system" : "http://snomed.info/sct",
+  "version" : "http://snomed.info/sct/900000000000207008/version/20240201",
+  "server" : "http://tx-dev.fhir.org/r4",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://snomed.info/sct",
+  "code" : "230993007"
+}, "valueSet" :null, "langs":"en, en-US", "useServer":"true", "useClient":"true", "guessSystem":"false", "activeOnly":"false", "exampleOK":"true", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"true", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "display" : "Worsening",
+  "code" : "230993007",
+  "system" : "http://snomed.info/sct",
+  "version" : "http://snomed.info/sct/900000000000207008/version/20240201",
+  "server" : "http://tx-dev.fhir.org/r4",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://snomed.info/sct",
+  "code" : "385633008"
+}, "valueSet" :null, "langs":"en, en-US", "useServer":"true", "useClient":"true", "guessSystem":"false", "activeOnly":"false", "exampleOK":"true", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"true", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "display" : "Improving (qualifier value)",
+  "code" : "385633008",
+  "system" : "http://snomed.info/sct",
+  "version" : "http://snomed.info/sct/900000000000207008/version/20240201",
+  "server" : "http://tx-dev.fhir.org/r4",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://snomed.info/sct",
+  "code" : "260388006"
+}, "valueSet" :null, "langs":"en, en-US", "useServer":"true", "useClient":"true", "guessSystem":"false", "activeOnly":"false", "exampleOK":"true", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"true", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
 v: {
   "display" : "No status change",
   "code" : "260388006",