Merge branch 'hapifhir:master' into master

i18n-coverage.csv

@@ -2,4 +2,4 @@ Locale,Coverage #,Coverage %
 de,831,41%
 es,714,35%
 ja,902,44%
-nl,1989,99%
+nl,1989,98%

org.hl7.fhir.r5/src/main/java/org/hl7/fhir/r5/context/BaseWorkerContext.java

@@ -1286,7 +1286,7 @@ public abstract class BaseWorkerContext extends I18nBase implements IWorkerConte
     }
     if (res != null) {
       updateUnsupportedCodeSystems(res, code, getCodeKey(code));
-      return new ValidationResult(res);
+      return res;
     }
 
     List<OperationOutcomeIssueComponent> issues = new ArrayList<>();
@@ -1566,7 +1566,7 @@ public abstract class BaseWorkerContext extends I18nBase implements IWorkerConte
     if (cachingAllowed) {
       res = txCache.getValidation(cacheToken);
       if (res != null) {
-        return new ValidationResult(res);
+        return res;
       }
     }
     for (Coding c : code.getCoding()) {

org.hl7.fhir.r5/src/main/java/org/hl7/fhir/r5/renderers/StructureDefinitionRenderer.java

@@ -1616,19 +1616,34 @@ public class StructureDefinitionRenderer extends ResourceRenderer {
           if (binding!=null && !binding.isEmpty()) { 
             if (!c.getPieces().isEmpty())  
               c.addPiece(gen.new Piece("br")); 
-            BindingResolution br = context.getPkp() == null ? makeNullBr(binding) : context.getPkp().resolveBinding(profile, binding, definition.getPath()); 
-            c.getPieces().add(checkForNoChange(binding, gen.new Piece(null, (context.formatPhrase(RenderingContext.GENERAL_BINDING))+": ", null).addStyle("font-weight:bold"))); 
-            c.getPieces().add(checkForNoChange(binding.getValueSetElement(), checkAddExternalFlag(br, gen.new Piece(br.url == null ? null : Utilities.isAbsoluteUrl(br.url) || !context.getPkp().prependLinks() ? br.url : corePath+br.url, br.display, br.uri)))); 
-            if (binding.hasStrength()) { 
-              c.getPieces().add(checkForNoChange(binding.getStrengthElement(), gen.new Piece(null, " (", null))); 
-              c.getPieces().add(checkForNoChange(binding.getStrengthElement(), gen.new Piece(corePath+"terminologies.html#"+binding.getStrength().toCode(), egt(binding.getStrengthElement()), binding.getStrength().getDefinition())));                             
-              c.getPieces().add(checkForNoChange(binding.getStrengthElement(), gen.new Piece(null, ")", null))); 
-            } 
-            if (binding.hasDescription() && MarkDownProcessor.isSimpleMarkdown(binding.getDescription())) { 
-              c.getPieces().add(gen.new Piece(null, ": ", null)); 
-              c.addMarkdownNoPara(PublicationHacker.fixBindingDescriptions(context.getWorker(), binding.getDescriptionElement()).asStringValue(), checkForNoChange(PublicationHacker.fixBindingDescriptions(context.getWorker(), binding.getDescriptionElement()))); 
-            }  
- 
+            if (!binding.hasValueSet()) {
+              c.getPieces().add(checkForNoChange(binding, gen.new Piece(null, (context.formatPhrase(RenderingContext.GENERAL_BINDING_NO_VS))+": ", null).addStyle("font-weight:bold"))); 
+              if (binding.hasStrength()) { 
+                c.getPieces().add(checkForNoChange(binding.getStrengthElement(), gen.new Piece(null, " (", null))); 
+                c.getPieces().add(checkForNoChange(binding.getStrengthElement(), gen.new Piece(corePath+"terminologies.html#"+binding.getStrength().toCode(), egt(binding.getStrengthElement()), binding.getStrength().getDefinition())));                             
+                c.getPieces().add(checkForNoChange(binding.getStrengthElement(), gen.new Piece(null, ")", null))); 
+              } 
+              if (binding.hasDescription() && MarkDownProcessor.isSimpleMarkdown(binding.getDescription())) { 
+                c.getPieces().add(gen.new Piece(null, ": ", null)); 
+                c.addMarkdownNoPara(PublicationHacker.fixBindingDescriptions(context.getWorker(), binding.getDescriptionElement()).asStringValue(), checkForNoChange(PublicationHacker.fixBindingDescriptions(context.getWorker(), binding.getDescriptionElement()))); 
+              } else {
+                c.getPieces().add(gen.new Piece(null, ": ", null)); 
+                c.addMarkdownNoPara(context.formatPhrase(RenderingContext.GENERAL_BINDING_NO_DESC));
+              }
+            } else {
+              BindingResolution br = context.getPkp() == null ? makeNullBr(binding) : context.getPkp().resolveBinding(profile, binding, definition.getPath()); 
+              c.getPieces().add(checkForNoChange(binding, gen.new Piece(null, (context.formatPhrase(RenderingContext.GENERAL_BINDING))+": ", null).addStyle("font-weight:bold"))); 
+              c.getPieces().add(checkForNoChange(binding.getValueSetElement(), checkAddExternalFlag(br, gen.new Piece(br.url == null ? null : Utilities.isAbsoluteUrl(br.url) || !context.getPkp().prependLinks() ? br.url : corePath+br.url, br.display, br.uri)))); 
+              if (binding.hasStrength()) { 
+                c.getPieces().add(checkForNoChange(binding.getStrengthElement(), gen.new Piece(null, " (", null))); 
+                c.getPieces().add(checkForNoChange(binding.getStrengthElement(), gen.new Piece(corePath+"terminologies.html#"+binding.getStrength().toCode(), egt(binding.getStrengthElement()), binding.getStrength().getDefinition())));                             
+                c.getPieces().add(checkForNoChange(binding.getStrengthElement(), gen.new Piece(null, ")", null))); 
+              } 
+              if (binding.hasDescription() && MarkDownProcessor.isSimpleMarkdown(binding.getDescription())) { 
+                c.getPieces().add(gen.new Piece(null, ": ", null)); 
+                c.addMarkdownNoPara(PublicationHacker.fixBindingDescriptions(context.getWorker(), binding.getDescriptionElement()).asStringValue(), checkForNoChange(PublicationHacker.fixBindingDescriptions(context.getWorker(), binding.getDescriptionElement()))); 
+              }  
+            }
             AdditionalBindingsRenderer abr = new AdditionalBindingsRenderer(context.getPkp(), corePath, profile, definition.getPath(), rc, null, this); 
             abr.seeAdditionalBindings(definition, null, false); 
             if (binding.hasExtension(ToolingExtensions.EXT_MAX_VALUESET)) { 

org.hl7.fhir.r5/src/main/java/org/hl7/fhir/r5/terminologies/utilities/TerminologyCache.java

@@ -628,7 +628,7 @@ public class TerminologyCache {
         return null;
       } else {
         hitCount++;
-        return e.v;
+        return new ValidationResult(e.v);
       }
     }
   }
@@ -640,7 +640,7 @@ public class TerminologyCache {
         CacheEntry e = new CacheEntry();
         e.request = cacheToken.request;
         e.persistent = persistent;
-        e.v = res;
+        e.v = new ValidationResult(res);
         store(cacheToken, persistent, nc, e);
       }    
     }

org.hl7.fhir.r5/src/test/java/org/hl7/fhir/r5/context/BaseWorkerContextTests.java

@@ -330,7 +330,6 @@ public class BaseWorkerContextTests {
 
     ValidationResult actualValidationResult = context.validateCode(validationOptions, coding, valueSet, ctxt);
 
-    assertNotSame(cachedValidationResult, actualValidationResult);
     assertEquals(cachedValidationResult, actualValidationResult);
 
     Mockito.verify(valueSetCheckerSimple, times(0)).validateCode("Coding", coding);
@@ -353,7 +352,7 @@ public class BaseWorkerContextTests {
 
     ValidationResult actualValidationResult = context.validateCode(validationOptions, coding, valueSet, ctxt);
 
-    assertSame(createdValidationResult, actualValidationResult);
+    assertEquals(createdValidationResult, actualValidationResult);
 
     Mockito.verify(valueSetCheckerSimple).validateCode(eq("Coding"), argThat(new CodingMatcher(coding)));
     Mockito.verify(terminologyCache).getValidation(cacheToken);
@@ -379,7 +378,7 @@ public class BaseWorkerContextTests {
 
     ValidationResult actualValidationResult = context.validateCode(validationOptions, coding, valueSet, ctxt);
 
-    assertSame(createdValidationResult, actualValidationResult);
+    assertEquals(createdValidationResult, actualValidationResult);
 
     Mockito.verify(valueSetCheckerSimple, times(0)).validateCode("Coding", coding);
     Mockito.verify(terminologyCache).getValidation(cacheToken);
@@ -395,7 +394,6 @@ public class BaseWorkerContextTests {
     Mockito.doReturn(cachedValidationResult).when(terminologyCache).getValidation(cacheToken);
 
     ValidationResult actualValidationResult = context.validateCode(CacheTestUtils.validationOptions, codeableConcept, valueSet);
-    assertNotSame(cachedValidationResult, actualValidationResult);
     assertEquals(cachedValidationResult, actualValidationResult);
 
     Mockito.verify(valueSetCheckerSimple, times(0)).validateCode("CodeableConcept", codeableConcept);
@@ -414,7 +412,7 @@ public class BaseWorkerContextTests {
     Mockito.doReturn(cacheToken).when(terminologyCache).generateValidationToken(CacheTestUtils.validationOptions, codeableConcept, valueSet, expParameters);
 
     ValidationResult validationResultB = context.validateCode(CacheTestUtils.validationOptions, codeableConcept, valueSet);
-    assertSame(createdValidationResult, validationResultB);
+    assertEquals(createdValidationResult, validationResultB);
 
     Mockito.verify(valueSetCheckerSimple).validateCode("CodeableConcept", codeableConcept);
     Mockito.verify(terminologyCache).cacheValidation(eq(cacheToken), same(createdValidationResult), eq(false));
@@ -462,7 +460,7 @@ public class BaseWorkerContextTests {
 
     ValueSetExpansionOutcome actualExpansionResult = context.expandVS(inc, true, false);
 
-    assertSame(expectedExpansionResult, actualExpansionResult);
+    assertEquals(expectedExpansionResult, actualExpansionResult);
 
     Mockito.verify(terminologyCache).getExpansion(cacheToken);
     Mockito.verify(terminologyCache, times(0)).cacheExpansion(any(), any(), anyBoolean());

org.hl7.fhir.r5/src/test/java/org/hl7/fhir/r5/context/TerminologyCacheTests.java

@@ -1,10 +1,5 @@
 package org.hl7.fhir.r5.context;
 
-import static org.junit.jupiter.api.Assertions.assertEquals;
-import static org.junit.jupiter.api.Assertions.assertFalse;
-import static org.junit.jupiter.api.Assertions.assertNull;
-import static org.junit.jupiter.api.Assertions.assertTrue;
-
 import java.io.File;
 import java.io.IOException;
 import java.io.InputStream;
@@ -44,6 +39,8 @@ import org.junit.jupiter.params.provider.MethodSource;
 import com.google.gson.JsonElement;
 import com.google.gson.JsonParser;
 
+import static org.junit.jupiter.api.Assertions.*;
+
 public class TerminologyCacheTests implements ResourceLoaderTests {
 
   static final ValueSet.ConceptSetComponent include = new ValueSet.ConceptSetComponent();
@@ -93,7 +90,7 @@ public class TerminologyCacheTests implements ResourceLoaderTests {
   }
 
   @Test
-  public void testCachePersistence() throws IOException, URISyntaxException {
+  public void testCachePersistence() throws IOException {
     String address = "/...";
     
     Object lock = new Object();
@@ -115,8 +112,6 @@ public class TerminologyCacheTests implements ResourceLoaderTests {
 
     CodeableConcept concept = new CodeableConcept();
     concept.addCoding(new Coding().setCode("dummyCode"));
-    ValueSet ccvalueSet = new ValueSet();
-
 
     // Add dummy results to the cache
     TerminologyCache terminologyCacheA = new TerminologyCache(lock, tempCacheDirectory.toString());
@@ -143,8 +138,13 @@ public class TerminologyCacheTests implements ResourceLoaderTests {
       assertEquals(terminologyCapabilities, terminologyCacheA.getTerminologyCapabilities(address));
       assertEquals(capabilityStatement, terminologyCacheA.getCapabilityStatement(address));
 
-      assertValidationResultEquals(codingResultA, terminologyCacheA.getValidation(codingTokenA));
-      assertValidationResultEquals(codeableConceptResultA, terminologyCacheA.getValidation(codeableConceptTokenA));
+      ValidationResult retrievedCodingResultA = terminologyCacheA.getValidation(codingTokenA);
+      assertNotSame(codingResultA, retrievedCodingResultA);
+      assertValidationResultEquals(codingResultA, retrievedCodingResultA);
+
+      ValidationResult retrievedCodeableConceptResultA = terminologyCacheA.getValidation(codeableConceptTokenA);
+      assertNotSame(codeableConceptResultA, retrievedCodeableConceptResultA);
+      assertValidationResultEquals(codeableConceptResultA, retrievedCodeableConceptResultA);
       assertExpansionOutcomeEquals(expansionOutcomeA,terminologyCacheA.getExpansion(expansionTokenA));
     }
 
@@ -155,13 +155,64 @@ public class TerminologyCacheTests implements ResourceLoaderTests {
       assertCanonicalResourceEquals(terminologyCapabilities, terminologyCacheB.getTerminologyCapabilities(address));
       assertCanonicalResourceEquals(capabilityStatement, terminologyCacheB.getCapabilityStatement(address));
 
-      assertValidationResultEquals(codingResultA, terminologyCacheB.getValidation(terminologyCacheA.generateValidationToken(CacheTestUtils.validationOptions, coding, valueSet, new Parameters())));
-      assertValidationResultEquals(codeableConceptResultA, terminologyCacheB.getValidation(terminologyCacheA.generateValidationToken(CacheTestUtils.validationOptions, concept, valueSet, new Parameters())));
+      ValidationResult retrievedCodingResultA = terminologyCacheB.getValidation(terminologyCacheA.generateValidationToken(CacheTestUtils.validationOptions, coding, valueSet, new Parameters()));
+      assertNotSame(codingResultA, retrievedCodingResultA);
+      assertValidationResultEquals(codingResultA, retrievedCodingResultA);
+
+      ValidationResult retrievedCodeableConceptResultA = terminologyCacheB.getValidation(terminologyCacheA.generateValidationToken(CacheTestUtils.validationOptions, concept, valueSet, new Parameters()));
+      assertNotSame(codeableConceptResultA, retrievedCodeableConceptResultA);
+      assertValidationResultEquals(codeableConceptResultA, retrievedCodeableConceptResultA);
       assertExpansionOutcomeEquals(expansionOutcomeA,terminologyCacheB.getExpansion(terminologyCacheA.generateExpandToken(valueSet, true)));
     }
     deleteTempCacheDirectory(tempCacheDirectory);
   }
 
+  @Test
+  public void testCacheMakesCopiesOfResults() throws IOException{
+
+    Object lock = new Object();
+    Path tempCacheDirectory = createTempCacheDirectory();
+
+    TerminologyCache terminologyCache = new TerminologyCache(lock, tempCacheDirectory.toString());
+
+    Coding coding = new Coding();
+    coding.setCode("dummyCode");
+
+    CodeableConcept concept = new CodeableConcept();
+    concept.addCoding(new Coding().setCode("dummyCode"));
+
+    ValueSet valueSet = new ValueSet();
+    valueSet.setUrl("dummyValueSetURL");
+
+    ValidationResult codingResult = new ValidationResult(ValidationMessage.IssueSeverity.INFORMATION, "dummyInfo", null);
+    TerminologyCache.CacheToken codingToken = terminologyCache.generateValidationToken(CacheTestUtils.validationOptions,
+      coding, valueSet, new Parameters());
+    terminologyCache.cacheValidation(codingToken, codingResult, true);
+
+    ValidationResult retrievedCodingResult = terminologyCache.getValidation(codingToken);
+    assertEquals(codingResult, retrievedCodingResult);
+
+    codingResult.setMessage("changed");
+
+    retrievedCodingResult = terminologyCache.getValidation(codingToken);
+    assertNotEquals(codingResult, retrievedCodingResult);
+    assertEquals("dummyInfo", retrievedCodingResult.getMessage());
+
+    ValidationResult codeableConceptResult = new ValidationResult(ValidationMessage.IssueSeverity.INFORMATION, "dummyInfo", null);
+    TerminologyCache.CacheToken codeableConceptToken = terminologyCache.generateValidationToken(CacheTestUtils.validationOptions,
+      concept, valueSet, new Parameters());
+    terminologyCache.cacheValidation(codeableConceptToken, codeableConceptResult, true);
+
+    ValidationResult retrievedCodeableConceptResult = terminologyCache.getValidation(codeableConceptToken);
+    assertEquals(codeableConceptResult, retrievedCodeableConceptResult);
+
+    codeableConceptResult.setMessage("changed");
+
+    retrievedCodeableConceptResult = terminologyCache.getValidation(codeableConceptToken);
+    assertNotEquals(codeableConceptResult, retrievedCodeableConceptResult);
+    assertEquals("dummyInfo", retrievedCodeableConceptResult.getMessage());
+  }
+
   private void assertCanonicalResourceEquals(CanonicalResource a, CanonicalResource b) {
     assertTrue(a.equalsDeep(b));
   }

org.hl7.fhir.utilities/src/main/java/org/hl7/fhir/utilities/Utilities.java

@@ -830,7 +830,7 @@ public class Utilities {
 
 
   public static String encodeUri(String v) {
-    return v.replace(" ", "%20").replace("?", "%3F").replace("=", "%3D").replace("|", "%7C").replace("+", "%2B");
+    return v.replace("%", "%25").replace(" ", "%20").replace("?", "%3F").replace("=", "%3D").replace("|", "%7C").replace("+", "%2B");
   }
 
 

org.hl7.fhir.utilities/src/main/java/org/hl7/fhir/utilities/i18n/RenderingI18nContext.java

@@ -325,6 +325,8 @@ public class RenderingI18nContext extends I18nBase {
   public static final String OBLIG_ELE = "OBLIG_ELE";
   public static final String GENERAL_OBLIG = "GENERAL_OBLIG";
   public static final String GENERAL_BINDING = "GENERAL_BINDING";
+  public static final String GENERAL_BINDING_NO_VS = "GENERAL_BINDING_NO_VS";
+  public static final String GENERAL_BINDING_NO_DESC = "GENERAL_BINDING_NO_DESC";
   public static final String GENERAL_CARDINALITY = "GENERAL_CARDINALITY";
   public static final String OP_DEF_INPAR = "OP_DEF_INPAR";
   public static final String OP_DEF_OFFIC = "OP_DEF_OFFIC";

org.hl7.fhir.utilities/src/main/resources/Messages.properties

@@ -1132,5 +1132,5 @@ TYPE_SPECIFIC_CHECKS_DT_XHTML_ACTIVE_HREF = Hyperlink scheme ''{3}'' in ''{0}''
 TYPE_SPECIFIC_CHECKS_DT_XHTML_UNKNOWN_HREF = Hyperlink scheme ''{3}'' in ''{0}'' at ''{1}'' for ''{2}'' is not a widely supported protocol and should be checked
 TYPE_SPECIFIC_CHECKS_DT_XHTML_LITERAL_HREF = Hyperlink scheme ''{3}'' in ''{0}'' at ''{1}'' for ''{2}'' is not a valid hyperlinkable scheme
 SM_TARGET_TYPE_UNKNOWN = The type of the target variable is not known: {0}
-XHTML_XHTML_ATTRIBUTE_XML_SPACE = The attribute 'xml:space' is legal in XHTML 1.0, and therefore in resources, but was removed in XHTML 1.1, and for this reason it''s use is strongly discouraged
+XHTML_XHTML_ATTRIBUTE_XML_SPACE = The attribute 'xml:space' is legal but has a fixed value of 'preserve'. It''s use is discouraged
  

org.hl7.fhir.utilities/src/main/resources/rendering-phrases.properties

@@ -311,6 +311,8 @@ OBLIG_ACT = Actor
 OBLIG_ELE = Elements
 GENERAL_OBLIG = Obligations
 GENERAL_BINDING = Binding
+GENERAL_BINDING_NO_VS = Binding Description (No ValueSet)
+GENERAL_BINDING_NO_DESC = No description provided
 GENERAL_CARDINALITY = Cardinality
 OP_DEF_INPAR = Input parameters Profile:
 OP_DEF_OFFIC = The official URL for this operation definition is:

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

@@ -110,8 +110,13 @@ public class ValidationService {
 
     TimeTracker timeTracker = new TimeTracker();
     String sessionId = initializeValidator(request.getCliContext(), null, timeTracker, request.sessionId);
-    ValidationEngine validator = sessionCache.fetchSessionValidatorEngine(sessionId);
+    ValidationEngine validationEngine = sessionCache.fetchSessionValidatorEngine(sessionId);
 
+    /* Cached validation engines already have expensive setup like loading definitions complete. But it wouldn't make
+       sense to rebuild a whole engine to change the language, so we manually change it here.
+     */
+    validationEngine.setLanguage(request.getCliContext().getLang());
+    validationEngine.setLocale(request.getCliContext().getLocale());
     if (request.getCliContext().getProfiles().size() > 0) {
       System.out.println("  .. validate " + request.listSourceFiles() + " against " + request.getCliContext().getProfiles().toString());
     } else {
@@ -122,7 +127,7 @@ public class ValidationService {
 
     for (FileInfo fileToValidate : request.getFilesToValidate()) {
       if (fileToValidate.getFileType() == null) {
-        Manager.FhirFormat format = ResourceChecker.checkIsResource(validator.getContext(),
+        Manager.FhirFormat format = ResourceChecker.checkIsResource(validationEngine.getContext(),
           false,
           fileToValidate.getFileContent().getBytes(),
           fileToValidate.getFileName(),
@@ -139,7 +144,7 @@ public class ValidationService {
             new FileInfo(fileToValidate.getFileName(), fileToValidate.getFileContent(), null));
           response.addOutcome(outcome);
       } else {
-        ValidatedFragments validatedFragments = validator.validateAsFragments(fileToValidate.getFileContent().getBytes(), Manager.FhirFormat.getFhirFormat(fileToValidate.getFileType()),
+        ValidatedFragments validatedFragments = validationEngine.validateAsFragments(fileToValidate.getFileContent().getBytes(), Manager.FhirFormat.getFhirFormat(fileToValidate.getFileType()),
           request.getCliContext().getProfiles(), messages);
 
         List<ValidationOutcome> validationOutcomes = getValidationOutcomesFromValidatedFragments(fileToValidate, validatedFragments);
@@ -510,17 +515,11 @@ public class ValidationService {
     ValidationEngine validationEngine;
     if (cliContext.getBaseEngine() != null && hasBaseEngineForKey(cliContext.getBaseEngine())) {
       validationEngine = new ValidationEngine(getBaseEngine(cliContext.getBaseEngine()));
-      /* As a service, it wouldn't be efficient to have a base validation engine
-       * for every language. So we just use the baseEngine and set the language
-       * manually afterward.
-       */
-      validationEngine.setLanguage(cliContext.getLang());
-      validationEngine.setLocale(cliContext.getLocale());
     } else {
       if (definitions == null) {
         throw new IllegalArgumentException("Cannot create a validator engine (definitions == null)");
       }
-      validationEngine  = buildValidationEngine(cliContext, definitions, tt);
+      validationEngine = buildValidationEngine(cliContext, definitions, tt);
     }
     return validationEngine;
   }

org.hl7.fhir.validation/src/main/java/org/hl7/fhir/validation/instance/InstanceValidator.java

@@ -39,19 +39,7 @@ import java.io.InputStream;
 import java.math.BigDecimal;
 import java.net.URI;
 import java.net.URISyntaxException;
-import java.util.ArrayList;
-import java.util.Arrays;
-import java.util.Calendar;
-import java.util.Collection;
-import java.util.Collections;
-import java.util.EnumSet;
-import java.util.HashMap;
-import java.util.HashSet;
-import java.util.List;
-import java.util.Map;
-import java.util.Set;
-import java.util.Stack;
-import java.util.UUID;
+import java.util.*;
 
 import javax.annotation.Nonnull;
 
@@ -1932,7 +1920,7 @@ public class InstanceValidator extends BaseValidator implements IResourceValidat
     } else {
       try {
         long t = System.nanoTime();
-        ValidationResult vr = checkCodeOnServer(stack, valueset, value, baseOptions.withLanguage(stack.getWorkingLang()));
+        ValidationResult vr = checkCodeOnServer(stack, valueset, value, baseOptions);
         ok = processTxIssues(errors, vr, element, path, null, "ex-checkMaxValueSet-3", false, maxVSUrl) && ok;
         timeTracker.tx(t, "vc "+value);
         if (!vr.isOk()) {
@@ -3300,7 +3288,7 @@ public class InstanceValidator extends BaseValidator implements IResourceValidat
           boolean bok = an.startsWith("xmlns") || HTML_ATTRIBUTES.contains(an) || HTML_COMBO_LIST.contains(node.getName() + "." + an);          
           if (!bok) {
             if ("xml:space".equals(an)) {
-              warning(errors, "2024-08-03", IssueType.INVALID, e.line(), e.col(), path, false, I18nConstants.XHTML_XHTML_ATTRIBUTE_XML_SPACE, an, node.getName());              
+              hint(errors, "2024-08-03", IssueType.INVALID, e.line(), e.col(), path, false, I18nConstants.XHTML_XHTML_ATTRIBUTE_XML_SPACE, an, node.getName());              
             } else {
               ok = rule(errors, NO_RULE_DATE, IssueType.INVALID, e.line(), e.col(), path, false, I18nConstants.XHTML_XHTML_ATTRIBUTE_ILLEGAL, an, node.getName()) && ok;
             }
@@ -3516,7 +3504,7 @@ public class InstanceValidator extends BaseValidator implements IResourceValidat
           long t = System.nanoTime();
           ValidationResult vr = null;
           if (binding.getStrength() != BindingStrength.EXAMPLE) {
-            ValidationOptions options = baseOptions.withLanguage(stack.getWorkingLang()).withGuessSystem();
+            ValidationOptions options = baseOptions.withGuessSystem();
             if (!validationPolicy.contains(CodedContentValidationAction.InvalidCode) && !validationPolicy.contains(CodedContentValidationAction.InvalidDisplay)) {
               options = options.withCheckValueSetOnly();              
             }
@@ -7495,7 +7483,8 @@ public class InstanceValidator extends BaseValidator implements IResourceValidat
 
 
   public ValidationResult checkCodeOnServer(NodeStack stack, ValueSet vs, String value, ValidationOptions options) {
-    return checkForInactive(filterOutSpecials(stack.getLiteralPath(), vs, context.validateCode(options, value, vs)), new CodeType(value));
+    String lang = getValidationOptionsLanguage(stack);
+    return checkForInactive(filterOutSpecials(stack.getLiteralPath(), vs, context.validateCode(options.withLanguage(lang), value, vs)), new CodeType(value));
   }
 
   static class CheckCodeOnServerException extends Exception {
@@ -7504,25 +7493,36 @@ public class InstanceValidator extends BaseValidator implements IResourceValidat
     }
   }
 
+  public String getValidationOptionsLanguage(NodeStack stack) {
+    if (stack.getWorkingLang() != null) {
+      return stack.getWorkingLang();
+    }
+    if (validationLanguage != null) {
+      return validationLanguage;
+    }
+    if (context.getLocale() != null) {
+      return context.getLocale().toLanguageTag();
+    }
+    return Locale.US.toLanguageTag();
+  }
   // no delay on this one? 
   public ValidationResult checkCodeOnServer(NodeStack stack, String code, String system, String version, String display, boolean checkDisplay) {
-    String lang = stack.getWorkingLang();
-    if (lang == null) {
-      lang = validationLanguage;
-    }
+    String lang = getValidationOptionsLanguage(stack);
     codingObserver.seeCode(stack, system, version, code, display);
     return checkForInactive(filterOutSpecials(stack.getLiteralPath(), null, context.validateCode(baseOptions.withLanguage(lang), system, version, code, checkDisplay ? display : null)), new Coding(system, version, code, display));
   }
 
   public ValidationResult checkCodeOnServer(NodeStack stack, ValueSet valueset, Coding c) {
     codingObserver.seeCode(stack, c);
-    return checkForInactive(filterOutSpecials(stack.getLiteralPath(), valueset, context.validateCode(baseOptions.withLanguage(stack.getWorkingLang()), c, valueset)), c);
+    String lang = getValidationOptionsLanguage(stack);
+    return checkForInactive(filterOutSpecials(stack.getLiteralPath(), valueset, context.validateCode(baseOptions.withLanguage(lang), c, valueset)), c);
   }
-  
+
   public ValidationResult checkCodeOnServer(NodeStack stack, ValueSet valueset, CodeableConcept cc) throws CheckCodeOnServerException {
     codingObserver.seeCode(stack, cc);
     try {
-      return checkForInactive(filterOutSpecials(stack.getLiteralPath(), valueset, context.validateCode(baseOptions.withLanguage(stack.getWorkingLang()), cc, valueset)), cc);
+      String lang = getValidationOptionsLanguage(stack);
+      return checkForInactive(filterOutSpecials(stack.getLiteralPath(), valueset, context.validateCode(baseOptions.withLanguage(lang), cc, valueset)), cc);
     } catch (Exception e) {
       throw new CheckCodeOnServerException(e);
     }

org.hl7.fhir.validation/src/test/java/org/hl7/fhir/validation/instance/InstanceValidatorTest.java

@@ -1,7 +0,0 @@
-package org.hl7.fhir.validation.instance;
-
-class InstanceValidatorTest {
-
-
-
-}

org.hl7.fhir.validation/src/test/java/org/hl7/fhir/validation/instance/InstanceValidatorTests.java

@@ -0,0 +1,57 @@
+package org.hl7.fhir.validation.instance;
+
+import org.hl7.fhir.r5.terminologies.utilities.ValidationResult;
+import org.hl7.fhir.utilities.validation.ValidationMessage;
+import org.hl7.fhir.utilities.validation.ValidationOptions;
+import org.hl7.fhir.r5.context.IWorkerContext;
+import org.hl7.fhir.r5.model.CodeableConcept;
+import org.hl7.fhir.r5.model.ValueSet;
+import org.hl7.fhir.validation.instance.utils.NodeStack;
+import org.junit.jupiter.api.Assertions;
+import org.junit.jupiter.api.Test;
+import org.mockito.ArgumentCaptor;
+
+import java.util.Collections;
+import java.util.Locale;
+
+import static org.junit.Assert.assertEquals;
+import static org.mockito.ArgumentMatchers.any;
+import static org.mockito.Mockito.*;
+
+class InstanceValidatorTests {
+
+  @Test
+  public void testCheckCodeOnServerNoStackLocale() throws InstanceValidator.CheckCodeOnServerException {
+      NodeStack stack =mock(NodeStack.class);
+      testCheckCodeOnServer(stack, "ko-KR");
+  }
+
+  @Test
+  public void testCheckCodeOnServerStackLocale() throws InstanceValidator.CheckCodeOnServerException {
+      NodeStack stack =mock(NodeStack.class);
+      when(stack.getWorkingLang()).thenReturn("fr-CA");
+      testCheckCodeOnServer(stack, "fr-CA");
+  }
+
+  private void testCheckCodeOnServer(NodeStack stack, String expectedLocale) throws InstanceValidator.CheckCodeOnServerException {
+    IWorkerContext context = mock(IWorkerContext.class);
+    when(context.getLocale()).thenReturn(Locale.KOREA);
+    when(context.getVersion()).thenReturn("5.0.1");
+    InstanceValidator instanceValidator = new InstanceValidator(context, null, null);
+
+
+    when(context.validateCode((ValidationOptions) any(ValidationOptions.class), (CodeableConcept) any(CodeableConcept.class), (ValueSet)any(ValueSet.class))).thenReturn(new ValidationResult(ValidationMessage.IssueSeverity.NULL, "Blah!", Collections.emptyList()));
+
+    CodeableConcept codeableConcept = mock(CodeableConcept.class);
+    ValueSet valueSet = mock(ValueSet.class);
+    instanceValidator.checkCodeOnServer(stack, valueSet, codeableConcept);
+
+    ArgumentCaptor<ValidationOptions> validationOptionsArgumentCaptor = ArgumentCaptor.forClass(ValidationOptions.class);
+    verify(context).validateCode(validationOptionsArgumentCaptor.capture(), eq(codeableConcept), eq(valueSet));
+
+    ValidationOptions options = validationOptionsArgumentCaptor.getValue();
+
+    Assertions.assertEquals(expectedLocale, options.getLanguages().getSource());
+  }
+
+}

org.hl7.fhir.validation/src/test/java/org/hl7/fhir/validation/tests/ValidationEngineTests.java

@@ -120,6 +120,26 @@ public class ValidationEngineTests {
     ve.getContext().getTxClientManager().getMasterClient().setLogger(logger);
     OperationOutcome op = ve.validate(FhirFormat.XML, TestingUtilities.loadTestResourceStream("validator", "patient-example.xml"), null);
     Assertions.assertTrue(checkOutcomes("test401Xml", op, "[] null information/informational: All OK"));
+    verifyNoTerminologyRequests(logger);
+  }
+
+  /**
+   * <p
+   * Verify that no terminology requests were made during validation.
+   * </p>
+   * <p>
+   * This test may fail if the terminology caches in src/test/resources/txCache have been cleared.
+   * </p>
+   * <p>
+   * If this is the case, running the test should fail on the first run, and then pass on subsequents runs.
+   * </p>
+   * <p>
+   * Once it passes, the newly generated cache files should be committed to the repository.
+   * </p>
+   *
+   * @param logger A logger that captures terminology requests
+   */
+  private static void verifyNoTerminologyRequests(CacheVerificationLogger logger) {
     assertTrue(logger.verifyHasNoRequests(), "Unexpected request to TX server");
   }
 
@@ -132,7 +152,7 @@ public class ValidationEngineTests {
     ve.getContext().getTxClientManager().getMasterClient().setLogger(logger);
     OperationOutcome op = ve.validate(FhirFormat.JSON, TestingUtilities.loadTestResourceStream("validator", "patient-example.json"), null);
     Assertions.assertTrue(checkOutcomes("test401Json", op, "[] null information/informational: All OK"));
-    assertTrue(logger.verifyHasNoRequests(), "Unexpected request to TX server");
+    verifyNoTerminologyRequests(logger);
   }
 
   private boolean checkOutcomes(String id, OperationOutcome op, String text) {
@@ -162,7 +182,7 @@ public class ValidationEngineTests {
     ve.getContext().getTxClientManager().getMasterClient().setLogger(logger);
     OperationOutcome op = ve.validate(FhirFormat.XML, TestingUtilities.loadTestResourceStream("validator", "patient-example.xml"), null);
     Assertions.assertTrue(checkOutcomes("test430Xml", op, "[] null information/informational: All OK"));
-    assertTrue(logger.verifyHasNoRequests(), "Unexpected request to TX server");
+    verifyNoTerminologyRequests(logger);
   }
 
   @Test
@@ -174,7 +194,7 @@ public class ValidationEngineTests {
     ve.getContext().getTxClientManager().getMasterClient().setLogger(logger);
     OperationOutcome op = ve.validate(FhirFormat.JSON, TestingUtilities.loadTestResourceStream("validator", "patient-example.json"), null);
     Assertions.assertTrue(checkOutcomes("test430Json", op, "[] null information/informational: All OK"));
-    assertTrue(logger.verifyHasNoRequests(), "Unexpected request to TX server");
+    verifyNoTerminologyRequests(logger);
   }
 
   @Test
@@ -190,7 +210,7 @@ public class ValidationEngineTests {
     ve.getContext().getTxClientManager().getMasterClient().setLogger(logger);
     OperationOutcome op = ve.validate(FhirFormat.XML, TestingUtilities.loadTestResourceStream("validator", "patient140.xml"), null);
     Assertions.assertTrue(checkOutcomes("test140", op, "Patient.contact[0].name.family[0].extension[0].value.ofType(code) null error/code-invalid: The value provided ('VV') was not found in the value set 'EntityNamePartQualifier' (http://hl7.org/fhir/ValueSet/name-part-qualifier|1.4.0), and a code is required from this value set  (error message = The System URI could not be determined for the code 'VV' in the ValueSet 'http://hl7.org/fhir/ValueSet/name-part-qualifier|1.4.0'; The provided code '#VV' was not found in the value set 'http://hl7.org/fhir/ValueSet/name-part-qualifier|1.4.0')"));
-    assertTrue(logger.verifyHasNoRequests(), "Unexpected request to TX server");
+    verifyNoTerminologyRequests(logger);
   }
 
   @Test
@@ -208,7 +228,7 @@ public class ValidationEngineTests {
     OperationOutcome op = ve.validate(FhirFormat.XML, TestingUtilities.loadTestResourceStream("validator", "patient102.xml"), null);
     Assertions.assertTrue(checkOutcomes("test102", op, 
         "Patient.contact[0].name.family[0].extension[0].value.ofType(code) null error/code-invalid: The value provided ('VV') was not found in the value set 'EntityNamePartQualifier' (http://hl7.org/fhir/ValueSet/name-part-qualifier|1.0.2), and a code is required from this value set  (error message = The System URI could not be determined for the code 'VV' in the ValueSet 'http://hl7.org/fhir/ValueSet/name-part-qualifier|1.0.2'; The provided code '#VV' was not found in the value set 'http://hl7.org/fhir/ValueSet/name-part-qualifier|1.0.2')"));
-    assertTrue(logger.verifyHasNoRequests(), "Unexpected request to TX server");
+    verifyNoTerminologyRequests(logger);
   }
 
   @Test
@@ -230,7 +250,7 @@ public class ValidationEngineTests {
         "Observation.code.coding[2].system null information/not-found: A definition for CodeSystem 'http://acme.org/devices/clinical-codes' could not be found, so the code cannot be validated\n"+
         "Observation null warning/invalid: Best Practice Recommendation: In general, all observations should have a performer\n"+
         "Observation null warning/invalid: Best Practice Recommendation: In general, all observations should have an effective[x] ()"));
-    assertTrue(logger.verifyHasNoRequests(), "Unexpected request to TX server");
+    verifyNoTerminologyRequests(logger);
   }
 
 
@@ -247,7 +267,7 @@ public class ValidationEngineTests {
     Assertions.assertTrue(checkOutcomes("test301", op,
         "Observation.code.coding[3].system null information/not-found: A definition for CodeSystem 'http://acme.org/devices/clinical-codes' could not be found, so the code cannot be validated\n"+
         "Observation null warning/invalid: Best Practice Recommendation: In general, all observations should have a performer"));
-    assertTrue(logger.verifyHasNoRequests(), "Unexpected request to TX server");
+    verifyNoTerminologyRequests(logger);
   }
 
   @Test
@@ -265,7 +285,7 @@ public class ValidationEngineTests {
     profiles.add("http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient");
     OperationOutcome op = ve.validate(FhirFormat.XML, TestingUtilities.loadTestResourceStream("validator", "patient301.xml"), profiles);
     Assertions.assertTrue(checkOutcomes("test301USCore", op, "Patient.name[1] null error/structure: Patient.name.family: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient|1.0.1)"));
-    assertTrue(logger.verifyHasNoRequests(), "Unexpected request to TX server");
+    verifyNoTerminologyRequests(logger);
   }
 
 
@@ -291,7 +311,7 @@ public class ValidationEngineTests {
 
         "Observation.code null warning/not-found: Unable to check whether the code is in the value set 'http://hl7.org/fhir/ValueSet/observation-vitalsignresult|4.0.1' because the code system http://loinc.org was not found\n"+
       "Observation null warning/invariant: Constraint failed: dom-6: 'A resource should have narrative for robust management' (defined in http://hl7.org/fhir/StructureDefinition/DomainResource) (Best Practice Recommendation)"));
-    assertTrue(logger.verifyHasNoRequests(), "Unexpected request to TX server");
+    verifyNoTerminologyRequests(logger);
   }
 
 

org.hl7.fhir.validation/src/test/java/org/hl7/fhir/validation/tests/utilities/TestUtilities.java

@@ -29,6 +29,8 @@ public class TestUtilities {
       .fromSource(src);
 
     TerminologyCache.setCacheErrors(true);
+    validationEngine.setLanguage("en-US");
+    validationEngine.setLocale(Locale.US);
     return validationEngine;
   }
 
@@ -45,7 +47,8 @@ public class TestUtilities {
       .withVersion(vString)
       .withUserAgent(TestConstants.USER_AGENT)
       .fromSource(src);
-
+    validationEngine.setLanguage("en-US");
+    validationEngine.setLocale(Locale.US);
     return validationEngine;
   }
   public static ValidationEngine getValidationEngine(java.lang.String src, java.lang.String txServer, FhirPublication version, java.lang.String vString) throws Exception {
@@ -66,7 +69,8 @@ public class TestUtilities {
         .fromSource(src);
       TerminologyCache.setCacheErrors(true);
     }
-
+    validationEngine.setLanguage("en-US");
+    validationEngine.setLocale(Locale.US);
     validationEngine.setPolicyAdvisor(new BasePolicyAdvisorForFullValidation(ReferenceValidationPolicy.IGNORE));
     return validationEngine;
   }

org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/1.0.2/http___acme.org_devices_clinical-codes.cache

@@ -79,3 +79,84 @@ v: {
 
 }
 -------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://acme.org/devices/clinical-codes",
+  "code" : "body-weight",
+  "display" : "Body Weight"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "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" : "body-weight",
+  "severity" : "error",
+  "error" : "A definition for CodeSystem 'http://acme.org/devices/clinical-codes' could not be found, so the code cannot be validated",
+  "class" : "CODESYSTEM_UNSUPPORTED",
+  "server" : "http://tx-dev.fhir.org/r2",
+  "unknown-systems" : "http://acme.org/devices/clinical-codes",
+  "issues" : {
+  "resourceType" : "OperationOutcome",
+  "issue" : [{
+    "extension" : [{
+      "url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-server",
+      "valueUrl" : "http://tx-dev.fhir.org/r2"
+    }],
+    "severity" : "error",
+    "code" : "not-found",
+    "details" : {
+      "coding" : [{
+        "system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type",
+        "code" : "not-found"
+      }],
+      "text" : "A definition for CodeSystem 'http://acme.org/devices/clinical-codes' could not be found, so the code cannot be validated"
+    },
+    "location" : ["Coding.system"]
+  }]
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://acme.org/devices/clinical-codes",
+  "code" : "body-weight",
+  "display" : "Body Weight"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "code" : "body-weight",
+  "system" : "http://acme.org/devices/clinical-codes",
+  "severity" : "error",
+  "error" : "A definition for CodeSystem 'http://acme.org/devices/clinical-codes' could not be found, so the code cannot be validated",
+  "class" : "CODESYSTEM_UNSUPPORTED",
+  "server" : "http://tx-dev.fhir.org/r2",
+  "unknown-systems" : "http://acme.org/devices/clinical-codes",
+  "issues" : {
+  "resourceType" : "OperationOutcome",
+  "issue" : [{
+    "extension" : [{
+      "url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-server",
+      "valueUrl" : "http://tx-dev.fhir.org/r2"
+    }],
+    "severity" : "error",
+    "code" : "not-found",
+    "details" : {
+      "coding" : [{
+        "system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type",
+        "code" : "not-found"
+      }],
+      "text" : "A definition for CodeSystem 'http://acme.org/devices/clinical-codes' could not be found, so the code cannot be validated"
+    },
+    "location" : ["Coding.system"]
+  }]
+}
+
+}
+-------------------------------------------------------------------------------------

org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/1.0.2/loinc.cache

@@ -39,6 +39,52 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://tx-dev.fhir.org/r2",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://loinc.org",
+  "code" : "3141-9",
+  "display" : "Weight Measured"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "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" : "Body weight Measured",
+  "code" : "3141-9",
+  "system" : "http://loinc.org",
+  "version" : "2.77",
+  "server" : "http://tx-dev.fhir.org/r2",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://loinc.org",
+  "code" : "3141-9",
+  "display" : "Weight Measured"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "display" : "Body weight Measured",
+  "code" : "3141-9",
+  "system" : "http://loinc.org",
+  "version" : "2.77",
+  "server" : "http://tx-dev.fhir.org/r2",
   "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"

org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/1.0.2/snomed.cache

@@ -33,6 +33,52 @@ v: {
     "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
   }]
 }}####
+v: {
+  "display" : "Body weight",
+  "code" : "27113001",
+  "system" : "http://snomed.info/sct",
+  "version" : "http://snomed.info/sct/900000000000207008/version/20240201",
+  "server" : "http://tx-dev.fhir.org/r2",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://snomed.info/sct",
+  "code" : "27113001",
+  "display" : "Body weight"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "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" : "Body weight",
+  "code" : "27113001",
+  "system" : "http://snomed.info/sct",
+  "version" : "http://snomed.info/sct/900000000000207008/version/20240201",
+  "server" : "http://tx-dev.fhir.org/r2",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://snomed.info/sct",
+  "code" : "27113001",
+  "display" : "Body weight"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
 v: {
   "display" : "Body weight",
   "code" : "27113001",

org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/1.0.2/ucum.cache

@@ -31,6 +31,50 @@ v: {
     "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
   }]
 }}####
+v: {
+  "display" : "[lb_av]",
+  "code" : "[lb_av]",
+  "system" : "http://unitsofmeasure.org",
+  "version" : "2.0.1",
+  "server" : "http://tx-dev.fhir.org/r2",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://unitsofmeasure.org",
+  "code" : "[lb_av]"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"true", "guessSystem":"false", "activeOnly":"false", "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" : "[lb_av]",
+  "code" : "[lb_av]",
+  "system" : "http://unitsofmeasure.org",
+  "version" : "2.0.1",
+  "server" : "http://tx-dev.fhir.org/r2",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://unitsofmeasure.org",
+  "code" : "[lb_av]"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"true", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
 v: {
   "display" : "[lb_av]",
   "code" : "[lb_av]",

org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/3.0.2/all-systems.cache

@@ -291,7 +291,6 @@ v: {
   "system" : "http://hl7.org/fhir/search-param-type",
   "version" : "3.0.2",
   "server" : "http://tx-dev.fhir.org/r3",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome",
   "issue" : [{
@@ -328,7 +327,6 @@ v: {
   "system" : "http://hl7.org/fhir/search-param-type",
   "version" : "3.0.2",
   "server" : "http://tx-dev.fhir.org/r3",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -357,7 +355,6 @@ v: {
   "system" : "http://hl7.org/fhir/search-param-type",
   "version" : "3.0.2",
   "server" : "http://tx-dev.fhir.org/r3",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome",
   "issue" : [{
@@ -394,7 +391,6 @@ v: {
   "system" : "http://hl7.org/fhir/search-param-type",
   "version" : "3.0.2",
   "server" : "http://tx-dev.fhir.org/r3",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -418,7 +414,6 @@ v: {
   "system" : "http://hl7.org/fhir/v2/0203",
   "version" : "2.8.2",
   "server" : "http://tx-dev.fhir.org/r3",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -447,7 +442,6 @@ v: {
   "system" : "http://hl7.org/fhir/medication-dispense-status",
   "version" : "3.0.2",
   "server" : "http://tx-dev.fhir.org/r3",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome",
   "issue" : [{
@@ -484,7 +478,6 @@ v: {
   "system" : "http://hl7.org/fhir/medication-dispense-status",
   "version" : "3.0.2",
   "server" : "http://tx-dev.fhir.org/r3",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -507,6 +500,27 @@ v: {
   "system" : "http://hl7.org/fhir/v2/0203",
   "version" : "2.8.2",
   "server" : "http://tx-dev.fhir.org/r3",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "code" : "d"
+}, "url": "http://hl7.org/fhir/ValueSet/units-of-time", "version": "3.0.2", "langs":"en-US", "useServer":"true", "useClient":"true", "guessSystem":"true", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "display" : "day",
+  "code" : "d",
+  "system" : "http://unitsofmeasure.org",
+  "version" : "2.0.1",
+  "server" : "http://tx-dev.fhir.org/r3",
   "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
@@ -514,3 +528,195 @@ v: {
 
 }
 -------------------------------------------------------------------------------------
+{"code" : {
+  "code" : "image/jpg"
+}, "valueSet" :{
+  "resourceType" : "ValueSet",
+  "compose" : {
+    "include" : [{
+      "system" : "urn:ietf:bcp:13"
+    }]
+  }
+}, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"true", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "display" : "image/jpg",
+  "code" : "image/jpg",
+  "system" : "urn:ietf:bcp:13",
+  "server" : "http://tx-dev.fhir.org/r3",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "code" : "image/jpg"
+}, "valueSet" :{
+  "resourceType" : "ValueSet",
+  "compose" : {
+    "include" : [{
+      "system" : "urn:ietf:bcp:13"
+    }]
+  }
+}, "langs":"en-US", "useServer":"true", "useClient":"true", "guessSystem":"true", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "display" : "image/jpg",
+  "code" : "image/jpg",
+  "system" : "urn:ietf:bcp:13",
+  "server" : "http://tx-dev.fhir.org/r3",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "code" : "application/pdf"
+}, "valueSet" :{
+  "resourceType" : "ValueSet",
+  "compose" : {
+    "include" : [{
+      "system" : "urn:ietf:bcp:13"
+    }]
+  }
+}, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"true", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "display" : "application/pdf",
+  "code" : "application/pdf",
+  "system" : "urn:ietf:bcp:13",
+  "server" : "http://tx-dev.fhir.org/r3",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "code" : "application/pdf"
+}, "valueSet" :{
+  "resourceType" : "ValueSet",
+  "compose" : {
+    "include" : [{
+      "system" : "urn:ietf:bcp:13"
+    }]
+  }
+}, "langs":"en-US", "useServer":"true", "useClient":"true", "guessSystem":"true", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "display" : "application/pdf",
+  "code" : "application/pdf",
+  "system" : "urn:ietf:bcp:13",
+  "server" : "http://tx-dev.fhir.org/r3",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "code" : "de-CH"
+}, "url": "http://hl7.org/fhir/ValueSet/languages", "version": "3.0.2", "langs":"en-US", "useServer":"true", "useClient":"true", "guessSystem":"true", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "display" : "German (Switzerland)",
+  "code" : "de-CH",
+  "system" : "urn:ietf:bcp:47",
+  "server" : "http://tx-dev.fhir.org/r3",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode",
+  "code" : "urn:ihe:iti:xds:2017:mimeTypeSufficient",
+  "display" : "MimeType sufficient"
+}, "url": "http://hl7.org/fhir/ValueSet/formatcodes", "version": "20150326", "langs":"en-US", "useServer":"true", "useClient":"true", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "code" : "urn:ihe:iti:xds:2017:mimeTypeSufficient",
+  "system" : "http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode",
+  "severity" : "error",
+  "error" : "A definition for CodeSystem 'http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode' could not be found, so the code cannot be validated; The provided code 'http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode#urn:ihe:iti:xds:2017:mimeTypeSufficient ('MimeType sufficient')' was not found in the value set 'http://hl7.org/fhir/ValueSet/formatcodes|20150326'",
+  "class" : "UNKNOWN",
+  "server" : "http://tx-dev.fhir.org/r3",
+  "unknown-systems" : "http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode",
+  "issues" : {
+  "resourceType" : "OperationOutcome",
+  "issue" : [{
+    "extension" : [{
+      "url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-server",
+      "valueUrl" : "http://tx-dev.fhir.org/r3"
+    }],
+    "severity" : "error",
+    "code" : "not-found",
+    "details" : {
+      "coding" : [{
+        "system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type",
+        "code" : "not-found"
+      }],
+      "text" : "A definition for CodeSystem 'http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode' could not be found, so the code cannot be validated"
+    },
+    "location" : ["Coding.system"],
+    "expression" : ["Coding.system"]
+  },
+  {
+    "extension" : [{
+      "url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-server",
+      "valueUrl" : "http://tx-dev.fhir.org/r3"
+    }],
+    "severity" : "error",
+    "code" : "code-invalid",
+    "details" : {
+      "coding" : [{
+        "system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type",
+        "code" : "not-in-vs"
+      }],
+      "text" : "The provided code 'http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode#urn:ihe:iti:xds:2017:mimeTypeSufficient ('MimeType sufficient')' was not found in the value set 'http://hl7.org/fhir/ValueSet/formatcodes|20150326'"
+    },
+    "location" : ["Coding.code"],
+    "expression" : ["Coding.code"]
+  }]
+}
+
+}
+-------------------------------------------------------------------------------------

org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/3.0.2/http___acme.org.cache

@@ -40,3 +40,45 @@ v: {
 
 }
 -------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://acme.org",
+  "code" : "example",
+  "display" : "Example of Use"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "code" : "example",
+  "system" : "http://acme.org",
+  "severity" : "error",
+  "error" : "A definition for CodeSystem 'http://acme.org' could not be found, so the code cannot be validated",
+  "class" : "CODESYSTEM_UNSUPPORTED",
+  "server" : "http://tx-dev.fhir.org/r3",
+  "unknown-systems" : "http://acme.org",
+  "issues" : {
+  "resourceType" : "OperationOutcome",
+  "issue" : [{
+    "extension" : [{
+      "url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-server",
+      "valueUrl" : "http://tx-dev.fhir.org/r3"
+    }],
+    "severity" : "error",
+    "code" : "not-found",
+    "details" : {
+      "coding" : [{
+        "system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type",
+        "code" : "not-found"
+      }],
+      "text" : "A definition for CodeSystem 'http://acme.org' could not be found, so the code cannot be validated"
+    },
+    "location" : ["Coding.system"],
+    "expression" : ["Coding.system"]
+  }]
+}
+
+}
+-------------------------------------------------------------------------------------

org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/3.0.2/http___acme.org_devices_clinical-codes.cache

@@ -40,3 +40,44 @@ v: {
 
 }
 -------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://acme.org/devices/clinical-codes",
+  "code" : "body-weight",
+  "display" : "Body Weight"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "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" : "body-weight",
+  "severity" : "error",
+  "error" : "A definition for CodeSystem 'http://acme.org/devices/clinical-codes' could not be found, so the code cannot be validated",
+  "class" : "CODESYSTEM_UNSUPPORTED",
+  "server" : "http://tx-dev.fhir.org/r3",
+  "unknown-systems" : "http://acme.org/devices/clinical-codes",
+  "issues" : {
+  "resourceType" : "OperationOutcome",
+  "issue" : [{
+    "extension" : [{
+      "url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-server",
+      "valueUrl" : "http://tx-dev.fhir.org/r3"
+    }],
+    "severity" : "error",
+    "code" : "not-found",
+    "details" : {
+      "coding" : [{
+        "system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type",
+        "code" : "not-found"
+      }],
+      "text" : "A definition for CodeSystem 'http://acme.org/devices/clinical-codes' could not be found, so the code cannot be validated"
+    },
+    "location" : ["Coding.system"],
+    "expression" : ["Coding.system"]
+  }]
+}
+
+}
+-------------------------------------------------------------------------------------

org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/3.0.2/http___acme.org_not-snomed.cache

@@ -39,3 +39,44 @@ v: {
 
 }
 -------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://acme.org/not-snomed",
+  "code" : "27171005"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "code" : "27171005",
+  "system" : "http://acme.org/not-snomed",
+  "severity" : "error",
+  "error" : "A definition for CodeSystem 'http://acme.org/not-snomed' could not be found, so the code cannot be validated",
+  "class" : "CODESYSTEM_UNSUPPORTED",
+  "server" : "http://tx-dev.fhir.org/r3",
+  "unknown-systems" : "http://acme.org/not-snomed",
+  "issues" : {
+  "resourceType" : "OperationOutcome",
+  "issue" : [{
+    "extension" : [{
+      "url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-server",
+      "valueUrl" : "http://tx-dev.fhir.org/r3"
+    }],
+    "severity" : "error",
+    "code" : "not-found",
+    "details" : {
+      "coding" : [{
+        "system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type",
+        "code" : "not-found"
+      }],
+      "text" : "A definition for CodeSystem 'http://acme.org/not-snomed' could not be found, so the code cannot be validated"
+    },
+    "location" : ["Coding.system"],
+    "expression" : ["Coding.system"]
+  }]
+}
+
+}
+-------------------------------------------------------------------------------------

org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/3.0.2/http___example.org_system.cache

@@ -40,3 +40,45 @@ v: {
 
 }
 -------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://example.org/system",
+  "code" : "xxx",
+  "display" : "Hives"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "code" : "xxx",
+  "system" : "http://example.org/system",
+  "severity" : "error",
+  "error" : "A definition for CodeSystem 'http://example.org/system' could not be found, so the code cannot be validated",
+  "class" : "CODESYSTEM_UNSUPPORTED",
+  "server" : "http://tx-dev.fhir.org/r3",
+  "unknown-systems" : "http://example.org/system",
+  "issues" : {
+  "resourceType" : "OperationOutcome",
+  "issue" : [{
+    "extension" : [{
+      "url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-server",
+      "valueUrl" : "http://tx-dev.fhir.org/r3"
+    }],
+    "severity" : "error",
+    "code" : "not-found",
+    "details" : {
+      "coding" : [{
+        "system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type",
+        "code" : "not-found"
+      }],
+      "text" : "A definition for CodeSystem 'http://example.org/system' could not be found, so the code cannot be validated"
+    },
+    "location" : ["Coding.system"],
+    "expression" : ["Coding.system"]
+  }]
+}
+
+}
+-------------------------------------------------------------------------------------

org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/3.0.2/http___mydomain.org_fhir_cs_mydomain.cache

@@ -40,3 +40,45 @@ v: {
 
 }
 -------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://mydomain.org/fhir/cs/mydomain",
+  "code" : "very-high",
+  "display" : "Very High"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "code" : "very-high",
+  "system" : "http://mydomain.org/fhir/cs/mydomain",
+  "severity" : "error",
+  "error" : "A definition for CodeSystem 'http://mydomain.org/fhir/cs/mydomain' could not be found, so the code cannot be validated",
+  "class" : "CODESYSTEM_UNSUPPORTED",
+  "server" : "http://tx-dev.fhir.org/r3",
+  "unknown-systems" : "http://mydomain.org/fhir/cs/mydomain",
+  "issues" : {
+  "resourceType" : "OperationOutcome",
+  "issue" : [{
+    "extension" : [{
+      "url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-server",
+      "valueUrl" : "http://tx-dev.fhir.org/r3"
+    }],
+    "severity" : "error",
+    "code" : "not-found",
+    "details" : {
+      "coding" : [{
+        "system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type",
+        "code" : "not-found"
+      }],
+      "text" : "A definition for CodeSystem 'http://mydomain.org/fhir/cs/mydomain' could not be found, so the code cannot be validated"
+    },
+    "location" : ["Coding.system"],
+    "expression" : ["Coding.system"]
+  }]
+}
+
+}
+-------------------------------------------------------------------------------------

org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/3.0.2/http___myownsystem.info_sct.cache

@@ -40,3 +40,45 @@ v: {
 
 }
 -------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://myownsystem.info/sct",
+  "code" : "104",
+  "display" : "Laboratory test finding (finding)"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "code" : "104",
+  "system" : "http://myownsystem.info/sct",
+  "severity" : "error",
+  "error" : "A definition for CodeSystem 'http://myownsystem.info/sct' could not be found, so the code cannot be validated",
+  "class" : "CODESYSTEM_UNSUPPORTED",
+  "server" : "http://tx-dev.fhir.org/r3",
+  "unknown-systems" : "http://myownsystem.info/sct",
+  "issues" : {
+  "resourceType" : "OperationOutcome",
+  "issue" : [{
+    "extension" : [{
+      "url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-server",
+      "valueUrl" : "http://tx-dev.fhir.org/r3"
+    }],
+    "severity" : "error",
+    "code" : "not-found",
+    "details" : {
+      "coding" : [{
+        "system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type",
+        "code" : "not-found"
+      }],
+      "text" : "A definition for CodeSystem 'http://myownsystem.info/sct' could not be found, so the code cannot be validated"
+    },
+    "location" : ["Coding.system"],
+    "expression" : ["Coding.system"]
+  }]
+}
+
+}
+-------------------------------------------------------------------------------------

org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/3.0.2/http___spms.min-saude.pt_valueset-list-empty-reason.cache

@@ -40,3 +40,45 @@ v: {
 
 }
 -------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://spms.min-saude.pt/valueset-list-empty-reason",
+  "code" : "not-found",
+  "display" : "Not Found"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "code" : "not-found",
+  "system" : "http://spms.min-saude.pt/valueset-list-empty-reason",
+  "severity" : "error",
+  "error" : "A definition for CodeSystem 'http://spms.min-saude.pt/valueset-list-empty-reason' could not be found, so the code cannot be validated",
+  "class" : "CODESYSTEM_UNSUPPORTED",
+  "server" : "http://tx-dev.fhir.org/r3",
+  "unknown-systems" : "http://spms.min-saude.pt/valueset-list-empty-reason",
+  "issues" : {
+  "resourceType" : "OperationOutcome",
+  "issue" : [{
+    "extension" : [{
+      "url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-server",
+      "valueUrl" : "http://tx-dev.fhir.org/r3"
+    }],
+    "severity" : "error",
+    "code" : "not-found",
+    "details" : {
+      "coding" : [{
+        "system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type",
+        "code" : "not-found"
+      }],
+      "text" : "A definition for CodeSystem 'http://spms.min-saude.pt/valueset-list-empty-reason' could not be found, so the code cannot be validated"
+    },
+    "location" : ["Coding.system"],
+    "expression" : ["Coding.system"]
+  }]
+}
+
+}
+-------------------------------------------------------------------------------------

org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/3.0.2/http___spms.min-saude.pt_valueset-list.cache

@@ -40,3 +40,45 @@ v: {
 
 }
 -------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://spms.min-saude.pt/valueset-list",
+  "code" : "PMT",
+  "display" : "Proposta de monitorização e tratamento"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "code" : "PMT",
+  "system" : "http://spms.min-saude.pt/valueset-list",
+  "severity" : "error",
+  "error" : "A definition for CodeSystem 'http://spms.min-saude.pt/valueset-list' could not be found, so the code cannot be validated",
+  "class" : "CODESYSTEM_UNSUPPORTED",
+  "server" : "http://tx-dev.fhir.org/r3",
+  "unknown-systems" : "http://spms.min-saude.pt/valueset-list",
+  "issues" : {
+  "resourceType" : "OperationOutcome",
+  "issue" : [{
+    "extension" : [{
+      "url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-server",
+      "valueUrl" : "http://tx-dev.fhir.org/r3"
+    }],
+    "severity" : "error",
+    "code" : "not-found",
+    "details" : {
+      "coding" : [{
+        "system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type",
+        "code" : "not-found"
+      }],
+      "text" : "A definition for CodeSystem 'http://spms.min-saude.pt/valueset-list' could not be found, so the code cannot be validated"
+    },
+    "location" : ["Coding.system"],
+    "expression" : ["Coding.system"]
+  }]
+}
+
+}
+-------------------------------------------------------------------------------------

org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/3.0.2/https___fhir.hl7.org.uk_STU3_CodeSystem_CareConnect-NHSNumberVerificationStatus-1.cache

@@ -40,3 +40,45 @@ v: {
 
 }
 -------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "https://fhir.hl7.org.uk/STU3/CodeSystem/CareConnect-NHSNumberVerificationStatus-1",
+  "code" : "01",
+  "display" : "Number present and verified"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "code" : "01",
+  "system" : "https://fhir.hl7.org.uk/STU3/CodeSystem/CareConnect-NHSNumberVerificationStatus-1",
+  "severity" : "error",
+  "error" : "A definition for CodeSystem 'https://fhir.hl7.org.uk/STU3/CodeSystem/CareConnect-NHSNumberVerificationStatus-1' could not be found, so the code cannot be validated",
+  "class" : "CODESYSTEM_UNSUPPORTED",
+  "server" : "http://tx-dev.fhir.org/r3",
+  "unknown-systems" : "https://fhir.hl7.org.uk/STU3/CodeSystem/CareConnect-NHSNumberVerificationStatus-1",
+  "issues" : {
+  "resourceType" : "OperationOutcome",
+  "issue" : [{
+    "extension" : [{
+      "url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-server",
+      "valueUrl" : "http://tx-dev.fhir.org/r3"
+    }],
+    "severity" : "error",
+    "code" : "not-found",
+    "details" : {
+      "coding" : [{
+        "system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type",
+        "code" : "not-found"
+      }],
+      "text" : "A definition for CodeSystem 'https://fhir.hl7.org.uk/STU3/CodeSystem/CareConnect-NHSNumberVerificationStatus-1' could not be found, so the code cannot be validated"
+    },
+    "location" : ["Coding.system"],
+    "expression" : ["Coding.system"]
+  }]
+}
+
+}
+-------------------------------------------------------------------------------------

org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/3.0.2/iso3166.cache

@@ -15,7 +15,6 @@ v: {
   "system" : "urn:iso:std:iso:3166",
   "version" : "2018",
   "server" : "http://tx-dev.fhir.org/r3",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -39,7 +38,6 @@ v: {
   "system" : "urn:iso:std:iso:3166",
   "version" : "2018",
   "server" : "http://tx-dev.fhir.org/r3",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -63,7 +61,6 @@ v: {
   "system" : "urn:iso:std:iso:3166",
   "version" : "2018",
   "server" : "http://tx-dev.fhir.org/r3",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -86,7 +83,6 @@ v: {
   "system" : "urn:iso:std:iso:3166",
   "version" : "2018",
   "server" : "http://tx-dev.fhir.org/r3",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -109,7 +105,6 @@ v: {
   "system" : "urn:iso:std:iso:3166",
   "version" : "2018",
   "server" : "http://tx-dev.fhir.org/r3",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -133,7 +128,6 @@ v: {
   "system" : "urn:iso:std:iso:3166",
   "version" : "2018",
   "server" : "http://tx-dev.fhir.org/r3",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -157,7 +151,6 @@ v: {
   "system" : "urn:iso:std:iso:3166",
   "version" : "2018",
   "server" : "http://tx-dev.fhir.org/r3",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -174,6 +167,122 @@ v: {
     "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
   }]
 }}####
+v: {
+  "display" : "United States of America",
+  "code" : "US",
+  "system" : "urn:iso:std:iso:3166",
+  "version" : "2018",
+  "server" : "http://tx-dev.fhir.org/r3",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "urn:iso:std:iso:3166",
+  "code" : "NL"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "display" : "Netherlands",
+  "code" : "NL",
+  "system" : "urn:iso:std:iso:3166",
+  "version" : "2018",
+  "server" : "http://tx-dev.fhir.org/r3",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "urn:iso:std:iso:3166",
+  "code" : "NL",
+  "display" : "Netherlands"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "display" : "Netherlands",
+  "code" : "NL",
+  "system" : "urn:iso:std:iso:3166",
+  "version" : "2018",
+  "server" : "http://tx-dev.fhir.org/r3",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "urn:iso:std:iso:3166",
+  "code" : "NL"
+}, "url": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.20.5.2--20171231000000--0", "version": "2017-12-31T00:00:00", "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "display" : "Netherlands",
+  "code" : "NL",
+  "system" : "urn:iso:std:iso:3166",
+  "version" : "2018",
+  "server" : "http://tx-dev.fhir.org/r3",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "urn:iso:std:iso:3166",
+  "code" : "US",
+  "display" : "United States of America"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "display" : "United States of America",
+  "code" : "US",
+  "system" : "urn:iso:std:iso:3166",
+  "version" : "2018",
+  "server" : "http://tx-dev.fhir.org/r3",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "urn:iso:std:iso:3166",
+  "code" : "US"
+}, "url": "http://hl7.org/fhir/ValueSet/jurisdiction--0", "version": "3.0.2", "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
 v: {
   "display" : "United States of America",
   "code" : "US",

org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/3.0.2/loinc.cache

@@ -703,7 +703,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://tx-dev.fhir.org/r3",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -727,6 +726,655 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://tx-dev.fhir.org/r3",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://loinc.org",
+  "code" : "29463-7",
+  "display" : "Body Weight"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "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" : "Body weight",
+  "code" : "29463-7",
+  "system" : "http://loinc.org",
+  "version" : "2.77",
+  "server" : "http://tx-dev.fhir.org/r3",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://loinc.org",
+  "code" : "3141-9",
+  "display" : "Body weight Measured"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "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" : "Body weight Measured",
+  "code" : "3141-9",
+  "system" : "http://loinc.org",
+  "version" : "2.77",
+  "server" : "http://tx-dev.fhir.org/r3",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://loinc.org",
+  "code" : "28655-9"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "display" : "Attending Discharge summary",
+  "code" : "28655-9",
+  "system" : "http://loinc.org",
+  "version" : "2.77",
+  "server" : "http://tx-dev.fhir.org/r3",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://loinc.org",
+  "code" : "28655-9"
+}, "url": "http://hl7.org/fhir/ValueSet/doc-typecodes--0", "version": "3.0.2", "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "display" : "Attending Discharge summary",
+  "code" : "28655-9",
+  "system" : "http://loinc.org",
+  "version" : "2.77",
+  "server" : "http://tx-dev.fhir.org/r3",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://loinc.org",
+  "code" : "29299-5",
+  "display" : "Reason for visit Narrative"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "display" : "Reason for visit Narrative",
+  "code" : "29299-5",
+  "system" : "http://loinc.org",
+  "version" : "2.77",
+  "server" : "http://tx-dev.fhir.org/r3",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://loinc.org",
+  "code" : "10183-2",
+  "display" : "Hospital discharge medications Narrative"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "display" : "Hospital discharge medications Narrative",
+  "code" : "10183-2",
+  "system" : "http://loinc.org",
+  "version" : "2.77",
+  "server" : "http://tx-dev.fhir.org/r3",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://loinc.org",
+  "code" : "48765-2",
+  "display" : "Allergies and adverse reactions Document"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "display" : "Allergies and adverse reactions Document",
+  "code" : "48765-2",
+  "system" : "http://loinc.org",
+  "version" : "2.77",
+  "server" : "http://tx-dev.fhir.org/r3",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://loinc.org",
+  "code" : "46241-6"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "display" : "Hospital admission diagnosis Narrative - Reported",
+  "code" : "46241-6",
+  "system" : "http://loinc.org",
+  "version" : "2.77",
+  "server" : "http://tx-dev.fhir.org/r3",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://loinc.org",
+  "code" : "18842-5",
+  "display" : "Discharge Summary"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "display" : "Discharge summary",
+  "code" : "18842-5",
+  "system" : "http://loinc.org",
+  "version" : "2.77",
+  "server" : "http://tx-dev.fhir.org/r3",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://loinc.org",
+  "code" : "18842-5"
+}, "url": "http://hl7.org/fhir/ValueSet/doc-typecodes--0", "version": "3.0.2", "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "display" : "Discharge summary",
+  "code" : "18842-5",
+  "system" : "http://loinc.org",
+  "version" : "2.77",
+  "server" : "http://tx-dev.fhir.org/r3",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://loinc.org",
+  "code" : "48765-2",
+  "display" : "Allergies"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "display" : "Allergies and adverse reactions Document",
+  "code" : "48765-2",
+  "system" : "http://loinc.org",
+  "version" : "2.77",
+  "severity" : "error",
+  "error" : "Wrong Display Name 'Allergies' for http://loinc.org#48765-2. Valid display is 'Allergies and adverse reactions Document' (en-US) (for the language(s) 'en-US')",
+  "class" : "UNKNOWN",
+  "server" : "http://tx-dev.fhir.org/r3",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome",
+  "issue" : [{
+    "extension" : [{
+      "url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-server",
+      "valueUrl" : "http://tx-dev.fhir.org/r3"
+    }],
+    "severity" : "error",
+    "code" : "invalid",
+    "details" : {
+      "coding" : [{
+        "system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type",
+        "code" : "invalid-display"
+      }],
+      "text" : "Wrong Display Name 'Allergies' for http://loinc.org#48765-2. Valid display is 'Allergies and adverse reactions Document' (en-US) (for the language(s) 'en-US')"
+    },
+    "location" : ["Coding.display"],
+    "expression" : ["Coding.display"]
+  }]
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://loinc.org",
+  "code" : "8648-8",
+  "display" : "Hospital course Narrative"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "display" : "Hospital course Narrative",
+  "code" : "8648-8",
+  "system" : "http://loinc.org",
+  "version" : "2.77",
+  "server" : "http://tx-dev.fhir.org/r3",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://loinc.org",
+  "code" : "78375-3",
+  "display" : "Discharge diagnosis Narrative"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "display" : "Discharge diagnosis Narrative",
+  "code" : "78375-3",
+  "system" : "http://loinc.org",
+  "version" : "2.77",
+  "server" : "http://tx-dev.fhir.org/r3",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://loinc.org",
+  "code" : "75311-1",
+  "display" : "Discharge medications Narrative"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "display" : "Discharge medications Narrative",
+  "code" : "75311-1",
+  "system" : "http://loinc.org",
+  "version" : "2.77",
+  "server" : "http://tx-dev.fhir.org/r3",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://loinc.org",
+  "code" : "42347-5",
+  "display" : "Admission diagnosis (narrative)"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "display" : "Admission diagnosis (narrative)",
+  "code" : "42347-5",
+  "system" : "http://loinc.org",
+  "version" : "2.77",
+  "server" : "http://tx-dev.fhir.org/r3",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://loinc.org",
+  "code" : "42346-7",
+  "display" : "Medications on admission (narrative)"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "display" : "Medications on admission (narrative)",
+  "code" : "42346-7",
+  "system" : "http://loinc.org",
+  "version" : "2.77",
+  "server" : "http://tx-dev.fhir.org/r3",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://loinc.org",
+  "code" : "42344-2",
+  "display" : "Discharge diet (narrative)"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "display" : "Discharge diet (narrative)",
+  "code" : "42344-2",
+  "system" : "http://loinc.org",
+  "version" : "2.77",
+  "server" : "http://tx-dev.fhir.org/r3",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://loinc.org",
+  "code" : "10164-2",
+  "display" : "History of Present illness Narrative"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "display" : "History of Present illness Narrative",
+  "code" : "10164-2",
+  "system" : "http://loinc.org",
+  "version" : "2.77",
+  "server" : "http://tx-dev.fhir.org/r3",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://loinc.org",
+  "code" : "18776-5",
+  "display" : "Plan of care"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "display" : "Plan of care note",
+  "code" : "18776-5",
+  "system" : "http://loinc.org",
+  "version" : "2.77",
+  "severity" : "error",
+  "error" : "Wrong Display Name 'Plan of care' for http://loinc.org#18776-5. Valid display is 'Plan of care note' (en-US) (for the language(s) 'en-US')",
+  "class" : "UNKNOWN",
+  "server" : "http://tx-dev.fhir.org/r3",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome",
+  "issue" : [{
+    "extension" : [{
+      "url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-server",
+      "valueUrl" : "http://tx-dev.fhir.org/r3"
+    }],
+    "severity" : "error",
+    "code" : "invalid",
+    "details" : {
+      "coding" : [{
+        "system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type",
+        "code" : "invalid-display"
+      }],
+      "text" : "Wrong Display Name 'Plan of care' for http://loinc.org#18776-5. Valid display is 'Plan of care note' (en-US) (for the language(s) 'en-US')"
+    },
+    "location" : ["Coding.display"],
+    "expression" : ["Coding.display"]
+  }]
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://loinc.org",
+  "code" : "47420-5",
+  "display" : "Functional status assessment note"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "display" : "Functional status assessment note",
+  "code" : "47420-5",
+  "system" : "http://loinc.org",
+  "version" : "2.77",
+  "server" : "http://tx-dev.fhir.org/r3",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://loinc.org",
+  "code" : "47519-4",
+  "display" : "History of Procedures Document"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "display" : "History of Procedures Document",
+  "code" : "47519-4",
+  "system" : "http://loinc.org",
+  "version" : "2.77",
+  "server" : "http://tx-dev.fhir.org/r3",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://loinc.org",
+  "code" : "10187-3",
+  "display" : "Review of systems Narrative Reporte"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "display" : "Review of systems Narrative - Reported",
+  "code" : "10187-3",
+  "system" : "http://loinc.org",
+  "version" : "2.77",
+  "severity" : "error",
+  "error" : "Wrong Display Name 'Review of systems Narrative Reporte' for http://loinc.org#10187-3. Valid display is 'Review of systems Narrative - Reported' (en-US) (for the language(s) 'en-US')",
+  "class" : "UNKNOWN",
+  "server" : "http://tx-dev.fhir.org/r3",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome",
+  "issue" : [{
+    "extension" : [{
+      "url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-server",
+      "valueUrl" : "http://tx-dev.fhir.org/r3"
+    }],
+    "severity" : "error",
+    "code" : "invalid",
+    "details" : {
+      "coding" : [{
+        "system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type",
+        "code" : "invalid-display"
+      }],
+      "text" : "Wrong Display Name 'Review of systems Narrative Reporte' for http://loinc.org#10187-3. Valid display is 'Review of systems Narrative - Reported' (en-US) (for the language(s) 'en-US')"
+    },
+    "location" : ["Coding.display"],
+    "expression" : ["Coding.display"]
+  }]
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://loinc.org",
+  "code" : "87504-7",
+  "display" : "Administrative information"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "display" : "LCDS v4.00 - Administrative information - discharge during assessment period [CMS Assessment]",
+  "code" : "87504-7",
+  "system" : "http://loinc.org",
+  "version" : "2.77",
+  "severity" : "error",
+  "error" : "Wrong Display Name 'Administrative information' for http://loinc.org#87504-7. Valid display is 'LCDS v4.00 - Administrative information - discharge during assessment period [CMS Assessment]' (en-US) (for the language(s) 'en-US')",
+  "class" : "UNKNOWN",
+  "server" : "http://tx-dev.fhir.org/r3",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome",
+  "issue" : [{
+    "extension" : [{
+      "url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-server",
+      "valueUrl" : "http://tx-dev.fhir.org/r3"
+    }],
+    "severity" : "error",
+    "code" : "invalid",
+    "details" : {
+      "coding" : [{
+        "system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type",
+        "code" : "invalid-display"
+      }],
+      "text" : "Wrong Display Name 'Administrative information' for http://loinc.org#87504-7. Valid display is 'LCDS v4.00 - Administrative information - discharge during assessment period [CMS Assessment]' (en-US) (for the language(s) 'en-US')"
+    },
+    "location" : ["Coding.display"],
+    "expression" : ["Coding.display"]
+  }]
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://loinc.org",
+  "code" : "2069-3",
+  "display" : "Chloride [Moles/volume] in Blood"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "display" : "Chloride [Moles/volume] in Blood",
+  "code" : "2069-3",
+  "system" : "http://loinc.org",
+  "version" : "2.77",
+  "server" : "http://tx-dev.fhir.org/r3",
   "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"

org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/3.0.2/ucum.cache

@@ -37,7 +37,6 @@ v: {
   "system" : "http://unitsofmeasure.org",
   "version" : "2.0.1",
   "server" : "http://tx-dev.fhir.org/r3",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -60,7 +59,6 @@ v: {
   "error" : "Unknown code '21612-7' in the CodeSystem 'http://unitsofmeasure.org' version '2.0.1'",
   "class" : "UNKNOWN",
   "server" : "http://tx-dev.fhir.org/r3",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome",
   "issue" : [{
@@ -117,7 +115,6 @@ v: {
   "error" : "Unknown code 'tbl' in the CodeSystem 'http://unitsofmeasure.org' version '2.0.1'",
   "class" : "UNKNOWN",
   "server" : "http://tx-dev.fhir.org/r3",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome",
   "issue" : [{
@@ -168,6 +165,108 @@ v: {
     "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
   }]
 }}####
+v: {
+  "display" : "mmol/L",
+  "code" : "mmol/L",
+  "system" : "http://unitsofmeasure.org",
+  "version" : "2.0.1",
+  "server" : "http://tx-dev.fhir.org/r3",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://unitsofmeasure.org",
+  "code" : "[lb_av]"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"true", "guessSystem":"false", "activeOnly":"false", "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" : "[lb_av]",
+  "code" : "[lb_av]",
+  "system" : "http://unitsofmeasure.org",
+  "version" : "2.0.1",
+  "server" : "http://tx-dev.fhir.org/r3",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://unitsofmeasure.org",
+  "code" : "tbl"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"true", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "code" : "tbl",
+  "system" : "http://unitsofmeasure.org",
+  "severity" : "error",
+  "error" : "Unknown code 'tbl' in the CodeSystem 'http://unitsofmeasure.org' version '2.0.1'",
+  "class" : "UNKNOWN",
+  "server" : "http://tx-dev.fhir.org/r3",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome",
+  "issue" : [{
+    "extension" : [{
+      "url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-server",
+      "valueUrl" : "http://tx-dev.fhir.org/r3"
+    }],
+    "severity" : "error",
+    "code" : "code-invalid",
+    "details" : {
+      "coding" : [{
+        "system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type",
+        "code" : "invalid-code"
+      }],
+      "text" : "Unknown code 'tbl' in the CodeSystem 'http://unitsofmeasure.org' version '2.0.1'"
+    },
+    "location" : ["Coding.code"],
+    "expression" : ["Coding.code"]
+  },
+  {
+    "extension" : [{
+      "url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-server",
+      "valueUrl" : "http://tx-dev.fhir.org/r3"
+    }],
+    "severity" : "information",
+    "code" : "code-invalid",
+    "details" : {
+      "coding" : [{
+        "system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type",
+        "code" : "invalid-code"
+      }],
+      "text" : "Error processing Unit: 'tbl': The unit \"tbl\" is unknown at character 1"
+    },
+    "location" : ["Coding.code"],
+    "expression" : ["Coding.code"]
+  }]
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://unitsofmeasure.org",
+  "code" : "mmol/L"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"true", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
 v: {
   "display" : "mmol/L",
   "code" : "mmol/L",

org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/3.0.2/urn_oid_1.2.840.10008.2.16.4.cache

@@ -40,3 +40,45 @@ v: {
 
 }
 -------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "urn:oid:1.2.840.10008.2.16.4",
+  "code" : "US",
+  "display" : "Ultrasound"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "code" : "US",
+  "system" : "urn:oid:1.2.840.10008.2.16.4",
+  "severity" : "error",
+  "error" : "A definition for CodeSystem 'urn:oid:1.2.840.10008.2.16.4' could not be found, so the code cannot be validated",
+  "class" : "CODESYSTEM_UNSUPPORTED",
+  "server" : "http://tx-dev.fhir.org/r3",
+  "unknown-systems" : "urn:oid:1.2.840.10008.2.16.4",
+  "issues" : {
+  "resourceType" : "OperationOutcome",
+  "issue" : [{
+    "extension" : [{
+      "url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-server",
+      "valueUrl" : "http://tx-dev.fhir.org/r3"
+    }],
+    "severity" : "error",
+    "code" : "not-found",
+    "details" : {
+      "coding" : [{
+        "system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type",
+        "code" : "not-found"
+      }],
+      "text" : "A definition for CodeSystem 'urn:oid:1.2.840.10008.2.16.4' could not be found, so the code cannot be validated"
+    },
+    "location" : ["Coding.system"],
+    "expression" : ["Coding.system"]
+  }]
+}
+
+}
+-------------------------------------------------------------------------------------

org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/4.0.1/11073.cache

@@ -53,7 +53,6 @@ v: {
   "system" : "urn:iso:std:iso:11073:10101",
   "version" : "2023-04-26",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome",
   "issue" : [{
@@ -95,7 +94,6 @@ v: {
   "system" : "urn:iso:std:iso:11073:10101",
   "version" : "2023-04-26",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome",
   "issue" : [{
@@ -137,7 +135,6 @@ v: {
   "system" : "urn:iso:std:iso:11073:10101",
   "version" : "2023-04-26",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome",
   "issue" : [{
@@ -163,3 +160,96 @@ v: {
 
 }
 -------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "urn:iso:std:iso:11073:10101",
+  "code" : "150456",
+  "display" : "MDC_PULS_OXIM_SAT_O2"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "display" : "MDC_PULS_OXIM_SAT_O2",
+  "code" : "150456",
+  "system" : "urn:iso:std:iso:11073:10101",
+  "version" : "2023-04-26",
+  "server" : "http://tx-dev.fhir.org/r4",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "urn:iso:std:iso:11073:10101",
+  "code" : "149530"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "display" : "MDC_PULS_OXIM_PULS_RATE",
+  "code" : "149530",
+  "system" : "urn:iso:std:iso:11073:10101",
+  "version" : "2023-04-26",
+  "server" : "http://tx-dev.fhir.org/r4",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "urn:iso:std:iso:11073:10101",
+  "code" : "68193"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "display" : "MDC_ATTR_SUPPLEMENTAL_TYPES",
+  "code" : "68193",
+  "system" : "urn:iso:std:iso:11073:10101",
+  "version" : "2023-04-26",
+  "server" : "http://tx-dev.fhir.org/r4",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "urn:iso:std:iso:11073:10101",
+  "code" : "150588"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "display" : "MDC_MODALITY_SPOT",
+  "code" : "150588",
+  "system" : "urn:iso:std:iso:11073:10101",
+  "version" : "2023-04-26",
+  "server" : "http://tx-dev.fhir.org/r4",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
+}
+-------------------------------------------------------------------------------------

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

@@ -56,3 +56,61 @@ v: {
 
 }
 -------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "Location",
+  "code" : "Location"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "code" : "Location",
+  "system" : "Location",
+  "severity" : "error",
+  "error" : "A definition for CodeSystem 'Location' could not be found, so the code cannot be validated",
+  "class" : "CODESYSTEM_UNSUPPORTED",
+  "server" : "http://tx-dev.fhir.org/r4",
+  "unknown-systems" : "Location",
+  "issues" : {
+  "resourceType" : "OperationOutcome",
+  "issue" : [{
+    "extension" : [{
+      "url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-server",
+      "valueUrl" : "http://tx-dev.fhir.org/r4"
+    }],
+    "severity" : "error",
+    "code" : "not-found",
+    "details" : {
+      "coding" : [{
+        "system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type",
+        "code" : "not-found"
+      }],
+      "text" : "A definition for CodeSystem 'Location' could not be found, so the code cannot be validated"
+    },
+    "location" : ["Coding.system"],
+    "expression" : ["Coding.system"]
+  },
+  {
+    "extension" : [{
+      "url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-server",
+      "valueUrl" : "http://tx-dev.fhir.org/r4"
+    }],
+    "severity" : "error",
+    "code" : "invalid",
+    "details" : {
+      "coding" : [{
+        "system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type",
+        "code" : "invalid-data"
+      }],
+      "text" : "Coding.system must be an absolute reference, not a local reference"
+    },
+    "location" : ["Coding.system"],
+    "expression" : ["Coding.system"]
+  }]
+}
+
+}
+-------------------------------------------------------------------------------------

org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/4.0.1/ValueSeticd-10.cache

@@ -15,6 +15,46 @@ v: {
   "error" : "The Coding references a value set, not a code system ('http://hl7.org/fhir/ValueSet/icd-10')",
   "class" : "UNKNOWN",
   "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" : "error",
+    "code" : "invalid",
+    "details" : {
+      "coding" : [{
+        "system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type",
+        "code" : "invalid-data"
+      }],
+      "text" : "The Coding references a value set, not a code system ('http://hl7.org/fhir/ValueSet/icd-10')"
+    },
+    "location" : ["Coding.system"],
+    "expression" : ["Coding.system"]
+  }]
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://hl7.org/fhir/ValueSet/icd-10",
+  "code" : "N801"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "code" : "N801",
+  "system" : "http://hl7.org/fhir/ValueSet/icd-10",
+  "severity" : "error",
+  "error" : "The Coding references a value set, not a code system ('http://hl7.org/fhir/ValueSet/icd-10')",
+  "class" : "UNKNOWN",
+  "server" : "http://tx-dev.fhir.org/r4",
   "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome",

org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/4.0.1/ValueSetmeasure-type.cache

@@ -16,6 +16,47 @@ v: {
   "error" : "The Coding references a value set, not a code system ('http://hl7.org/fhir/ValueSet/measure-type')",
   "class" : "UNKNOWN",
   "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" : "error",
+    "code" : "invalid",
+    "details" : {
+      "coding" : [{
+        "system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type",
+        "code" : "invalid-data"
+      }],
+      "text" : "The Coding references a value set, not a code system ('http://hl7.org/fhir/ValueSet/measure-type')"
+    },
+    "location" : ["Coding.system"],
+    "expression" : ["Coding.system"]
+  }]
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://hl7.org/fhir/ValueSet/measure-type",
+  "code" : "structure",
+  "display" : "Structure"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "code" : "structure",
+  "system" : "http://hl7.org/fhir/ValueSet/measure-type",
+  "severity" : "error",
+  "error" : "The Coding references a value set, not a code system ('http://hl7.org/fhir/ValueSet/measure-type')",
+  "class" : "UNKNOWN",
+  "server" : "http://tx-dev.fhir.org/r4",
   "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome",

org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/4.0.1/ValueSetparticipant-role.cache

@@ -15,6 +15,46 @@ v: {
   "error" : "The Coding references a value set, not a code system ('http://hl7.org/fhir/ValueSet/participant-role')",
   "class" : "UNKNOWN",
   "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" : "error",
+    "code" : "invalid",
+    "details" : {
+      "coding" : [{
+        "system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type",
+        "code" : "invalid-data"
+      }],
+      "text" : "The Coding references a value set, not a code system ('http://hl7.org/fhir/ValueSet/participant-role')"
+    },
+    "location" : ["Coding.system"],
+    "expression" : ["Coding.system"]
+  }]
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://hl7.org/fhir/ValueSet/participant-role",
+  "code" : "394733009"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "code" : "394733009",
+  "system" : "http://hl7.org/fhir/ValueSet/participant-role",
+  "severity" : "error",
+  "error" : "The Coding references a value set, not a code system ('http://hl7.org/fhir/ValueSet/participant-role')",
+  "class" : "UNKNOWN",
+  "server" : "http://tx-dev.fhir.org/r4",
   "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome",

org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/4.0.1/condition-clinical.cache

@@ -57,7 +57,6 @@ v: {
   "system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
   "version" : "2.0.0",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -121,3 +120,70 @@ v: {
 
 }
 -------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
+  "version" : "0.5.0",
+  "code" : "active",
+  "display" : "Active"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "code" : "active",
+  "system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
+  "version" : "0.5.0",
+  "severity" : "error",
+  "error" : "A definition for CodeSystem 'http://terminology.hl7.org/CodeSystem/condition-clinical' version '0.5.0' could not be found, so the code cannot be validated. Valid versions: [3.0.0,4.0.1]",
+  "class" : "CODESYSTEM_UNSUPPORTED_VERSION",
+  "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" : "not-found",
+    "details" : {
+      "coding" : [{
+        "system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type",
+        "code" : "not-found"
+      }],
+      "text" : "A definition for CodeSystem 'http://terminology.hl7.org/CodeSystem/condition-clinical' version '0.5.0' could not be found, so the code cannot be validated. Valid versions: [3.0.0,4.0.1]"
+    },
+    "location" : ["Coding.system"],
+    "expression" : ["Coding.system"]
+  }]
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
+  "code" : "active"
+}, "url": "http://hl7.org/fhir/ValueSet/condition-clinical--0", "version": "4.0.1", "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "display" : "Active",
+  "code" : "active",
+  "system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
+  "version" : "2.0.0",
+  "server" : "http://tx-dev.fhir.org/r4",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
+}
+-------------------------------------------------------------------------------------

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

@@ -17,7 +17,6 @@ v: {
   "error" : "Wrong Display Name 'SARS-COV-2 (COVID-19) vaccine, mRNA, spike protein, LNP, preservative free, 100 mcg/0.5mL dose' for http://hl7.org/fhir/sid/cvx#207. Valid display is 'COVID-19, mRNA, LNP-S, PF, 100 mcg/0.5mL dose or 50 mcg/0.25mL dose' (for the language(s) '--')",
   "class" : "UNKNOWN",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome",
   "issue" : [{
@@ -59,7 +58,6 @@ v: {
   "error" : "Wrong Display Name 'X SARS-COV-2 (COVID-19) vaccine, mRNA, spike protein, LNP, preservative free, 100 mcg/0.5mL dose' for http://hl7.org/fhir/sid/cvx#207. Valid display is 'COVID-19, mRNA, LNP-S, PF, 100 mcg/0.5mL dose or 50 mcg/0.25mL dose' (for the language(s) '--')",
   "class" : "UNKNOWN",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome",
   "issue" : [{
@@ -101,7 +99,6 @@ v: {
   "error" : "Wrong Display Name 'SARS-COV-2 (COVID-19) vaccine, mRNA, spike protein, LNP, preservative free, 30 mcg/0.3mL dose' for http://hl7.org/fhir/sid/cvx#208. Valid display is 'COVID-19, mRNA, LNP-S, PF, 30 mcg/0.3 mL dose' (for the language(s) 'en-NZ')",
   "class" : "UNKNOWN",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome",
   "issue" : [{
@@ -142,7 +139,6 @@ v: {
   "system" : "http://hl7.org/fhir/sid/cvx",
   "version" : "20231214",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -167,7 +163,6 @@ v: {
   "error" : "Wrong Display Name 'diphtheria, tetanus toxoids and acellular pertussis vaccine' for http://hl7.org/fhir/sid/cvx#20. Valid display is 'DTaP' (for the language(s) 'en-NZ')",
   "class" : "UNKNOWN",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome",
   "issue" : [{
@@ -209,7 +204,6 @@ v: {
   "error" : "Wrong Display Name 'tetanus and diphtheria toxoids, not adsorbed, for adult use' for http://hl7.org/fhir/sid/cvx#138. Valid display is 'Td (adult)' (for the language(s) 'en-NZ')",
   "class" : "UNKNOWN",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome",
   "issue" : [{
@@ -251,7 +245,6 @@ v: {
   "error" : "Wrong Display Name 'pneumococcal conjugate vaccine, 13 valent' for http://hl7.org/fhir/sid/cvx#133. Valid display is 'Pneumococcal conjugate PCV 13' (for the language(s) 'en-NZ')",
   "class" : "UNKNOWN",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome",
   "issue" : [{
@@ -292,7 +285,6 @@ v: {
   "system" : "http://hl7.org/fhir/sid/cvx",
   "version" : "20231214",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -316,7 +308,6 @@ v: {
   "system" : "http://hl7.org/fhir/sid/cvx",
   "version" : "20231214",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -340,7 +331,6 @@ v: {
   "system" : "http://hl7.org/fhir/sid/cvx",
   "version" : "20231214",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -364,7 +354,6 @@ v: {
   "system" : "http://hl7.org/fhir/sid/cvx",
   "version" : "20231214",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -388,7 +377,6 @@ v: {
   "system" : "http://hl7.org/fhir/sid/cvx",
   "version" : "20231214",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -411,7 +399,6 @@ v: {
   "system" : "http://hl7.org/fhir/sid/cvx",
   "version" : "20231214",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -434,7 +421,6 @@ v: {
   "system" : "http://hl7.org/fhir/sid/cvx",
   "version" : "20231214",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -457,7 +443,6 @@ v: {
   "error" : "Unknown code '209' in the CodeSystem 'http://hl7.org/fhir/sid/cvx' version '20231214'",
   "class" : "UNKNOWN",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome",
   "issue" : [{
@@ -497,7 +482,6 @@ v: {
   "error" : "The provided code 'http://hl7.org/fhir/sid/cvx#209' was not found in the value set 'http://hl7.org/fhir/uv/shc-vaccination/ValueSet/vaccine-cvx|0.6.2'; Unknown code '209' in the CodeSystem 'http://hl7.org/fhir/sid/cvx' version '20231214'",
   "class" : "UNKNOWN",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome",
   "issue" : [{
@@ -554,7 +538,6 @@ v: {
   "system" : "http://hl7.org/fhir/sid/cvx",
   "version" : "20231214",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -577,7 +560,6 @@ v: {
   "system" : "http://hl7.org/fhir/sid/cvx",
   "version" : "20231214",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -600,7 +582,6 @@ v: {
   "system" : "http://hl7.org/fhir/sid/cvx",
   "version" : "20231214",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -623,6 +604,450 @@ v: {
   "system" : "http://hl7.org/fhir/sid/cvx",
   "version" : "20231214",
   "server" : "http://tx-dev.fhir.org/r4",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://hl7.org/fhir/sid/cvx",
+  "code" : "207",
+  "display" : "SARS-COV-2 (COVID-19) vaccine, mRNA, spike protein, LNP, preservative free, 100 mcg/0.5mL dose"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "display" : "SARS-COV-2 (COVID-19) vaccine, mRNA, spike protein, LNP, preservative free, 100 mcg/0.5mL dose or 50 mcg/0.25mL dose",
+  "code" : "207",
+  "system" : "http://hl7.org/fhir/sid/cvx",
+  "version" : "20231214",
+  "severity" : "error",
+  "error" : "Wrong Display Name 'SARS-COV-2 (COVID-19) vaccine, mRNA, spike protein, LNP, preservative free, 100 mcg/0.5mL dose' for http://hl7.org/fhir/sid/cvx#207. Valid display is 'COVID-19, mRNA, LNP-S, PF, 100 mcg/0.5mL dose or 50 mcg/0.25mL dose' (for the language(s) 'en-US')",
+  "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" : "invalid",
+    "details" : {
+      "coding" : [{
+        "system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type",
+        "code" : "invalid-display"
+      }],
+      "text" : "Wrong Display Name 'SARS-COV-2 (COVID-19) vaccine, mRNA, spike protein, LNP, preservative free, 100 mcg/0.5mL dose' for http://hl7.org/fhir/sid/cvx#207. Valid display is 'COVID-19, mRNA, LNP-S, PF, 100 mcg/0.5mL dose or 50 mcg/0.25mL dose' (for the language(s) 'en-US')"
+    },
+    "location" : ["Coding.display"],
+    "expression" : ["Coding.display"]
+  }]
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://hl7.org/fhir/sid/cvx",
+  "code" : "207",
+  "display" : "X SARS-COV-2 (COVID-19) vaccine, mRNA, spike protein, LNP, preservative free, 100 mcg/0.5mL dose"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "display" : "SARS-COV-2 (COVID-19) vaccine, mRNA, spike protein, LNP, preservative free, 100 mcg/0.5mL dose or 50 mcg/0.25mL dose",
+  "code" : "207",
+  "system" : "http://hl7.org/fhir/sid/cvx",
+  "version" : "20231214",
+  "severity" : "error",
+  "error" : "Wrong Display Name 'X SARS-COV-2 (COVID-19) vaccine, mRNA, spike protein, LNP, preservative free, 100 mcg/0.5mL dose' for http://hl7.org/fhir/sid/cvx#207. Valid display is 'COVID-19, mRNA, LNP-S, PF, 100 mcg/0.5mL dose or 50 mcg/0.25mL dose' (for the language(s) 'en-US')",
+  "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" : "invalid",
+    "details" : {
+      "coding" : [{
+        "system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type",
+        "code" : "invalid-display"
+      }],
+      "text" : "Wrong Display Name 'X SARS-COV-2 (COVID-19) vaccine, mRNA, spike protein, LNP, preservative free, 100 mcg/0.5mL dose' for http://hl7.org/fhir/sid/cvx#207. Valid display is 'COVID-19, mRNA, LNP-S, PF, 100 mcg/0.5mL dose or 50 mcg/0.25mL dose' (for the language(s) 'en-US')"
+    },
+    "location" : ["Coding.display"],
+    "expression" : ["Coding.display"]
+  }]
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://hl7.org/fhir/sid/cvx",
+  "code" : "208",
+  "display" : "SARS-COV-2 (COVID-19) vaccine, mRNA, spike protein, LNP, preservative free, 30 mcg/0.3mL dose"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "display" : "SARS-COV-2 (COVID-19) vaccine, mRNA, spike protein, LNP, preservative free, 30 mcg/0.3mL dose",
+  "code" : "208",
+  "system" : "http://hl7.org/fhir/sid/cvx",
+  "version" : "20231214",
+  "server" : "http://tx-dev.fhir.org/r4",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://hl7.org/fhir/sid/cvx",
+  "code" : "141",
+  "display" : "Influenza, seasonal, injectable"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "display" : "Influenza, seasonal, injectable",
+  "code" : "141",
+  "system" : "http://hl7.org/fhir/sid/cvx",
+  "version" : "20231214",
+  "server" : "http://tx-dev.fhir.org/r4",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://hl7.org/fhir/sid/cvx",
+  "code" : "20",
+  "display" : "diphtheria, tetanus toxoids and acellular pertussis vaccine"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "display" : "diphtheria, tetanus toxoids and acellular pertussis vaccine",
+  "code" : "20",
+  "system" : "http://hl7.org/fhir/sid/cvx",
+  "version" : "20231214",
+  "server" : "http://tx-dev.fhir.org/r4",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://hl7.org/fhir/sid/cvx",
+  "code" : "138",
+  "display" : "tetanus and diphtheria toxoids, not adsorbed, for adult use"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "display" : "tetanus and diphtheria toxoids, not adsorbed, for adult use",
+  "code" : "138",
+  "system" : "http://hl7.org/fhir/sid/cvx",
+  "version" : "20231214",
+  "server" : "http://tx-dev.fhir.org/r4",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://hl7.org/fhir/sid/cvx",
+  "code" : "133",
+  "display" : "pneumococcal conjugate vaccine, 13 valent"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "display" : "pneumococcal conjugate vaccine, 13 valent",
+  "code" : "133",
+  "system" : "http://hl7.org/fhir/sid/cvx",
+  "version" : "20231214",
+  "server" : "http://tx-dev.fhir.org/r4",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://hl7.org/fhir/sid/cvx",
+  "code" : "208"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "display" : "SARS-COV-2 (COVID-19) vaccine, mRNA, spike protein, LNP, preservative free, 30 mcg/0.3mL dose",
+  "code" : "208",
+  "system" : "http://hl7.org/fhir/sid/cvx",
+  "version" : "20231214",
+  "server" : "http://tx-dev.fhir.org/r4",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://hl7.org/fhir/sid/cvx",
+  "code" : "208"
+}, "url": "http://hl7.org/fhir/uv/shc-vaccination/ValueSet/vaccine-cvx", "version": "0.6.2", "langs":"en-US", "useServer":"true", "useClient":"true", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "display" : "SARS-COV-2 (COVID-19) vaccine, mRNA, spike protein, LNP, preservative free, 30 mcg/0.3mL dose",
+  "code" : "208",
+  "system" : "http://hl7.org/fhir/sid/cvx",
+  "version" : "20231214",
+  "server" : "http://tx-dev.fhir.org/r4",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://hl7.org/fhir/sid/cvx",
+  "code" : "209"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "code" : "209",
+  "system" : "http://hl7.org/fhir/sid/cvx",
+  "severity" : "error",
+  "error" : "Unknown code '209' in the CodeSystem 'http://hl7.org/fhir/sid/cvx' version '20231214'",
+  "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 '209' in the CodeSystem 'http://hl7.org/fhir/sid/cvx' version '20231214'"
+    },
+    "location" : ["Coding.code"],
+    "expression" : ["Coding.code"]
+  }]
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://hl7.org/fhir/sid/cvx",
+  "code" : "209"
+}, "url": "http://hl7.org/fhir/uv/shc-vaccination/ValueSet/vaccine-cvx", "version": "0.6.2", "langs":"en-US", "useServer":"true", "useClient":"true", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "code" : "209",
+  "system" : "http://hl7.org/fhir/sid/cvx",
+  "severity" : "error",
+  "error" : "The provided code 'http://hl7.org/fhir/sid/cvx#209' was not found in the value set 'http://hl7.org/fhir/uv/shc-vaccination/ValueSet/vaccine-cvx|0.6.2'; Unknown code '209' in the CodeSystem 'http://hl7.org/fhir/sid/cvx' version '20231214'",
+  "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 '209' in the CodeSystem 'http://hl7.org/fhir/sid/cvx' version '20231214'"
+    },
+    "location" : ["Coding.code"],
+    "expression" : ["Coding.code"]
+  },
+  {
+    "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" : "not-in-vs"
+      }],
+      "text" : "The provided code 'http://hl7.org/fhir/sid/cvx#209' was not found in the value set 'http://hl7.org/fhir/uv/shc-vaccination/ValueSet/vaccine-cvx|0.6.2'"
+    },
+    "location" : ["Coding.code"],
+    "expression" : ["Coding.code"]
+  }]
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://hl7.org/fhir/sid/cvx",
+  "code" : "210"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "display" : "SARS-COV-2 (COVID-19) vaccine, vector non-replicating, recombinant spike protein-ChAdOx1, preservative free, 0.5 mL",
+  "code" : "210",
+  "system" : "http://hl7.org/fhir/sid/cvx",
+  "version" : "20231214",
+  "server" : "http://tx-dev.fhir.org/r4",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://hl7.org/fhir/sid/cvx",
+  "code" : "207"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "display" : "SARS-COV-2 (COVID-19) vaccine, mRNA, spike protein, LNP, preservative free, 100 mcg/0.5mL dose or 50 mcg/0.25mL dose",
+  "code" : "207",
+  "system" : "http://hl7.org/fhir/sid/cvx",
+  "version" : "20231214",
+  "server" : "http://tx-dev.fhir.org/r4",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://hl7.org/fhir/sid/cvx",
+  "code" : "210"
+}, "url": "http://hl7.org/fhir/uv/shc-vaccination/ValueSet/vaccine-cvx", "version": "0.6.2", "langs":"en-US", "useServer":"true", "useClient":"true", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "display" : "SARS-COV-2 (COVID-19) vaccine, vector non-replicating, recombinant spike protein-ChAdOx1, preservative free, 0.5 mL",
+  "code" : "210",
+  "system" : "http://hl7.org/fhir/sid/cvx",
+  "version" : "20231214",
+  "server" : "http://tx-dev.fhir.org/r4",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://hl7.org/fhir/sid/cvx",
+  "code" : "207"
+}, "url": "http://hl7.org/fhir/uv/shc-vaccination/ValueSet/vaccine-cvx", "version": "0.6.2", "langs":"en-US", "useServer":"true", "useClient":"true", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "display" : "SARS-COV-2 (COVID-19) vaccine, mRNA, spike protein, LNP, preservative free, 100 mcg/0.5mL dose or 50 mcg/0.25mL dose",
+  "code" : "207",
+  "system" : "http://hl7.org/fhir/sid/cvx",
+  "version" : "20231214",
+  "server" : "http://tx-dev.fhir.org/r4",
   "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"

org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/4.0.1/http___acme.org_obs-codes.cache

@@ -79,3 +79,85 @@ v: {
 
 }
 -------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://acme.org/obs-codes",
+  "code" : "obs1"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "code" : "obs1",
+  "system" : "http://acme.org/obs-codes",
+  "severity" : "error",
+  "error" : "A definition for CodeSystem 'http://acme.org/obs-codes' could not be found, so the code cannot be validated",
+  "class" : "CODESYSTEM_UNSUPPORTED",
+  "server" : "http://tx-dev.fhir.org/r4",
+  "unknown-systems" : "http://acme.org/obs-codes",
+  "issues" : {
+  "resourceType" : "OperationOutcome",
+  "issue" : [{
+    "extension" : [{
+      "url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-server",
+      "valueUrl" : "http://tx-dev.fhir.org/r4"
+    }],
+    "severity" : "error",
+    "code" : "not-found",
+    "details" : {
+      "coding" : [{
+        "system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type",
+        "code" : "not-found"
+      }],
+      "text" : "A definition for CodeSystem 'http://acme.org/obs-codes' could not be found, so the code cannot be validated"
+    },
+    "location" : ["Coding.system"],
+    "expression" : ["Coding.system"]
+  }]
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://acme.org/obs-codes",
+  "code" : "obs2"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "code" : "obs2",
+  "system" : "http://acme.org/obs-codes",
+  "severity" : "error",
+  "error" : "A definition for CodeSystem 'http://acme.org/obs-codes' could not be found, so the code cannot be validated",
+  "class" : "CODESYSTEM_UNSUPPORTED",
+  "server" : "http://tx-dev.fhir.org/r4",
+  "unknown-systems" : "http://acme.org/obs-codes",
+  "issues" : {
+  "resourceType" : "OperationOutcome",
+  "issue" : [{
+    "extension" : [{
+      "url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-server",
+      "valueUrl" : "http://tx-dev.fhir.org/r4"
+    }],
+    "severity" : "error",
+    "code" : "not-found",
+    "details" : {
+      "coding" : [{
+        "system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type",
+        "code" : "not-found"
+      }],
+      "text" : "A definition for CodeSystem 'http://acme.org/obs-codes' could not be found, so the code cannot be validated"
+    },
+    "location" : ["Coding.system"],
+    "expression" : ["Coding.system"]
+  }]
+}
+
+}
+-------------------------------------------------------------------------------------

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

@@ -39,3 +39,44 @@ v: {
 
 }
 -------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://example.org",
+  "code" : "aabbcc"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "code" : "aabbcc",
+  "system" : "http://example.org",
+  "severity" : "error",
+  "error" : "A definition for CodeSystem 'http://example.org' could not be found, so the code cannot be validated",
+  "class" : "CODESYSTEM_UNSUPPORTED",
+  "server" : "http://tx-dev.fhir.org/r4",
+  "unknown-systems" : "http://example.org",
+  "issues" : {
+  "resourceType" : "OperationOutcome",
+  "issue" : [{
+    "extension" : [{
+      "url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-server",
+      "valueUrl" : "http://tx-dev.fhir.org/r4"
+    }],
+    "severity" : "error",
+    "code" : "not-found",
+    "details" : {
+      "coding" : [{
+        "system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type",
+        "code" : "not-found"
+      }],
+      "text" : "A definition for CodeSystem 'http://example.org' could not be found, so the code cannot be validated"
+    },
+    "location" : ["Coding.system"],
+    "expression" : ["Coding.system"]
+  }]
+}
+
+}
+-------------------------------------------------------------------------------------

org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/4.0.1/http___example.org_fhir_animal-breed.cache

@@ -40,3 +40,45 @@ v: {
 
 }
 -------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://example.org/fhir/animal-breed",
+  "code" : "gret",
+  "display" : "Golden Retriever"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "code" : "gret",
+  "system" : "http://example.org/fhir/animal-breed",
+  "severity" : "error",
+  "error" : "A definition for CodeSystem 'http://example.org/fhir/animal-breed' could not be found, so the code cannot be validated",
+  "class" : "CODESYSTEM_UNSUPPORTED",
+  "server" : "http://tx-dev.fhir.org/r4",
+  "unknown-systems" : "http://example.org/fhir/animal-breed",
+  "issues" : {
+  "resourceType" : "OperationOutcome",
+  "issue" : [{
+    "extension" : [{
+      "url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-server",
+      "valueUrl" : "http://tx-dev.fhir.org/r4"
+    }],
+    "severity" : "error",
+    "code" : "not-found",
+    "details" : {
+      "coding" : [{
+        "system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type",
+        "code" : "not-found"
+      }],
+      "text" : "A definition for CodeSystem 'http://example.org/fhir/animal-breed' could not be found, so the code cannot be validated"
+    },
+    "location" : ["Coding.system"],
+    "expression" : ["Coding.system"]
+  }]
+}
+
+}
+-------------------------------------------------------------------------------------

org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/4.0.1/http___example.org_fhir_us_spl_CodeSystem_codesystem-organizationTypes.cache

@@ -39,3 +39,44 @@ v: {
 
 }
 -------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://example.org/fhir/us/spl/CodeSystem/codesystem-organizationTypes",
+  "code" : "USAgent"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "code" : "USAgent",
+  "system" : "http://example.org/fhir/us/spl/CodeSystem/codesystem-organizationTypes",
+  "severity" : "error",
+  "error" : "A definition for CodeSystem 'http://example.org/fhir/us/spl/CodeSystem/codesystem-organizationTypes' could not be found, so the code cannot be validated",
+  "class" : "CODESYSTEM_UNSUPPORTED",
+  "server" : "http://tx-dev.fhir.org/r4",
+  "unknown-systems" : "http://example.org/fhir/us/spl/CodeSystem/codesystem-organizationTypes",
+  "issues" : {
+  "resourceType" : "OperationOutcome",
+  "issue" : [{
+    "extension" : [{
+      "url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-server",
+      "valueUrl" : "http://tx-dev.fhir.org/r4"
+    }],
+    "severity" : "error",
+    "code" : "not-found",
+    "details" : {
+      "coding" : [{
+        "system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type",
+        "code" : "not-found"
+      }],
+      "text" : "A definition for CodeSystem 'http://example.org/fhir/us/spl/CodeSystem/codesystem-organizationTypes' could not be found, so the code cannot be validated"
+    },
+    "location" : ["Coding.system"],
+    "expression" : ["Coding.system"]
+  }]
+}
+
+}
+-------------------------------------------------------------------------------------

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

@@ -39,3 +39,44 @@ v: {
 
 }
 -------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://example.org/mySystem",
+  "code" : "1an"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "code" : "1an",
+  "system" : "http://example.org/mySystem",
+  "severity" : "error",
+  "error" : "A definition for CodeSystem 'http://example.org/mySystem' could not be found, so the code cannot be validated",
+  "class" : "CODESYSTEM_UNSUPPORTED",
+  "server" : "http://tx-dev.fhir.org/r4",
+  "unknown-systems" : "http://example.org/mySystem",
+  "issues" : {
+  "resourceType" : "OperationOutcome",
+  "issue" : [{
+    "extension" : [{
+      "url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-server",
+      "valueUrl" : "http://tx-dev.fhir.org/r4"
+    }],
+    "severity" : "error",
+    "code" : "not-found",
+    "details" : {
+      "coding" : [{
+        "system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type",
+        "code" : "not-found"
+      }],
+      "text" : "A definition for CodeSystem 'http://example.org/mySystem' could not be found, so the code cannot be validated"
+    },
+    "location" : ["Coding.system"],
+    "expression" : ["Coding.system"]
+  }]
+}
+
+}
+-------------------------------------------------------------------------------------

org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/4.0.1/http___example.org_profile2.cache

@@ -39,3 +39,44 @@ v: {
 
 }
 -------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://example.org/profile2",
+  "code" : "code2"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "code" : "code2",
+  "system" : "http://example.org/profile2",
+  "severity" : "error",
+  "error" : "A definition for CodeSystem 'http://example.org/profile2' could not be found, so the code cannot be validated",
+  "class" : "CODESYSTEM_UNSUPPORTED",
+  "server" : "http://tx-dev.fhir.org/r4",
+  "unknown-systems" : "http://example.org/profile2",
+  "issues" : {
+  "resourceType" : "OperationOutcome",
+  "issue" : [{
+    "extension" : [{
+      "url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-server",
+      "valueUrl" : "http://tx-dev.fhir.org/r4"
+    }],
+    "severity" : "error",
+    "code" : "not-found",
+    "details" : {
+      "coding" : [{
+        "system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type",
+        "code" : "not-found"
+      }],
+      "text" : "A definition for CodeSystem 'http://example.org/profile2' could not be found, so the code cannot be validated"
+    },
+    "location" : ["Coding.system"],
+    "expression" : ["Coding.system"]
+  }]
+}
+
+}
+-------------------------------------------------------------------------------------

org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/4.0.1/http___example.org_profile3.cache

@@ -39,3 +39,44 @@ v: {
 
 }
 -------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://example.org/profile3",
+  "code" : "code3"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "code" : "code3",
+  "system" : "http://example.org/profile3",
+  "severity" : "error",
+  "error" : "A definition for CodeSystem 'http://example.org/profile3' could not be found, so the code cannot be validated",
+  "class" : "CODESYSTEM_UNSUPPORTED",
+  "server" : "http://tx-dev.fhir.org/r4",
+  "unknown-systems" : "http://example.org/profile3",
+  "issues" : {
+  "resourceType" : "OperationOutcome",
+  "issue" : [{
+    "extension" : [{
+      "url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-server",
+      "valueUrl" : "http://tx-dev.fhir.org/r4"
+    }],
+    "severity" : "error",
+    "code" : "not-found",
+    "details" : {
+      "coding" : [{
+        "system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type",
+        "code" : "not-found"
+      }],
+      "text" : "A definition for CodeSystem 'http://example.org/profile3' could not be found, so the code cannot be validated"
+    },
+    "location" : ["Coding.system"],
+    "expression" : ["Coding.system"]
+  }]
+}
+
+}
+-------------------------------------------------------------------------------------

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

@@ -245,3 +245,255 @@ v: {
 
 }
 -------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://fhir.de/CodeSystem/ask",
+  "code" : "05482",
+  "display" : "Blutgerinnungsfaktor II"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "code" : "05482",
+  "system" : "http://fhir.de/CodeSystem/ask",
+  "severity" : "error",
+  "error" : "A definition for CodeSystem 'http://fhir.de/CodeSystem/ask' could not be found, so the code cannot be validated",
+  "class" : "CODESYSTEM_UNSUPPORTED",
+  "server" : "http://tx-dev.fhir.org/r4",
+  "unknown-systems" : "http://fhir.de/CodeSystem/ask",
+  "issues" : {
+  "resourceType" : "OperationOutcome",
+  "issue" : [{
+    "extension" : [{
+      "url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-server",
+      "valueUrl" : "http://tx-dev.fhir.org/r4"
+    }],
+    "severity" : "error",
+    "code" : "not-found",
+    "details" : {
+      "coding" : [{
+        "system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type",
+        "code" : "not-found"
+      }],
+      "text" : "A definition for CodeSystem 'http://fhir.de/CodeSystem/ask' could not be found, so the code cannot be validated"
+    },
+    "location" : ["Coding.system"],
+    "expression" : ["Coding.system"]
+  }]
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://fhir.de/CodeSystem/ask",
+  "code" : "06225",
+  "display" : "Blutgerinnungsfaktor VII"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "code" : "06225",
+  "system" : "http://fhir.de/CodeSystem/ask",
+  "severity" : "error",
+  "error" : "A definition for CodeSystem 'http://fhir.de/CodeSystem/ask' could not be found, so the code cannot be validated",
+  "class" : "CODESYSTEM_UNSUPPORTED",
+  "server" : "http://tx-dev.fhir.org/r4",
+  "unknown-systems" : "http://fhir.de/CodeSystem/ask",
+  "issues" : {
+  "resourceType" : "OperationOutcome",
+  "issue" : [{
+    "extension" : [{
+      "url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-server",
+      "valueUrl" : "http://tx-dev.fhir.org/r4"
+    }],
+    "severity" : "error",
+    "code" : "not-found",
+    "details" : {
+      "coding" : [{
+        "system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type",
+        "code" : "not-found"
+      }],
+      "text" : "A definition for CodeSystem 'http://fhir.de/CodeSystem/ask' could not be found, so the code cannot be validated"
+    },
+    "location" : ["Coding.system"],
+    "expression" : ["Coding.system"]
+  }]
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://fhir.de/CodeSystem/ask",
+  "code" : "1234",
+  "display" : "Protein S (human)"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "code" : "1234",
+  "system" : "http://fhir.de/CodeSystem/ask",
+  "severity" : "error",
+  "error" : "A definition for CodeSystem 'http://fhir.de/CodeSystem/ask' could not be found, so the code cannot be validated",
+  "class" : "CODESYSTEM_UNSUPPORTED",
+  "server" : "http://tx-dev.fhir.org/r4",
+  "unknown-systems" : "http://fhir.de/CodeSystem/ask",
+  "issues" : {
+  "resourceType" : "OperationOutcome",
+  "issue" : [{
+    "extension" : [{
+      "url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-server",
+      "valueUrl" : "http://tx-dev.fhir.org/r4"
+    }],
+    "severity" : "error",
+    "code" : "not-found",
+    "details" : {
+      "coding" : [{
+        "system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type",
+        "code" : "not-found"
+      }],
+      "text" : "A definition for CodeSystem 'http://fhir.de/CodeSystem/ask' could not be found, so the code cannot be validated"
+    },
+    "location" : ["Coding.system"],
+    "expression" : ["Coding.system"]
+  }]
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://fhir.de/CodeSystem/ask",
+  "code" : "10669",
+  "display" : "Plasmaprotein C vom Menschen"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "code" : "10669",
+  "system" : "http://fhir.de/CodeSystem/ask",
+  "severity" : "error",
+  "error" : "A definition for CodeSystem 'http://fhir.de/CodeSystem/ask' could not be found, so the code cannot be validated",
+  "class" : "CODESYSTEM_UNSUPPORTED",
+  "server" : "http://tx-dev.fhir.org/r4",
+  "unknown-systems" : "http://fhir.de/CodeSystem/ask",
+  "issues" : {
+  "resourceType" : "OperationOutcome",
+  "issue" : [{
+    "extension" : [{
+      "url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-server",
+      "valueUrl" : "http://tx-dev.fhir.org/r4"
+    }],
+    "severity" : "error",
+    "code" : "not-found",
+    "details" : {
+      "coding" : [{
+        "system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type",
+        "code" : "not-found"
+      }],
+      "text" : "A definition for CodeSystem 'http://fhir.de/CodeSystem/ask' could not be found, so the code cannot be validated"
+    },
+    "location" : ["Coding.system"],
+    "expression" : ["Coding.system"]
+  }]
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://fhir.de/CodeSystem/ask",
+  "code" : "03800",
+  "display" : "Blutgerinnungsfaktor IX vom Menschen"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "code" : "03800",
+  "system" : "http://fhir.de/CodeSystem/ask",
+  "severity" : "error",
+  "error" : "A definition for CodeSystem 'http://fhir.de/CodeSystem/ask' could not be found, so the code cannot be validated",
+  "class" : "CODESYSTEM_UNSUPPORTED",
+  "server" : "http://tx-dev.fhir.org/r4",
+  "unknown-systems" : "http://fhir.de/CodeSystem/ask",
+  "issues" : {
+  "resourceType" : "OperationOutcome",
+  "issue" : [{
+    "extension" : [{
+      "url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-server",
+      "valueUrl" : "http://tx-dev.fhir.org/r4"
+    }],
+    "severity" : "error",
+    "code" : "not-found",
+    "details" : {
+      "coding" : [{
+        "system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type",
+        "code" : "not-found"
+      }],
+      "text" : "A definition for CodeSystem 'http://fhir.de/CodeSystem/ask' could not be found, so the code cannot be validated"
+    },
+    "location" : ["Coding.system"],
+    "expression" : ["Coding.system"]
+  }]
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://fhir.de/CodeSystem/ask",
+  "code" : "06226",
+  "display" : "Blutgerinnungsfaktor X"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "code" : "06226",
+  "system" : "http://fhir.de/CodeSystem/ask",
+  "severity" : "error",
+  "error" : "A definition for CodeSystem 'http://fhir.de/CodeSystem/ask' could not be found, so the code cannot be validated",
+  "class" : "CODESYSTEM_UNSUPPORTED",
+  "server" : "http://tx-dev.fhir.org/r4",
+  "unknown-systems" : "http://fhir.de/CodeSystem/ask",
+  "issues" : {
+  "resourceType" : "OperationOutcome",
+  "issue" : [{
+    "extension" : [{
+      "url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-server",
+      "valueUrl" : "http://tx-dev.fhir.org/r4"
+    }],
+    "severity" : "error",
+    "code" : "not-found",
+    "details" : {
+      "coding" : [{
+        "system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type",
+        "code" : "not-found"
+      }],
+      "text" : "A definition for CodeSystem 'http://fhir.de/CodeSystem/ask' could not be found, so the code cannot be validated"
+    },
+    "location" : ["Coding.system"],
+    "expression" : ["Coding.system"]
+  }]
+}
+
+}
+-------------------------------------------------------------------------------------

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

@@ -40,3 +40,45 @@ v: {
 
 }
 -------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://fhir.de/CodeSystem/ifa/pzn",
+  "code" : "07115663",
+  "display" : "Octaplex 500 Pulver und Lösungsmittel zur Herstellung einer i.v. Infusionslösung"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "code" : "07115663",
+  "system" : "http://fhir.de/CodeSystem/ifa/pzn",
+  "severity" : "error",
+  "error" : "A definition for CodeSystem 'http://fhir.de/CodeSystem/ifa/pzn' could not be found, so the code cannot be validated",
+  "class" : "CODESYSTEM_UNSUPPORTED",
+  "server" : "http://tx-dev.fhir.org/r4",
+  "unknown-systems" : "http://fhir.de/CodeSystem/ifa/pzn",
+  "issues" : {
+  "resourceType" : "OperationOutcome",
+  "issue" : [{
+    "extension" : [{
+      "url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-server",
+      "valueUrl" : "http://tx-dev.fhir.org/r4"
+    }],
+    "severity" : "error",
+    "code" : "not-found",
+    "details" : {
+      "coding" : [{
+        "system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type",
+        "code" : "not-found"
+      }],
+      "text" : "A definition for CodeSystem 'http://fhir.de/CodeSystem/ifa/pzn' could not be found, so the code cannot be validated"
+    },
+    "location" : ["Coding.system"],
+    "expression" : ["Coding.system"]
+  }]
+}
+
+}
+-------------------------------------------------------------------------------------

org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/4.0.1/http___fhir.mimic.mit.edu_CodeSystem_admission-type.cache

@@ -39,3 +39,44 @@ v: {
 
 }
 -------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://fhir.mimic.mit.edu/CodeSystem/admission-type",
+  "code" : "URGENT"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "code" : "URGENT",
+  "system" : "http://fhir.mimic.mit.edu/CodeSystem/admission-type",
+  "severity" : "error",
+  "error" : "A definition for CodeSystem 'http://fhir.mimic.mit.edu/CodeSystem/admission-type' could not be found, so the code cannot be validated",
+  "class" : "CODESYSTEM_UNSUPPORTED",
+  "server" : "http://tx-dev.fhir.org/r4",
+  "unknown-systems" : "http://fhir.mimic.mit.edu/CodeSystem/admission-type",
+  "issues" : {
+  "resourceType" : "OperationOutcome",
+  "issue" : [{
+    "extension" : [{
+      "url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-server",
+      "valueUrl" : "http://tx-dev.fhir.org/r4"
+    }],
+    "severity" : "error",
+    "code" : "not-found",
+    "details" : {
+      "coding" : [{
+        "system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type",
+        "code" : "not-found"
+      }],
+      "text" : "A definition for CodeSystem 'http://fhir.mimic.mit.edu/CodeSystem/admission-type' could not be found, so the code cannot be validated"
+    },
+    "location" : ["Coding.system"],
+    "expression" : ["Coding.system"]
+  }]
+}
+
+}
+-------------------------------------------------------------------------------------

org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/4.0.1/http___fhir.mimic.mit.edu_CodeSystem_admit-source.cache

@@ -38,3 +38,43 @@ v: {
 
 }
 -------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://fhir.mimic.mit.edu/CodeSystem/admit-source",
+  "display" : "EMERGENCY ROOM"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "system" : "http://fhir.mimic.mit.edu/CodeSystem/admit-source",
+  "severity" : "error",
+  "error" : "A definition for CodeSystem 'http://fhir.mimic.mit.edu/CodeSystem/admit-source' could not be found, so the code cannot be validated",
+  "class" : "CODESYSTEM_UNSUPPORTED",
+  "server" : "http://tx-dev.fhir.org/r4",
+  "unknown-systems" : "http://fhir.mimic.mit.edu/CodeSystem/admit-source",
+  "issues" : {
+  "resourceType" : "OperationOutcome",
+  "issue" : [{
+    "extension" : [{
+      "url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-server",
+      "valueUrl" : "http://tx-dev.fhir.org/r4"
+    }],
+    "severity" : "error",
+    "code" : "not-found",
+    "details" : {
+      "coding" : [{
+        "system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type",
+        "code" : "not-found"
+      }],
+      "text" : "A definition for CodeSystem 'http://fhir.mimic.mit.edu/CodeSystem/admit-source' could not be found, so the code cannot be validated"
+    },
+    "location" : ["Coding.system"],
+    "expression" : ["Coding.system"]
+  }]
+}
+
+}
+-------------------------------------------------------------------------------------

org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/4.0.1/http___fhir.mimic.mit.edu_CodeSystem_discharge-dispostion.cache

@@ -38,3 +38,43 @@ v: {
 
 }
 -------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://fhir.mimic.mit.edu/CodeSystem/discharge-dispostion",
+  "display" : "HOME"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "system" : "http://fhir.mimic.mit.edu/CodeSystem/discharge-dispostion",
+  "severity" : "error",
+  "error" : "A definition for CodeSystem 'http://fhir.mimic.mit.edu/CodeSystem/discharge-dispostion' could not be found, so the code cannot be validated",
+  "class" : "CODESYSTEM_UNSUPPORTED",
+  "server" : "http://tx-dev.fhir.org/r4",
+  "unknown-systems" : "http://fhir.mimic.mit.edu/CodeSystem/discharge-dispostion",
+  "issues" : {
+  "resourceType" : "OperationOutcome",
+  "issue" : [{
+    "extension" : [{
+      "url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-server",
+      "valueUrl" : "http://tx-dev.fhir.org/r4"
+    }],
+    "severity" : "error",
+    "code" : "not-found",
+    "details" : {
+      "coding" : [{
+        "system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type",
+        "code" : "not-found"
+      }],
+      "text" : "A definition for CodeSystem 'http://fhir.mimic.mit.edu/CodeSystem/discharge-dispostion' could not be found, so the code cannot be validated"
+    },
+    "location" : ["Coding.system"],
+    "expression" : ["Coding.system"]
+  }]
+}
+
+}
+-------------------------------------------------------------------------------------

org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/4.0.1/http___fhir.whatever.com_codes_AllergyClinicalStatus.cache

@@ -40,3 +40,45 @@ v: {
 
 }
 -------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://fhir.whatever.com/codes/AllergyClinicalStatus",
+  "code" : "active",
+  "display" : "Active"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "code" : "active",
+  "system" : "http://fhir.whatever.com/codes/AllergyClinicalStatus",
+  "severity" : "error",
+  "error" : "A definition for CodeSystem 'http://fhir.whatever.com/codes/AllergyClinicalStatus' could not be found, so the code cannot be validated",
+  "class" : "CODESYSTEM_UNSUPPORTED",
+  "server" : "http://tx-dev.fhir.org/r4",
+  "unknown-systems" : "http://fhir.whatever.com/codes/AllergyClinicalStatus",
+  "issues" : {
+  "resourceType" : "OperationOutcome",
+  "issue" : [{
+    "extension" : [{
+      "url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-server",
+      "valueUrl" : "http://tx-dev.fhir.org/r4"
+    }],
+    "severity" : "error",
+    "code" : "not-found",
+    "details" : {
+      "coding" : [{
+        "system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type",
+        "code" : "not-found"
+      }],
+      "text" : "A definition for CodeSystem 'http://fhir.whatever.com/codes/AllergyClinicalStatus' could not be found, so the code cannot be validated"
+    },
+    "location" : ["Coding.system"],
+    "expression" : ["Coding.system"]
+  }]
+}
+
+}
+-------------------------------------------------------------------------------------

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

@@ -39,3 +39,44 @@ v: {
 
 }
 -------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://fkcfhir.org/fhir/CodeSystem/FMCInctrMedRoute",
+  "code" : "Sub Q"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "code" : "Sub Q",
+  "system" : "http://fkcfhir.org/fhir/CodeSystem/FMCInctrMedRoute",
+  "severity" : "error",
+  "error" : "A definition for CodeSystem 'http://fkcfhir.org/fhir/CodeSystem/FMCInctrMedRoute' could not be found, so the code cannot be validated",
+  "class" : "CODESYSTEM_UNSUPPORTED",
+  "server" : "http://tx-dev.fhir.org/r4",
+  "unknown-systems" : "http://fkcfhir.org/fhir/CodeSystem/FMCInctrMedRoute",
+  "issues" : {
+  "resourceType" : "OperationOutcome",
+  "issue" : [{
+    "extension" : [{
+      "url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-server",
+      "valueUrl" : "http://tx-dev.fhir.org/r4"
+    }],
+    "severity" : "error",
+    "code" : "not-found",
+    "details" : {
+      "coding" : [{
+        "system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type",
+        "code" : "not-found"
+      }],
+      "text" : "A definition for CodeSystem 'http://fkcfhir.org/fhir/CodeSystem/FMCInctrMedRoute' could not be found, so the code cannot be validated"
+    },
+    "location" : ["Coding.system"],
+    "expression" : ["Coding.system"]
+  }]
+}
+
+}
+-------------------------------------------------------------------------------------

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

@@ -39,3 +39,44 @@ v: {
 
 }
 -------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://fkcfhir.org/fhir/CodeSystem/FMCMedTiming",
+  "code" : "Pre Dialysis"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "code" : "Pre Dialysis",
+  "system" : "http://fkcfhir.org/fhir/CodeSystem/FMCMedTiming",
+  "severity" : "error",
+  "error" : "A definition for CodeSystem 'http://fkcfhir.org/fhir/CodeSystem/FMCMedTiming' could not be found, so the code cannot be validated",
+  "class" : "CODESYSTEM_UNSUPPORTED",
+  "server" : "http://tx-dev.fhir.org/r4",
+  "unknown-systems" : "http://fkcfhir.org/fhir/CodeSystem/FMCMedTiming",
+  "issues" : {
+  "resourceType" : "OperationOutcome",
+  "issue" : [{
+    "extension" : [{
+      "url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-server",
+      "valueUrl" : "http://tx-dev.fhir.org/r4"
+    }],
+    "severity" : "error",
+    "code" : "not-found",
+    "details" : {
+      "coding" : [{
+        "system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type",
+        "code" : "not-found"
+      }],
+      "text" : "A definition for CodeSystem 'http://fkcfhir.org/fhir/CodeSystem/FMCMedTiming' could not be found, so the code cannot be validated"
+    },
+    "location" : ["Coding.system"],
+    "expression" : ["Coding.system"]
+  }]
+}
+
+}
+-------------------------------------------------------------------------------------

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

@@ -40,3 +40,45 @@ v: {
 
 }
 -------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://fkcfhir.org/fhir/CodeSystem/FMCModality",
+  "code" : "IHD",
+  "display" : "IHD"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "code" : "IHD",
+  "system" : "http://fkcfhir.org/fhir/CodeSystem/FMCModality",
+  "severity" : "error",
+  "error" : "A definition for CodeSystem 'http://fkcfhir.org/fhir/CodeSystem/FMCModality' could not be found, so the code cannot be validated",
+  "class" : "CODESYSTEM_UNSUPPORTED",
+  "server" : "http://tx-dev.fhir.org/r4",
+  "unknown-systems" : "http://fkcfhir.org/fhir/CodeSystem/FMCModality",
+  "issues" : {
+  "resourceType" : "OperationOutcome",
+  "issue" : [{
+    "extension" : [{
+      "url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-server",
+      "valueUrl" : "http://tx-dev.fhir.org/r4"
+    }],
+    "severity" : "error",
+    "code" : "not-found",
+    "details" : {
+      "coding" : [{
+        "system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type",
+        "code" : "not-found"
+      }],
+      "text" : "A definition for CodeSystem 'http://fkcfhir.org/fhir/CodeSystem/FMCModality' could not be found, so the code cannot be validated"
+    },
+    "location" : ["Coding.system"],
+    "expression" : ["Coding.system"]
+  }]
+}
+
+}
+-------------------------------------------------------------------------------------

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

@@ -39,3 +39,44 @@ v: {
 
 }
 -------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://fkcfhir.org/fhir/CodeSystem/FMCOrderAbbreviation",
+  "code" : "IMed_Mircera"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "code" : "IMed_Mircera",
+  "system" : "http://fkcfhir.org/fhir/CodeSystem/FMCOrderAbbreviation",
+  "severity" : "error",
+  "error" : "A definition for CodeSystem 'http://fkcfhir.org/fhir/CodeSystem/FMCOrderAbbreviation' could not be found, so the code cannot be validated",
+  "class" : "CODESYSTEM_UNSUPPORTED",
+  "server" : "http://tx-dev.fhir.org/r4",
+  "unknown-systems" : "http://fkcfhir.org/fhir/CodeSystem/FMCOrderAbbreviation",
+  "issues" : {
+  "resourceType" : "OperationOutcome",
+  "issue" : [{
+    "extension" : [{
+      "url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-server",
+      "valueUrl" : "http://tx-dev.fhir.org/r4"
+    }],
+    "severity" : "error",
+    "code" : "not-found",
+    "details" : {
+      "coding" : [{
+        "system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type",
+        "code" : "not-found"
+      }],
+      "text" : "A definition for CodeSystem 'http://fkcfhir.org/fhir/CodeSystem/FMCOrderAbbreviation' could not be found, so the code cannot be validated"
+    },
+    "location" : ["Coding.system"],
+    "expression" : ["Coding.system"]
+  }]
+}
+
+}
+-------------------------------------------------------------------------------------

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

@@ -39,3 +39,44 @@ v: {
 
 }
 -------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://fkcfhir.org/fhir/CodeSystem/FMCOrderSchedule",
+  "code" : "Every 4 weeks"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "code" : "Every 4 weeks",
+  "system" : "http://fkcfhir.org/fhir/CodeSystem/FMCOrderSchedule",
+  "severity" : "error",
+  "error" : "A definition for CodeSystem 'http://fkcfhir.org/fhir/CodeSystem/FMCOrderSchedule' could not be found, so the code cannot be validated",
+  "class" : "CODESYSTEM_UNSUPPORTED",
+  "server" : "http://tx-dev.fhir.org/r4",
+  "unknown-systems" : "http://fkcfhir.org/fhir/CodeSystem/FMCOrderSchedule",
+  "issues" : {
+  "resourceType" : "OperationOutcome",
+  "issue" : [{
+    "extension" : [{
+      "url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-server",
+      "valueUrl" : "http://tx-dev.fhir.org/r4"
+    }],
+    "severity" : "error",
+    "code" : "not-found",
+    "details" : {
+      "coding" : [{
+        "system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type",
+        "code" : "not-found"
+      }],
+      "text" : "A definition for CodeSystem 'http://fkcfhir.org/fhir/CodeSystem/FMCOrderSchedule' could not be found, so the code cannot be validated"
+    },
+    "location" : ["Coding.system"],
+    "expression" : ["Coding.system"]
+  }]
+}
+
+}
+-------------------------------------------------------------------------------------

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

@@ -40,3 +40,45 @@ v: {
 
 }
 -------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://fkcfhir.org/fhir/CodeSystem/FMCOrderSubType",
+  "code" : "Anemia",
+  "display" : "Anemia"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "code" : "Anemia",
+  "system" : "http://fkcfhir.org/fhir/CodeSystem/FMCOrderSubType",
+  "severity" : "error",
+  "error" : "A definition for CodeSystem 'http://fkcfhir.org/fhir/CodeSystem/FMCOrderSubType' could not be found, so the code cannot be validated",
+  "class" : "CODESYSTEM_UNSUPPORTED",
+  "server" : "http://tx-dev.fhir.org/r4",
+  "unknown-systems" : "http://fkcfhir.org/fhir/CodeSystem/FMCOrderSubType",
+  "issues" : {
+  "resourceType" : "OperationOutcome",
+  "issue" : [{
+    "extension" : [{
+      "url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-server",
+      "valueUrl" : "http://tx-dev.fhir.org/r4"
+    }],
+    "severity" : "error",
+    "code" : "not-found",
+    "details" : {
+      "coding" : [{
+        "system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type",
+        "code" : "not-found"
+      }],
+      "text" : "A definition for CodeSystem 'http://fkcfhir.org/fhir/CodeSystem/FMCOrderSubType' could not be found, so the code cannot be validated"
+    },
+    "location" : ["Coding.system"],
+    "expression" : ["Coding.system"]
+  }]
+}
+
+}
+-------------------------------------------------------------------------------------

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

@@ -40,3 +40,45 @@ v: {
 
 }
 -------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://fkcfhir.org/fhir/CodeSystem/FMCOrderType",
+  "code" : "Treatment Medications",
+  "display" : "Treatment Medications"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "code" : "Treatment Medications",
+  "system" : "http://fkcfhir.org/fhir/CodeSystem/FMCOrderType",
+  "severity" : "error",
+  "error" : "A definition for CodeSystem 'http://fkcfhir.org/fhir/CodeSystem/FMCOrderType' could not be found, so the code cannot be validated",
+  "class" : "CODESYSTEM_UNSUPPORTED",
+  "server" : "http://tx-dev.fhir.org/r4",
+  "unknown-systems" : "http://fkcfhir.org/fhir/CodeSystem/FMCOrderType",
+  "issues" : {
+  "resourceType" : "OperationOutcome",
+  "issue" : [{
+    "extension" : [{
+      "url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-server",
+      "valueUrl" : "http://tx-dev.fhir.org/r4"
+    }],
+    "severity" : "error",
+    "code" : "not-found",
+    "details" : {
+      "coding" : [{
+        "system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type",
+        "code" : "not-found"
+      }],
+      "text" : "A definition for CodeSystem 'http://fkcfhir.org/fhir/CodeSystem/FMCOrderType' could not be found, so the code cannot be validated"
+    },
+    "location" : ["Coding.system"],
+    "expression" : ["Coding.system"]
+  }]
+}
+
+}
+-------------------------------------------------------------------------------------

org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/4.0.1/http___ncicb.nci.nih.gov_xml_owl_EVS_Thesaurus.owl.cache

@@ -17,7 +17,6 @@ v: {
   "error" : "Wrong Display Name 'Foreign Facility's United States Agent' for http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl#C73330. Valid display is 'UNITED STATES AGENT' (for the language(s) '--')",
   "class" : "UNKNOWN",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome",
   "issue" : [{
@@ -57,7 +56,6 @@ v: {
   "code" : "C43360",
   "system" : "http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -75,6 +73,94 @@ v: {
     "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
   }]
 }}####
+v: {
+  "display" : "Manufactures human prescription drug products",
+  "code" : "C106643",
+  "system" : "http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl",
+  "server" : "http://tx-dev.fhir.org/r4",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl",
+  "code" : "C73330",
+  "display" : "Foreign Facility's United States Agent"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "display" : "UNITED STATES AGENT",
+  "code" : "C73330",
+  "system" : "http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl",
+  "severity" : "error",
+  "error" : "Wrong Display Name 'Foreign Facility's United States Agent' for http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl#C73330. Valid display is 'UNITED STATES AGENT' (for the language(s) 'en-US')",
+  "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" : "invalid",
+    "details" : {
+      "coding" : [{
+        "system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type",
+        "code" : "invalid-display"
+      }],
+      "text" : "Wrong Display Name 'Foreign Facility's United States Agent' for http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl#C73330. Valid display is 'UNITED STATES AGENT' (for the language(s) 'en-US')"
+    },
+    "location" : ["Coding.display"],
+    "expression" : ["Coding.display"]
+  }]
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl",
+  "code" : "C43360",
+  "display" : "manufacture"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "display" : "MANUFACTURE",
+  "code" : "C43360",
+  "system" : "http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl",
+  "server" : "http://tx-dev.fhir.org/r4",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl",
+  "code" : "C106643",
+  "display" : "Manufactures human prescription drug products"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
 v: {
   "display" : "Manufactures human prescription drug products",
   "code" : "C106643",

org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/4.0.1/http___nucc.org_provider-taxonomy.cache

@@ -17,7 +17,6 @@ v: {
   "error" : "Wrong Display Name 'General Practice' for http://nucc.org/provider-taxonomy#208D00000X. Valid display is 'General Practice Physician' (for the language(s) '--')",
   "class" : "UNKNOWN",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome",
   "issue" : [{
@@ -51,6 +50,72 @@ v: {
     "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
   }]
 }}####
+v: {
+  "display" : "General Practice Physician",
+  "code" : "208D00000X",
+  "system" : "http://nucc.org/provider-taxonomy",
+  "version" : "22.1",
+  "server" : "http://tx-dev.fhir.org/r4",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://nucc.org/provider-taxonomy",
+  "code" : "208D00000X",
+  "display" : "General Practice"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "display" : "General Practice Physician",
+  "code" : "208D00000X",
+  "system" : "http://nucc.org/provider-taxonomy",
+  "version" : "22.1",
+  "severity" : "error",
+  "error" : "Wrong Display Name 'General Practice' for http://nucc.org/provider-taxonomy#208D00000X. Valid display is 'General Practice Physician' (for the language(s) 'en-US')",
+  "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" : "invalid",
+    "details" : {
+      "coding" : [{
+        "system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type",
+        "code" : "invalid-display"
+      }],
+      "text" : "Wrong Display Name 'General Practice' for http://nucc.org/provider-taxonomy#208D00000X. Valid display is 'General Practice Physician' (for the language(s) 'en-US')"
+    },
+    "location" : ["Coding.display"],
+    "expression" : ["Coding.display"]
+  }]
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://nucc.org/provider-taxonomy",
+  "code" : "208D00000X"
+}, "url": "http://hl7.org/fhir/us/core/ValueSet/us-core-provider-role--0", "version": "4.0.0", "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
 v: {
   "display" : "General Practice Physician",
   "code" : "208D00000X",

org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/4.0.1/http___standardterms.edqm.eu.cache

@@ -10,6 +10,29 @@
     "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
   }]
 }}####
+v: {
+  "display" : "Nasal use",
+  "code" : "20049000",
+  "system" : "http://standardterms.edqm.eu",
+  "version" : "5 March 2019",
+  "server" : "http://tx-dev.fhir.org/r4",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://standardterms.edqm.eu",
+  "code" : "20049000",
+  "display" : "Nasal use"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
 v: {
   "display" : "Nasal use",
   "code" : "20049000",

org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/4.0.1/http___terminology.gene.com_fhir_usix_uapi_CodeSystem_uapi-product-name.cache

@@ -40,3 +40,45 @@ v: {
 
 }
 -------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://terminology.gene.com/fhir/usix/uapi/CodeSystem/uapi-product-name",
+  "code" : "alecensa",
+  "display" : "Alecensa"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "code" : "alecensa",
+  "system" : "http://terminology.gene.com/fhir/usix/uapi/CodeSystem/uapi-product-name",
+  "severity" : "error",
+  "error" : "A definition for CodeSystem 'http://terminology.gene.com/fhir/usix/uapi/CodeSystem/uapi-product-name' could not be found, so the code cannot be validated",
+  "class" : "CODESYSTEM_UNSUPPORTED",
+  "server" : "http://tx-dev.fhir.org/r4",
+  "unknown-systems" : "http://terminology.gene.com/fhir/usix/uapi/CodeSystem/uapi-product-name",
+  "issues" : {
+  "resourceType" : "OperationOutcome",
+  "issue" : [{
+    "extension" : [{
+      "url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-server",
+      "valueUrl" : "http://tx-dev.fhir.org/r4"
+    }],
+    "severity" : "error",
+    "code" : "not-found",
+    "details" : {
+      "coding" : [{
+        "system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type",
+        "code" : "not-found"
+      }],
+      "text" : "A definition for CodeSystem 'http://terminology.gene.com/fhir/usix/uapi/CodeSystem/uapi-product-name' could not be found, so the code cannot be validated"
+    },
+    "location" : ["Coding.system"],
+    "expression" : ["Coding.system"]
+  }]
+}
+
+}
+-------------------------------------------------------------------------------------

org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/4.0.1/http___terminology.gene.com_fhir_usix_uapi_CodeSystem_uapi-sr-type.cache

@@ -39,3 +39,44 @@ v: {
 
 }
 -------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://terminology.gene.com/fhir/usix/uapi/CodeSystem/uapi-sr-type",
+  "code" : "biPA"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "code" : "biPA",
+  "system" : "http://terminology.gene.com/fhir/usix/uapi/CodeSystem/uapi-sr-type",
+  "severity" : "error",
+  "error" : "A definition for CodeSystem 'http://terminology.gene.com/fhir/usix/uapi/CodeSystem/uapi-sr-type' could not be found, so the code cannot be validated",
+  "class" : "CODESYSTEM_UNSUPPORTED",
+  "server" : "http://tx-dev.fhir.org/r4",
+  "unknown-systems" : "http://terminology.gene.com/fhir/usix/uapi/CodeSystem/uapi-sr-type",
+  "issues" : {
+  "resourceType" : "OperationOutcome",
+  "issue" : [{
+    "extension" : [{
+      "url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-server",
+      "valueUrl" : "http://tx-dev.fhir.org/r4"
+    }],
+    "severity" : "error",
+    "code" : "not-found",
+    "details" : {
+      "coding" : [{
+        "system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type",
+        "code" : "not-found"
+      }],
+      "text" : "A definition for CodeSystem 'http://terminology.gene.com/fhir/usix/uapi/CodeSystem/uapi-sr-type' could not be found, so the code cannot be validated"
+    },
+    "location" : ["Coding.system"],
+    "expression" : ["Coding.system"]
+  }]
+}
+
+}
+-------------------------------------------------------------------------------------

org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/4.0.1/http___terminology.hl7.org_ValueSet_v3-ServiceDeliveryLocationRoleType.cache

@@ -15,6 +15,46 @@ v: {
   "error" : "The Coding references a value set, not a code system ('http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType')",
   "class" : "UNKNOWN",
   "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" : "error",
+    "code" : "invalid",
+    "details" : {
+      "coding" : [{
+        "system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type",
+        "code" : "invalid-data"
+      }],
+      "text" : "The Coding references a value set, not a code system ('http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType')"
+    },
+    "location" : ["Coding.system"],
+    "expression" : ["Coding.system"]
+  }]
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType",
+  "code" : "COAG"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "code" : "COAG",
+  "system" : "http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType",
+  "severity" : "error",
+  "error" : "The Coding references a value set, not a code system ('http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType')",
+  "class" : "UNKNOWN",
+  "server" : "http://tx-dev.fhir.org/r4",
   "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome",

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

@@ -15,7 +15,6 @@ v: {
   "system" : "http://varnomen.hgvs.org",
   "version" : "2.0",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -38,7 +37,6 @@ v: {
   "system" : "http://varnomen.hgvs.org",
   "version" : "2.0",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -61,7 +59,6 @@ v: {
   "system" : "http://varnomen.hgvs.org",
   "version" : "2.0",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -84,7 +81,6 @@ v: {
   "error" : "Unknown code 'NC_000019.8:g.1171707G>AXXX' in the CodeSystem 'http://varnomen.hgvs.org' version '2.0'",
   "class" : "UNKNOWN",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome",
   "issue" : [{
@@ -124,6 +120,150 @@ v: {
   "error" : "The provided code 'http://varnomen.hgvs.org#NC_000019.8:g.1171707G>AXXX' was not found in the value set 'http://hl7.org/fhir/us/mcode/ValueSet/mcode-hgvs-vs--0|1.0.0'; Unknown code 'NC_000019.8:g.1171707G>AXXX' in the CodeSystem 'http://varnomen.hgvs.org' version '2.0'",
   "class" : "UNKNOWN",
   "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" : "error",
+    "code" : "code-invalid",
+    "details" : {
+      "coding" : [{
+        "system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type",
+        "code" : "invalid-code"
+      }],
+      "text" : "Unknown code 'NC_000019.8:g.1171707G>AXXX' in the CodeSystem 'http://varnomen.hgvs.org' version '2.0'"
+    },
+    "location" : ["Coding.code"],
+    "expression" : ["Coding.code"]
+  },
+  {
+    "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" : "not-in-vs"
+      }],
+      "text" : "The provided code 'http://varnomen.hgvs.org#NC_000019.8:g.1171707G>AXXX' was not found in the value set 'http://hl7.org/fhir/us/mcode/ValueSet/mcode-hgvs-vs--0|1.0.0'"
+    },
+    "location" : ["Coding.code"],
+    "expression" : ["Coding.code"]
+  }]
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://varnomen.hgvs.org",
+  "code" : "NC_000019.8:g.1171707G>A"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "display" : "NC_000019.8:g.1171707G>A",
+  "code" : "NC_000019.8:g.1171707G>A",
+  "system" : "http://varnomen.hgvs.org",
+  "version" : "2.0",
+  "server" : "http://tx-dev.fhir.org/r4",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://varnomen.hgvs.org",
+  "code" : "NC_000019.8:g.1171707G>A"
+}, "url": "http://hl7.org/fhir/us/mcode/ValueSet/mcode-hgvs-vs--0", "version": "1.0.0", "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "display" : "NC_000019.8:g.1171707G>A",
+  "code" : "NC_000019.8:g.1171707G>A",
+  "system" : "http://varnomen.hgvs.org",
+  "version" : "2.0",
+  "server" : "http://tx-dev.fhir.org/r4",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://varnomen.hgvs.org",
+  "code" : "NC_000019.8:g.1171707G>AXXX"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "code" : "NC_000019.8:g.1171707G>AXXX",
+  "system" : "http://varnomen.hgvs.org",
+  "severity" : "error",
+  "error" : "Unknown code 'NC_000019.8:g.1171707G>AXXX' in the CodeSystem 'http://varnomen.hgvs.org' version '2.0'",
+  "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 'NC_000019.8:g.1171707G>AXXX' in the CodeSystem 'http://varnomen.hgvs.org' version '2.0'"
+    },
+    "location" : ["Coding.code"],
+    "expression" : ["Coding.code"]
+  }]
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://varnomen.hgvs.org",
+  "code" : "NC_000019.8:g.1171707G>AXXX"
+}, "url": "http://hl7.org/fhir/us/mcode/ValueSet/mcode-hgvs-vs--0", "version": "1.0.0", "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "code" : "NC_000019.8:g.1171707G>AXXX",
+  "system" : "http://varnomen.hgvs.org",
+  "severity" : "error",
+  "error" : "The provided code 'http://varnomen.hgvs.org#NC_000019.8:g.1171707G>AXXX' was not found in the value set 'http://hl7.org/fhir/us/mcode/ValueSet/mcode-hgvs-vs--0|1.0.0'; Unknown code 'NC_000019.8:g.1171707G>AXXX' in the CodeSystem 'http://varnomen.hgvs.org' version '2.0'",
+  "class" : "UNKNOWN",
+  "server" : "http://tx-dev.fhir.org/r4",
   "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome",

org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/4.0.1/http___www.ada.org_snodent.cache

@@ -10,6 +10,29 @@
     "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
   }]
 }}####
+v: {
+  "display" : "Anterior part of lower alveolar ridge",
+  "code" : "210965D",
+  "system" : "http://www.ada.org/snodent",
+  "version" : "2.1.0",
+  "server" : "http://tx-dev.fhir.org/r4",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://www.ada.org/snodent",
+  "code" : "210965D",
+  "display" : "Anterior part of lower alveolar ridge"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
 v: {
   "display" : "Anterior part of lower alveolar ridge",
   "code" : "210965D",

org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/4.0.1/http___www.ama-assn.org_go_cpt.cache

@@ -39,7 +39,6 @@ v: {
   "error" : "Wrong Display Name 'Esophagogastroduodenoscopy (EGD), a tiny camera at the end of a flexible tube inserted through the mouth and into the esophagus (a tube that carries food and liquid to the stomach), stomach and small intestine with removal of tissue' for http://www.ama-assn.org/go/cpt#43235. Valid display is 'Esophagogastroduodenoscopy, flexible, transoral; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)' (en) (for the language(s) '--')",
   "class" : "UNKNOWN",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome",
   "issue" : [{
@@ -63,3 +62,26 @@ v: {
 
 }
 -------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://www.ama-assn.org/go/cpt",
+  "code" : "99234"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "display" : "Hospital inpatient or observation care, for the evaluation and management of a patient including admission and discharge on the same date, which requires a medically appropriate history and/or examination and straightforward or low level of medical decision making. When using total time on the date of the encounter for code selection, 45 minutes must be met or exceeded.",
+  "code" : "99234",
+  "system" : "http://www.ama-assn.org/go/cpt",
+  "version" : "2023",
+  "server" : "http://tx-dev.fhir.org/r4",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
+}
+-------------------------------------------------------------------------------------

org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/4.0.1/http___www.genenames.org_geneId.cache

@@ -39,3 +39,44 @@ v: {
 
 }
 -------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://www.genenames.org/geneId",
+  "code" : "HGNC:11389"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "code" : "HGNC:11389",
+  "system" : "http://www.genenames.org/geneId",
+  "severity" : "error",
+  "error" : "A definition for CodeSystem 'http://www.genenames.org/geneId' could not be found, so the code cannot be validated",
+  "class" : "CODESYSTEM_UNSUPPORTED",
+  "server" : "http://tx-dev.fhir.org/r4",
+  "unknown-systems" : "http://www.genenames.org/geneId",
+  "issues" : {
+  "resourceType" : "OperationOutcome",
+  "issue" : [{
+    "extension" : [{
+      "url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-server",
+      "valueUrl" : "http://tx-dev.fhir.org/r4"
+    }],
+    "severity" : "error",
+    "code" : "not-found",
+    "details" : {
+      "coding" : [{
+        "system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type",
+        "code" : "not-found"
+      }],
+      "text" : "A definition for CodeSystem 'http://www.genenames.org/geneId' could not be found, so the code cannot be validated"
+    },
+    "location" : ["Coding.system"],
+    "expression" : ["Coding.system"]
+  }]
+}
+
+}
+-------------------------------------------------------------------------------------

org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/4.0.1/http___www.ncbi.nlm.nih.gov_clinvar.cache

@@ -94,3 +94,100 @@ v: {
 
 }
 -------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://www.ncbi.nlm.nih.gov/clinvar",
+  "code" : "619728"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "code" : "619728",
+  "system" : "http://www.ncbi.nlm.nih.gov/clinvar",
+  "severity" : "error",
+  "error" : "A definition for CodeSystem 'http://www.ncbi.nlm.nih.gov/clinvar' could not be found, so the code cannot be validated",
+  "class" : "CODESYSTEM_UNSUPPORTED",
+  "server" : "http://tx-dev.fhir.org/r4",
+  "unknown-systems" : "http://www.ncbi.nlm.nih.gov/clinvar",
+  "issues" : {
+  "resourceType" : "OperationOutcome",
+  "issue" : [{
+    "extension" : [{
+      "url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-server",
+      "valueUrl" : "http://tx-dev.fhir.org/r4"
+    }],
+    "severity" : "error",
+    "code" : "not-found",
+    "details" : {
+      "coding" : [{
+        "system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type",
+        "code" : "not-found"
+      }],
+      "text" : "A definition for CodeSystem 'http://www.ncbi.nlm.nih.gov/clinvar' could not be found, so the code cannot be validated"
+    },
+    "location" : ["Coding.system"],
+    "expression" : ["Coding.system"]
+  }]
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://www.ncbi.nlm.nih.gov/clinvar",
+  "code" : "619728"
+}, "url": "http://hl7.org/fhir/us/mcode/ValueSet/mcode-clinvar-vs--0", "version": "1.0.0", "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "code" : "619728",
+  "system" : "http://www.ncbi.nlm.nih.gov/clinvar",
+  "severity" : "error",
+  "error" : "A definition for CodeSystem 'http://www.ncbi.nlm.nih.gov/clinvar' could not be found, so the code cannot be validated; Unable to check whether the code is in the value set 'http://hl7.org/fhir/us/mcode/ValueSet/mcode-clinvar-vs--0|1.0.0' because the code system http://www.ncbi.nlm.nih.gov/clinvar| was not found",
+  "class" : "CODESYSTEM_UNSUPPORTED",
+  "server" : "http://tx-dev.fhir.org/r4",
+  "unknown-systems" : "http://www.ncbi.nlm.nih.gov/clinvar",
+  "issues" : {
+  "resourceType" : "OperationOutcome",
+  "issue" : [{
+    "extension" : [{
+      "url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-server",
+      "valueUrl" : "http://tx-dev.fhir.org/r4"
+    }],
+    "severity" : "error",
+    "code" : "not-found",
+    "details" : {
+      "coding" : [{
+        "system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type",
+        "code" : "not-found"
+      }],
+      "text" : "A definition for CodeSystem 'http://www.ncbi.nlm.nih.gov/clinvar' could not be found, so the code cannot be validated"
+    },
+    "location" : ["Coding.system"],
+    "expression" : ["Coding.system"]
+  },
+  {
+    "extension" : [{
+      "url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-server",
+      "valueUrl" : "http://tx-dev.fhir.org/r4"
+    }],
+    "severity" : "warning",
+    "code" : "not-found",
+    "details" : {
+      "coding" : [{
+        "system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type",
+        "code" : "vs-invalid"
+      }],
+      "text" : "Unable to check whether the code is in the value set 'http://hl7.org/fhir/us/mcode/ValueSet/mcode-clinvar-vs--0|1.0.0' because the code system http://www.ncbi.nlm.nih.gov/clinvar| was not found"
+    }
+  }]
+}
+
+}
+-------------------------------------------------------------------------------------

org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/4.0.1/https___fhir.hl7.org.uk_CodeSystem_UKCore-SDSJobRoleName.cache

@@ -40,3 +40,45 @@ v: {
 
 }
 -------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "https://fhir.hl7.org.uk/CodeSystem/UKCore-SDSJobRoleName",
+  "code" : "R8000",
+  "display" : "Clinical Practitioner Access Role"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "code" : "R8000",
+  "system" : "https://fhir.hl7.org.uk/CodeSystem/UKCore-SDSJobRoleName",
+  "severity" : "error",
+  "error" : "A definition for CodeSystem 'https://fhir.hl7.org.uk/CodeSystem/UKCore-SDSJobRoleName' could not be found, so the code cannot be validated",
+  "class" : "CODESYSTEM_UNSUPPORTED",
+  "server" : "http://tx-dev.fhir.org/r4",
+  "unknown-systems" : "https://fhir.hl7.org.uk/CodeSystem/UKCore-SDSJobRoleName",
+  "issues" : {
+  "resourceType" : "OperationOutcome",
+  "issue" : [{
+    "extension" : [{
+      "url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-server",
+      "valueUrl" : "http://tx-dev.fhir.org/r4"
+    }],
+    "severity" : "error",
+    "code" : "not-found",
+    "details" : {
+      "coding" : [{
+        "system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type",
+        "code" : "not-found"
+      }],
+      "text" : "A definition for CodeSystem 'https://fhir.hl7.org.uk/CodeSystem/UKCore-SDSJobRoleName' could not be found, so the code cannot be validated"
+    },
+    "location" : ["Coding.system"],
+    "expression" : ["Coding.system"]
+  }]
+}
+
+}
+-------------------------------------------------------------------------------------

org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/4.0.1/https___hl7.fi_fhir_finnish-base-profiles_CodeSystem_SecurityLabelCS.cache

@@ -71,3 +71,80 @@ v: {
 
 }
 -------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "https://hl7.fi/fhir/finnish-base-profiles/CodeSystem/SecurityLabelCS",
+  "code" : "TURVAKIELTO"
+}, "url": "http://hl7.org/fhir/ValueSet/security-labels", "version": "4.0.1", "langs":"en-US", "useServer":"true", "useClient":"true", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "code" : "TURVAKIELTO",
+  "system" : "https://hl7.fi/fhir/finnish-base-profiles/CodeSystem/SecurityLabelCS",
+  "severity" : "error",
+  "error" : "A definition for CodeSystem 'https://hl7.fi/fhir/finnish-base-profiles/CodeSystem/SecurityLabelCS' could not be found, so the code cannot be validated; The provided code 'https://hl7.fi/fhir/finnish-base-profiles/CodeSystem/SecurityLabelCS#TURVAKIELTO' was not found in the value set 'http://hl7.org/fhir/ValueSet/security-labels|4.0.1'",
+  "class" : "UNKNOWN",
+  "server" : "http://tx-dev.fhir.org/r4",
+  "unknown-systems" : "https://hl7.fi/fhir/finnish-base-profiles/CodeSystem/SecurityLabelCS",
+  "issues" : {
+  "resourceType" : "OperationOutcome",
+  "issue" : [{
+    "extension" : [{
+      "url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
+      "valueString" : "MSG_RETIRED"
+    },
+    {
+      "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 retired ValueSet http://terminology.hl7.org/ValueSet/v3-ActUSPrivacyLaw|2.0.0"
+    }
+  },
+  {
+    "extension" : [{
+      "url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-server",
+      "valueUrl" : "http://tx-dev.fhir.org/r4"
+    }],
+    "severity" : "error",
+    "code" : "not-found",
+    "details" : {
+      "coding" : [{
+        "system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type",
+        "code" : "not-found"
+      }],
+      "text" : "A definition for CodeSystem 'https://hl7.fi/fhir/finnish-base-profiles/CodeSystem/SecurityLabelCS' could not be found, so the code cannot be validated"
+    },
+    "location" : ["Coding.system"],
+    "expression" : ["Coding.system"]
+  },
+  {
+    "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" : "not-in-vs"
+      }],
+      "text" : "The provided code 'https://hl7.fi/fhir/finnish-base-profiles/CodeSystem/SecurityLabelCS#TURVAKIELTO' was not found in the value set 'http://hl7.org/fhir/ValueSet/security-labels|4.0.1'"
+    },
+    "location" : ["Coding.code"],
+    "expression" : ["Coding.code"]
+  }]
+}
+
+}
+-------------------------------------------------------------------------------------

org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/4.0.1/https___mednet.swiss_fhir_CodeSystem_mni-obs-bloodGroup.cache

@@ -40,3 +40,45 @@ v: {
 
 }
 -------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "https://mednet.swiss/fhir/CodeSystem/mni-obs-bloodGroup",
+  "code" : "A",
+  "display" : "Blood group A"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "code" : "A",
+  "system" : "https://mednet.swiss/fhir/CodeSystem/mni-obs-bloodGroup",
+  "severity" : "error",
+  "error" : "A definition for CodeSystem 'https://mednet.swiss/fhir/CodeSystem/mni-obs-bloodGroup' could not be found, so the code cannot be validated",
+  "class" : "CODESYSTEM_UNSUPPORTED",
+  "server" : "http://tx-dev.fhir.org/r4",
+  "unknown-systems" : "https://mednet.swiss/fhir/CodeSystem/mni-obs-bloodGroup",
+  "issues" : {
+  "resourceType" : "OperationOutcome",
+  "issue" : [{
+    "extension" : [{
+      "url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-server",
+      "valueUrl" : "http://tx-dev.fhir.org/r4"
+    }],
+    "severity" : "error",
+    "code" : "not-found",
+    "details" : {
+      "coding" : [{
+        "system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type",
+        "code" : "not-found"
+      }],
+      "text" : "A definition for CodeSystem 'https://mednet.swiss/fhir/CodeSystem/mni-obs-bloodGroup' could not be found, so the code cannot be validated"
+    },
+    "location" : ["Coding.system"],
+    "expression" : ["Coding.system"]
+  }]
+}
+
+}
+-------------------------------------------------------------------------------------

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

@@ -159,3 +159,85 @@ v: {
 
 }
 -------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "https://mednet.swiss/fhir/productNumber",
+  "code" : "3367001"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"true", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "code" : "3367001",
+  "system" : "https://mednet.swiss/fhir/productNumber",
+  "severity" : "error",
+  "error" : "A definition for CodeSystem 'https://mednet.swiss/fhir/productNumber' could not be found, so the code cannot be validated",
+  "class" : "CODESYSTEM_UNSUPPORTED",
+  "server" : "http://tx-dev.fhir.org/r4",
+  "unknown-systems" : "https://mednet.swiss/fhir/productNumber",
+  "issues" : {
+  "resourceType" : "OperationOutcome",
+  "issue" : [{
+    "extension" : [{
+      "url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-server",
+      "valueUrl" : "http://tx-dev.fhir.org/r4"
+    }],
+    "severity" : "error",
+    "code" : "not-found",
+    "details" : {
+      "coding" : [{
+        "system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type",
+        "code" : "not-found"
+      }],
+      "text" : "A definition for CodeSystem 'https://mednet.swiss/fhir/productNumber' could not be found, so the code cannot be validated"
+    },
+    "location" : ["Coding.system"],
+    "expression" : ["Coding.system"]
+  }]
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "https://mednet.swiss/fhir/productNumber",
+  "code" : "3367001"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "code" : "3367001",
+  "system" : "https://mednet.swiss/fhir/productNumber",
+  "severity" : "error",
+  "error" : "A definition for CodeSystem 'https://mednet.swiss/fhir/productNumber' could not be found, so the code cannot be validated",
+  "class" : "CODESYSTEM_UNSUPPORTED",
+  "server" : "http://tx-dev.fhir.org/r4",
+  "unknown-systems" : "https://mednet.swiss/fhir/productNumber",
+  "issues" : {
+  "resourceType" : "OperationOutcome",
+  "issue" : [{
+    "extension" : [{
+      "url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-server",
+      "valueUrl" : "http://tx-dev.fhir.org/r4"
+    }],
+    "severity" : "error",
+    "code" : "not-found",
+    "details" : {
+      "coding" : [{
+        "system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type",
+        "code" : "not-found"
+      }],
+      "text" : "A definition for CodeSystem 'https://mednet.swiss/fhir/productNumber' could not be found, so the code cannot be validated"
+    },
+    "location" : ["Coding.system"],
+    "expression" : ["Coding.system"]
+  }]
+}
+
+}
+-------------------------------------------------------------------------------------

org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/4.0.1/https___www.humanservices.gov.au_organisations_health-professionals_enablers_air-vaccine-code-formats.cache

@@ -15,7 +15,6 @@ v: {
   "system" : "https://www.humanservices.gov.au/organisations/health-professionals/enablers/air-vaccine-code-formats",
   "version" : "20210222",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -32,6 +31,51 @@ v: {
     "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
   }]
 }}####
+v: {
+  "display" : "COVID-19 Vaccine AstraZeneca",
+  "code" : "COVAST",
+  "system" : "https://www.humanservices.gov.au/organisations/health-professionals/enablers/air-vaccine-code-formats",
+  "version" : "20210222",
+  "server" : "http://tx-dev.fhir.org/r4",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "https://www.humanservices.gov.au/organisations/health-professionals/enablers/air-vaccine-code-formats",
+  "code" : "COVAST"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "display" : "COVID-19 Vaccine AstraZeneca",
+  "code" : "COVAST",
+  "system" : "https://www.humanservices.gov.au/organisations/health-professionals/enablers/air-vaccine-code-formats",
+  "version" : "20210222",
+  "server" : "http://tx-dev.fhir.org/r4",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "https://www.humanservices.gov.au/organisations/health-professionals/enablers/air-vaccine-code-formats",
+  "code" : "COVAST"
+}, "url": "https://healthterminologies.gov.au/fhir/ValueSet/australian-immunisation-register-vaccine-1", "version": "1.0.2", "langs":"en-US", "useServer":"true", "useClient":"true", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
 v: {
   "display" : "COVID-19 Vaccine AstraZeneca",
   "code" : "COVAST",

org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/4.0.1/icd-10-cm.cache

@@ -15,6 +15,46 @@ v: {
   "error" : "Unknown code 'E10.3211+TT1.2' in the CodeSystem 'http://hl7.org/fhir/sid/icd-10-cm' version '2024'",
   "class" : "UNKNOWN",
   "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" : "error",
+    "code" : "code-invalid",
+    "details" : {
+      "coding" : [{
+        "system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type",
+        "code" : "invalid-code"
+      }],
+      "text" : "Unknown code 'E10.3211+TT1.2' in the CodeSystem 'http://hl7.org/fhir/sid/icd-10-cm' version '2024'"
+    },
+    "location" : ["Coding.code"],
+    "expression" : ["Coding.code"]
+  }]
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://hl7.org/fhir/sid/icd-10-cm",
+  "code" : "E10.3211+TT1.2"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "code" : "E10.3211+TT1.2",
+  "system" : "http://hl7.org/fhir/sid/icd-10-cm",
+  "severity" : "error",
+  "error" : "Unknown code 'E10.3211+TT1.2' in the CodeSystem 'http://hl7.org/fhir/sid/icd-10-cm' version '2024'",
+  "class" : "UNKNOWN",
+  "server" : "http://tx-dev.fhir.org/r4",
   "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome",

org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/4.0.1/icd-10.cache

@@ -16,7 +16,6 @@ v: {
   "system" : "http://hl7.org/fhir/sid/icd-10",
   "version" : "2019-covid-expanded",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome",
   "issue" : [{
@@ -56,7 +55,6 @@ v: {
   "error" : "Wrong Display Name 'Malignant neoplasm of pyriform sinus' for http://hl7.org/fhir/sid/icd-10#C12. Valid display is 'Malignant neoplasm of piriform sinus' (for the language(s) '--')",
   "class" : "UNKNOWN",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome",
   "issue" : [{
@@ -95,3 +93,71 @@ v: {
 
 }
 -------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://hl7.org/fhir/sid/icd-10",
+  "code" : "C18.0",
+  "display" : "Malignant neoplasm: Caecum"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "display" : "Caecum",
+  "code" : "C18.0",
+  "system" : "http://hl7.org/fhir/sid/icd-10",
+  "version" : "2019-covid-expanded",
+  "server" : "http://tx-dev.fhir.org/r4",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://hl7.org/fhir/sid/icd-10",
+  "code" : "C12",
+  "display" : "Malignant neoplasm of pyriform sinus"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "display" : "Malignant neoplasm of piriform sinus",
+  "code" : "C12",
+  "system" : "http://hl7.org/fhir/sid/icd-10",
+  "version" : "2019-covid-expanded",
+  "severity" : "error",
+  "error" : "Wrong Display Name 'Malignant neoplasm of pyriform sinus' for http://hl7.org/fhir/sid/icd-10#C12. Valid display is 'Malignant neoplasm of piriform sinus' (for the language(s) 'en-US')",
+  "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" : "invalid",
+    "details" : {
+      "coding" : [{
+        "system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type",
+        "code" : "invalid-display"
+      }],
+      "text" : "Wrong Display Name 'Malignant neoplasm of pyriform sinus' for http://hl7.org/fhir/sid/icd-10#C12. Valid display is 'Malignant neoplasm of piriform sinus' (for the language(s) 'en-US')"
+    },
+    "location" : ["Coding.display"],
+    "expression" : ["Coding.display"]
+  }]
+}
+
+}
+-------------------------------------------------------------------------------------

org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/4.0.1/icd-9-cm.cache

@@ -9,6 +9,28 @@
     "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
   }]
 }}####
+v: {
+  "display" : "Perioperative autologous transfusion of whole blood or blood components",
+  "code" : "99.00",
+  "system" : "http://hl7.org/fhir/sid/icd-9-cm",
+  "version" : "2015",
+  "server" : "http://tx-dev.fhir.org/r4",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://hl7.org/fhir/sid/icd-9-cm",
+  "code" : "99.00"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
 v: {
   "display" : "Perioperative autologous transfusion of whole blood or blood components",
   "code" : "99.00",

org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/4.0.1/iso3166.cache

@@ -16,7 +16,6 @@ v: {
   "system" : "urn:iso:std:iso:3166",
   "version" : "2018",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -39,7 +38,6 @@ v: {
   "system" : "urn:iso:std:iso:3166",
   "version" : "2018",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -62,7 +60,6 @@ v: {
   "system" : "urn:iso:std:iso:3166",
   "version" : "2018",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -86,7 +83,6 @@ v: {
   "system" : "urn:iso:std:iso:3166",
   "version" : "2018",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -109,7 +105,6 @@ v: {
   "system" : "urn:iso:std:iso:3166",
   "version" : "2018",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -132,7 +127,6 @@ v: {
   "system" : "urn:iso:std:iso:3166",
   "version" : "2018",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -155,7 +149,6 @@ v: {
   "system" : "urn:iso:std:iso:3166",
   "version" : "2018",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -172,6 +165,168 @@ v: {
     "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
   }]
 }}####
+v: {
+  "display" : "United States of America",
+  "code" : "US",
+  "system" : "urn:iso:std:iso:3166",
+  "version" : "2018",
+  "server" : "http://tx-dev.fhir.org/r4",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "urn:iso:std:iso:3166",
+  "code" : "NO",
+  "display" : "Norway"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "display" : "Norway",
+  "code" : "NO",
+  "system" : "urn:iso:std:iso:3166",
+  "version" : "2018",
+  "server" : "http://tx-dev.fhir.org/r4",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "urn:iso:std:iso:3166",
+  "code" : "CHE"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "display" : "Switzerland",
+  "code" : "CHE",
+  "system" : "urn:iso:std:iso:3166",
+  "version" : "2018",
+  "server" : "http://tx-dev.fhir.org/r4",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "urn:iso:std:iso:3166",
+  "code" : "CHE"
+}, "url": "http://hl7.org/fhir/ValueSet/jurisdiction--0", "version": "4.0.1", "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "display" : "Switzerland",
+  "code" : "CHE",
+  "system" : "urn:iso:std:iso:3166",
+  "version" : "2018",
+  "server" : "http://tx-dev.fhir.org/r4",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "urn:iso:std:iso:3166",
+  "code" : "US",
+  "display" : "United States of America"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "display" : "United States of America",
+  "code" : "US",
+  "system" : "urn:iso:std:iso:3166",
+  "version" : "2018",
+  "server" : "http://tx-dev.fhir.org/r4",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "urn:iso:std:iso:3166",
+  "code" : "US"
+}, "url": "http://hl7.org/fhir/ValueSet/jurisdiction--0", "version": "4.0.1", "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "display" : "United States of America",
+  "code" : "US",
+  "system" : "urn:iso:std:iso:3166",
+  "version" : "2018",
+  "server" : "http://tx-dev.fhir.org/r4",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "urn:iso:std:iso:3166",
+  "code" : "NO"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"true", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "display" : "Norway",
+  "code" : "NO",
+  "system" : "urn:iso:std:iso:3166",
+  "version" : "2018",
+  "server" : "http://tx-dev.fhir.org/r4",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "urn:iso:std:iso:3166",
+  "code" : "US"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
 v: {
   "display" : "United States of America",
   "code" : "US",

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

@@ -15,7 +15,6 @@ v: {
   "code" : "de-CH",
   "system" : "urn:ietf:bcp:47",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -37,7 +36,6 @@ v: {
   "code" : "de-CH",
   "system" : "urn:ietf:bcp:47",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -60,7 +58,6 @@ v: {
   "code" : "de-CH",
   "system" : "urn:ietf:bcp:47",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -83,7 +80,6 @@ v: {
   "code" : "fr",
   "system" : "urn:ietf:bcp:47",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -105,7 +101,6 @@ v: {
   "code" : "fr",
   "system" : "urn:ietf:bcp:47",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -128,7 +123,6 @@ v: {
   "code" : "fr",
   "system" : "urn:ietf:bcp:47",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -151,7 +145,6 @@ v: {
   "code" : "en",
   "system" : "urn:ietf:bcp:47",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -173,7 +166,6 @@ v: {
   "code" : "en",
   "system" : "urn:ietf:bcp:47",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -196,7 +188,6 @@ v: {
   "code" : "en",
   "system" : "urn:ietf:bcp:47",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -219,7 +210,6 @@ v: {
   "code" : "de-CH",
   "system" : "urn:ietf:bcp:47",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -241,7 +231,6 @@ v: {
   "code" : "de-CH",
   "system" : "urn:ietf:bcp:47",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -264,7 +253,6 @@ v: {
   "code" : "de-CH",
   "system" : "urn:ietf:bcp:47",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -287,7 +275,6 @@ v: {
   "code" : "fr",
   "system" : "urn:ietf:bcp:47",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -309,7 +296,6 @@ v: {
   "code" : "fr",
   "system" : "urn:ietf:bcp:47",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -332,7 +318,6 @@ v: {
   "code" : "fr",
   "system" : "urn:ietf:bcp:47",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -355,7 +340,6 @@ v: {
   "code" : "de-CH",
   "system" : "urn:ietf:bcp:47",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -377,7 +361,6 @@ v: {
   "code" : "de-CH",
   "system" : "urn:ietf:bcp:47",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -400,7 +383,6 @@ v: {
   "code" : "de-CH",
   "system" : "urn:ietf:bcp:47",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -423,7 +405,6 @@ v: {
   "code" : "fr",
   "system" : "urn:ietf:bcp:47",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -445,7 +426,6 @@ v: {
   "code" : "fr",
   "system" : "urn:ietf:bcp:47",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -468,6 +448,226 @@ v: {
   "code" : "fr",
   "system" : "urn:ietf:bcp:47",
   "server" : "http://tx-dev.fhir.org/r4",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "urn:ietf:bcp:47",
+  "code" : "de-CH",
+  "display" : "German (Region=Switzerland)"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"true", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "display" : "German (Region=Switzerland)",
+  "code" : "de-CH",
+  "system" : "urn:ietf:bcp:47",
+  "server" : "http://tx-dev.fhir.org/r4",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "urn:ietf:bcp:47",
+  "code" : "de-CH"
+}, "url": "http://hl7.org/fhir/ValueSet/languages--0", "version": "4.0.1", "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"true", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "display" : "German (Switzerland)",
+  "code" : "de-CH",
+  "system" : "urn:ietf:bcp:47",
+  "server" : "http://tx-dev.fhir.org/r4",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "urn:ietf:bcp:47",
+  "code" : "fr",
+  "display" : "French"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"true", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "display" : "French",
+  "code" : "fr",
+  "system" : "urn:ietf:bcp:47",
+  "server" : "http://tx-dev.fhir.org/r4",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "urn:ietf:bcp:47",
+  "code" : "fr"
+}, "url": "http://hl7.org/fhir/ValueSet/languages--0", "version": "4.0.1", "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"true", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "display" : "French",
+  "code" : "fr",
+  "system" : "urn:ietf:bcp:47",
+  "server" : "http://tx-dev.fhir.org/r4",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "urn:ietf:bcp:47",
+  "code" : "de-CH",
+  "display" : "German (Region=Switzerland)"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "display" : "German (Region=Switzerland)",
+  "code" : "de-CH",
+  "system" : "urn:ietf:bcp:47",
+  "server" : "http://tx-dev.fhir.org/r4",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "urn:ietf:bcp:47",
+  "code" : "de-CH"
+}, "url": "http://hl7.org/fhir/ValueSet/languages--0", "version": "4.0.1", "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "display" : "German (Switzerland)",
+  "code" : "de-CH",
+  "system" : "urn:ietf:bcp:47",
+  "server" : "http://tx-dev.fhir.org/r4",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "urn:ietf:bcp:47",
+  "code" : "fr",
+  "display" : "French"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "display" : "French",
+  "code" : "fr",
+  "system" : "urn:ietf:bcp:47",
+  "server" : "http://tx-dev.fhir.org/r4",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "urn:ietf:bcp:47",
+  "code" : "fr"
+}, "url": "http://hl7.org/fhir/ValueSet/languages--0", "version": "4.0.1", "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "display" : "French",
+  "code" : "fr",
+  "system" : "urn:ietf:bcp:47",
+  "server" : "http://tx-dev.fhir.org/r4",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "urn:ietf:bcp:47",
+  "code" : "en",
+  "display" : "English"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "display" : "English",
+  "code" : "en",
+  "system" : "urn:ietf:bcp:47",
+  "server" : "http://tx-dev.fhir.org/r4",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "urn:ietf:bcp:47",
+  "code" : "en"
+}, "url": "http://hl7.org/fhir/ValueSet/languages--0", "version": "4.0.1", "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "display" : "English",
+  "code" : "en",
+  "system" : "urn:ietf:bcp:47",
+  "server" : "http://tx-dev.fhir.org/r4",
   "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"

org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/4.0.1/measure-scoring.cache

@@ -39,3 +39,44 @@ v: {
 
 }
 -------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://hl7.org/fhir/measure-scoring",
+  "code" : "proportion"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "code" : "proportion",
+  "system" : "http://hl7.org/fhir/measure-scoring",
+  "severity" : "error",
+  "error" : "A definition for CodeSystem 'http://hl7.org/fhir/measure-scoring' could not be found, so the code cannot be validated",
+  "class" : "CODESYSTEM_UNSUPPORTED",
+  "server" : "http://tx-dev.fhir.org/r4",
+  "unknown-systems" : "http://hl7.org/fhir/measure-scoring",
+  "issues" : {
+  "resourceType" : "OperationOutcome",
+  "issue" : [{
+    "extension" : [{
+      "url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-server",
+      "valueUrl" : "http://tx-dev.fhir.org/r4"
+    }],
+    "severity" : "error",
+    "code" : "not-found",
+    "details" : {
+      "coding" : [{
+        "system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type",
+        "code" : "not-found"
+      }],
+      "text" : "A definition for CodeSystem 'http://hl7.org/fhir/measure-scoring' could not be found, so the code cannot be validated"
+    },
+    "location" : ["Coding.system"],
+    "expression" : ["Coding.system"]
+  }]
+}
+
+}
+-------------------------------------------------------------------------------------

org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/4.0.1/measure-type.cache

@@ -39,3 +39,44 @@ v: {
 
 }
 -------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://hl7.org/fhir/measure-type",
+  "code" : "process"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "code" : "process",
+  "system" : "http://hl7.org/fhir/measure-type",
+  "severity" : "error",
+  "error" : "A definition for CodeSystem 'http://hl7.org/fhir/measure-type' could not be found, so the code cannot be validated",
+  "class" : "CODESYSTEM_UNSUPPORTED",
+  "server" : "http://tx-dev.fhir.org/r4",
+  "unknown-systems" : "http://hl7.org/fhir/measure-type",
+  "issues" : {
+  "resourceType" : "OperationOutcome",
+  "issue" : [{
+    "extension" : [{
+      "url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-server",
+      "valueUrl" : "http://tx-dev.fhir.org/r4"
+    }],
+    "severity" : "error",
+    "code" : "not-found",
+    "details" : {
+      "coding" : [{
+        "system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type",
+        "code" : "not-found"
+      }],
+      "text" : "A definition for CodeSystem 'http://hl7.org/fhir/measure-type' could not be found, so the code cannot be validated"
+    },
+    "location" : ["Coding.system"],
+    "expression" : ["Coding.system"]
+  }]
+}
+
+}
+-------------------------------------------------------------------------------------

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

@@ -16,7 +16,6 @@ v: {
   "system" : "http://www.nlm.nih.gov/research/umls/rxnorm",
   "version" : "??rx1",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -40,7 +39,6 @@ v: {
   "system" : "http://www.nlm.nih.gov/research/umls/rxnorm",
   "version" : "??rx1",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -64,7 +62,6 @@ v: {
   "system" : "http://www.nlm.nih.gov/research/umls/rxnorm",
   "version" : "??rx1",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -88,7 +85,6 @@ v: {
   "system" : "http://www.nlm.nih.gov/research/umls/rxnorm",
   "version" : "??rx1",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -105,6 +101,124 @@ v: {
     "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
   }]
 }}####
+v: {
+  "display" : "Mircera",
+  "code" : "1591957",
+  "system" : "http://www.nlm.nih.gov/research/umls/rxnorm",
+  "version" : "??rx1",
+  "server" : "http://tx-dev.fhir.org/r4",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://www.nlm.nih.gov/research/umls/rxnorm",
+  "code" : "1000990",
+  "display" : "oxymetazoline hydrochloride 0.5 MG/ML Nasal Spray"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "display" : "oxymetazoline hydrochloride 0.5 MG/ML Nasal Spray",
+  "code" : "1000990",
+  "system" : "http://www.nlm.nih.gov/research/umls/rxnorm",
+  "version" : "??rx1",
+  "server" : "http://tx-dev.fhir.org/r4",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://www.nlm.nih.gov/research/umls/rxnorm",
+  "code" : "1010603",
+  "display" : "Suboxone 2 MG / 0.5 MG Sublingual Film"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "display" : "buprenorphine 2 MG / naloxone 0.5 MG Sublingual Film [Suboxone]",
+  "code" : "1010603",
+  "system" : "http://www.nlm.nih.gov/research/umls/rxnorm",
+  "version" : "??rx1",
+  "server" : "http://tx-dev.fhir.org/r4",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://www.nlm.nih.gov/research/umls/rxnorm",
+  "code" : "1298088",
+  "display" : "Flurazepam Hydrochloride 15 MG Oral Capsule"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "display" : "flurazepam hydrochloride 15 MG Oral Capsule",
+  "code" : "1298088",
+  "system" : "http://www.nlm.nih.gov/research/umls/rxnorm",
+  "version" : "??rx1",
+  "server" : "http://tx-dev.fhir.org/r4",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://www.nlm.nih.gov/research/umls/rxnorm",
+  "code" : "1010600",
+  "display" : "buprenorphine 2 MG / naloxone 0.5 MG Sublingual Film"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "display" : "buprenorphine 2 MG / naloxone 0.5 MG Sublingual Film",
+  "code" : "1010600",
+  "system" : "http://www.nlm.nih.gov/research/umls/rxnorm",
+  "version" : "??rx1",
+  "server" : "http://tx-dev.fhir.org/r4",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://www.nlm.nih.gov/research/umls/rxnorm",
+  "code" : "1591957"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
 v: {
   "display" : "Mircera",
   "code" : "1591957",

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

@@ -39,3 +39,44 @@ v: {
 
 }
 -------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://hl7.org/fhir/test/CodeSystem/imaginary",
+  "code" : "code-a"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "code" : "code-a",
+  "system" : "http://hl7.org/fhir/test/CodeSystem/imaginary",
+  "severity" : "error",
+  "error" : "A definition for CodeSystem 'http://hl7.org/fhir/test/CodeSystem/imaginary' could not be found, so the code cannot be validated",
+  "class" : "CODESYSTEM_UNSUPPORTED",
+  "server" : "http://tx-dev.fhir.org/r4",
+  "unknown-systems" : "http://hl7.org/fhir/test/CodeSystem/imaginary",
+  "issues" : {
+  "resourceType" : "OperationOutcome",
+  "issue" : [{
+    "extension" : [{
+      "url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-server",
+      "valueUrl" : "http://tx-dev.fhir.org/r4"
+    }],
+    "severity" : "error",
+    "code" : "not-found",
+    "details" : {
+      "coding" : [{
+        "system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type",
+        "code" : "not-found"
+      }],
+      "text" : "A definition for CodeSystem 'http://hl7.org/fhir/test/CodeSystem/imaginary' could not be found, so the code cannot be validated"
+    },
+    "location" : ["Coding.system"],
+    "expression" : ["Coding.system"]
+  }]
+}
+
+}
+-------------------------------------------------------------------------------------

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

@@ -39,3 +39,44 @@ v: {
 
 }
 -------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://hl7.org/fhir/test/CodeSystem/other",
+  "code" : "other"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "code" : "other",
+  "system" : "http://hl7.org/fhir/test/CodeSystem/other",
+  "severity" : "error",
+  "error" : "A definition for CodeSystem 'http://hl7.org/fhir/test/CodeSystem/other' could not be found, so the code cannot be validated",
+  "class" : "CODESYSTEM_UNSUPPORTED",
+  "server" : "http://tx-dev.fhir.org/r4",
+  "unknown-systems" : "http://hl7.org/fhir/test/CodeSystem/other",
+  "issues" : {
+  "resourceType" : "OperationOutcome",
+  "issue" : [{
+    "extension" : [{
+      "url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-server",
+      "valueUrl" : "http://tx-dev.fhir.org/r4"
+    }],
+    "severity" : "error",
+    "code" : "not-found",
+    "details" : {
+      "coding" : [{
+        "system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type",
+        "code" : "not-found"
+      }],
+      "text" : "A definition for CodeSystem 'http://hl7.org/fhir/test/CodeSystem/other' could not be found, so the code cannot be validated"
+    },
+    "location" : ["Coding.system"],
+    "expression" : ["Coding.system"]
+  }]
+}
+
+}
+-------------------------------------------------------------------------------------

org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/4.0.1/urn_oid_1.2.840.10008.2.16.4.cache

@@ -40,3 +40,45 @@ v: {
 
 }
 -------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "urn:oid:1.2.840.10008.2.16.4",
+  "code" : "US",
+  "display" : "Ultrasound"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "code" : "US",
+  "system" : "urn:oid:1.2.840.10008.2.16.4",
+  "severity" : "error",
+  "error" : "A definition for CodeSystem 'urn:oid:1.2.840.10008.2.16.4' could not be found, so the code cannot be validated",
+  "class" : "CODESYSTEM_UNSUPPORTED",
+  "server" : "http://tx-dev.fhir.org/r4",
+  "unknown-systems" : "urn:oid:1.2.840.10008.2.16.4",
+  "issues" : {
+  "resourceType" : "OperationOutcome",
+  "issue" : [{
+    "extension" : [{
+      "url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-server",
+      "valueUrl" : "http://tx-dev.fhir.org/r4"
+    }],
+    "severity" : "error",
+    "code" : "not-found",
+    "details" : {
+      "coding" : [{
+        "system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type",
+        "code" : "not-found"
+      }],
+      "text" : "A definition for CodeSystem 'urn:oid:1.2.840.10008.2.16.4' could not be found, so the code cannot be validated"
+    },
+    "location" : ["Coding.system"],
+    "expression" : ["Coding.system"]
+  }]
+}
+
+}
+-------------------------------------------------------------------------------------

org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/4.0.1/urn_oid_1.3.6.1.4.1.19376.1.2.3.cache

@@ -39,3 +39,44 @@ v: {
 
 }
 -------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "urn:oid:1.3.6.1.4.1.19376.1.2.3",
+  "code" : "urn:hl7-org:sdwg:ccda-structuredBody:1.1"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "code" : "urn:hl7-org:sdwg:ccda-structuredBody:1.1",
+  "system" : "urn:oid:1.3.6.1.4.1.19376.1.2.3",
+  "severity" : "error",
+  "error" : "A definition for CodeSystem 'urn:oid:1.3.6.1.4.1.19376.1.2.3' could not be found, so the code cannot be validated",
+  "class" : "CODESYSTEM_UNSUPPORTED",
+  "server" : "http://tx-dev.fhir.org/r4",
+  "unknown-systems" : "urn:oid:1.3.6.1.4.1.19376.1.2.3",
+  "issues" : {
+  "resourceType" : "OperationOutcome",
+  "issue" : [{
+    "extension" : [{
+      "url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-server",
+      "valueUrl" : "http://tx-dev.fhir.org/r4"
+    }],
+    "severity" : "error",
+    "code" : "not-found",
+    "details" : {
+      "coding" : [{
+        "system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type",
+        "code" : "not-found"
+      }],
+      "text" : "A definition for CodeSystem 'urn:oid:1.3.6.1.4.1.19376.1.2.3' could not be found, so the code cannot be validated"
+    },
+    "location" : ["Coding.system"],
+    "expression" : ["Coding.system"]
+  }]
+}
+
+}
+-------------------------------------------------------------------------------------

org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/4.0.1/urn_oid_2.16.756.5.30.2.6.1.cache

@@ -159,3 +159,85 @@ v: {
 
 }
 -------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "urn:oid:2.16.756.5.30.2.6.1",
+  "code" : "0058985"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"true", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "code" : "0058985",
+  "system" : "urn:oid:2.16.756.5.30.2.6.1",
+  "severity" : "error",
+  "error" : "A definition for CodeSystem 'urn:oid:2.16.756.5.30.2.6.1' could not be found, so the code cannot be validated",
+  "class" : "CODESYSTEM_UNSUPPORTED",
+  "server" : "http://tx-dev.fhir.org/r4",
+  "unknown-systems" : "urn:oid:2.16.756.5.30.2.6.1",
+  "issues" : {
+  "resourceType" : "OperationOutcome",
+  "issue" : [{
+    "extension" : [{
+      "url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-server",
+      "valueUrl" : "http://tx-dev.fhir.org/r4"
+    }],
+    "severity" : "error",
+    "code" : "not-found",
+    "details" : {
+      "coding" : [{
+        "system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type",
+        "code" : "not-found"
+      }],
+      "text" : "A definition for CodeSystem 'urn:oid:2.16.756.5.30.2.6.1' could not be found, so the code cannot be validated"
+    },
+    "location" : ["Coding.system"],
+    "expression" : ["Coding.system"]
+  }]
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "urn:oid:2.16.756.5.30.2.6.1",
+  "code" : "0058985"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "code" : "0058985",
+  "system" : "urn:oid:2.16.756.5.30.2.6.1",
+  "severity" : "error",
+  "error" : "A definition for CodeSystem 'urn:oid:2.16.756.5.30.2.6.1' could not be found, so the code cannot be validated",
+  "class" : "CODESYSTEM_UNSUPPORTED",
+  "server" : "http://tx-dev.fhir.org/r4",
+  "unknown-systems" : "urn:oid:2.16.756.5.30.2.6.1",
+  "issues" : {
+  "resourceType" : "OperationOutcome",
+  "issue" : [{
+    "extension" : [{
+      "url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-server",
+      "valueUrl" : "http://tx-dev.fhir.org/r4"
+    }],
+    "severity" : "error",
+    "code" : "not-found",
+    "details" : {
+      "coding" : [{
+        "system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type",
+        "code" : "not-found"
+      }],
+      "text" : "A definition for CodeSystem 'urn:oid:2.16.756.5.30.2.6.1' could not be found, so the code cannot be validated"
+    },
+    "location" : ["Coding.system"],
+    "expression" : ["Coding.system"]
+  }]
+}
+
+}
+-------------------------------------------------------------------------------------

org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/4.0.1/urn_oid_2.51.1.1.cache

@@ -159,3 +159,85 @@ v: {
 
 }
 -------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "urn:oid:2.51.1.1",
+  "code" : "7680336700282"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"true", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "code" : "7680336700282",
+  "system" : "urn:oid:2.51.1.1",
+  "severity" : "error",
+  "error" : "A definition for CodeSystem 'urn:oid:2.51.1.1' could not be found, so the code cannot be validated",
+  "class" : "CODESYSTEM_UNSUPPORTED",
+  "server" : "http://tx-dev.fhir.org/r4",
+  "unknown-systems" : "urn:oid:2.51.1.1",
+  "issues" : {
+  "resourceType" : "OperationOutcome",
+  "issue" : [{
+    "extension" : [{
+      "url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-server",
+      "valueUrl" : "http://tx-dev.fhir.org/r4"
+    }],
+    "severity" : "error",
+    "code" : "not-found",
+    "details" : {
+      "coding" : [{
+        "system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type",
+        "code" : "not-found"
+      }],
+      "text" : "A definition for CodeSystem 'urn:oid:2.51.1.1' could not be found, so the code cannot be validated"
+    },
+    "location" : ["Coding.system"],
+    "expression" : ["Coding.system"]
+  }]
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "urn:oid:2.51.1.1",
+  "code" : "7680336700282"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "code" : "7680336700282",
+  "system" : "urn:oid:2.51.1.1",
+  "severity" : "error",
+  "error" : "A definition for CodeSystem 'urn:oid:2.51.1.1' could not be found, so the code cannot be validated",
+  "class" : "CODESYSTEM_UNSUPPORTED",
+  "server" : "http://tx-dev.fhir.org/r4",
+  "unknown-systems" : "urn:oid:2.51.1.1",
+  "issues" : {
+  "resourceType" : "OperationOutcome",
+  "issue" : [{
+    "extension" : [{
+      "url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-server",
+      "valueUrl" : "http://tx-dev.fhir.org/r4"
+    }],
+    "severity" : "error",
+    "code" : "not-found",
+    "details" : {
+      "coding" : [{
+        "system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type",
+        "code" : "not-found"
+      }],
+      "text" : "A definition for CodeSystem 'urn:oid:2.51.1.1' could not be found, so the code cannot be validated"
+    },
+    "location" : ["Coding.system"],
+    "expression" : ["Coding.system"]
+  }]
+}
+
+}
+-------------------------------------------------------------------------------------

org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/4.0.1/uvipsCodeSystemabsent-unknown-uv-ips.cache

@@ -40,3 +40,45 @@ v: {
 
 }
 -------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://hl7.org/fhir/uv/ips/CodeSystem/absent-unknown-uv-ips",
+  "code" : "no-allergy-info",
+  "display" : "No information about allergies"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "code" : "no-allergy-info",
+  "system" : "http://hl7.org/fhir/uv/ips/CodeSystem/absent-unknown-uv-ips",
+  "severity" : "error",
+  "error" : "A definition for CodeSystem 'http://hl7.org/fhir/uv/ips/CodeSystem/absent-unknown-uv-ips' could not be found, so the code cannot be validated",
+  "class" : "CODESYSTEM_UNSUPPORTED",
+  "server" : "http://tx-dev.fhir.org/r4",
+  "unknown-systems" : "http://hl7.org/fhir/uv/ips/CodeSystem/absent-unknown-uv-ips",
+  "issues" : {
+  "resourceType" : "OperationOutcome",
+  "issue" : [{
+    "extension" : [{
+      "url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-server",
+      "valueUrl" : "http://tx-dev.fhir.org/r4"
+    }],
+    "severity" : "error",
+    "code" : "not-found",
+    "details" : {
+      "coding" : [{
+        "system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type",
+        "code" : "not-found"
+      }],
+      "text" : "A definition for CodeSystem 'http://hl7.org/fhir/uv/ips/CodeSystem/absent-unknown-uv-ips' could not be found, so the code cannot be validated"
+    },
+    "location" : ["Coding.system"],
+    "expression" : ["Coding.system"]
+  }]
+}
+
+}
+-------------------------------------------------------------------------------------

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

@@ -39,3 +39,44 @@ v: {
 
 }
 -------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://hl7.org/fhir/uv/phd/CodeSystem/PhdObservationCategories",
+  "code" : "phd-observation"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "code" : "phd-observation",
+  "system" : "http://hl7.org/fhir/uv/phd/CodeSystem/PhdObservationCategories",
+  "severity" : "error",
+  "error" : "A definition for CodeSystem 'http://hl7.org/fhir/uv/phd/CodeSystem/PhdObservationCategories' could not be found, so the code cannot be validated",
+  "class" : "CODESYSTEM_UNSUPPORTED",
+  "server" : "http://tx-dev.fhir.org/r4",
+  "unknown-systems" : "http://hl7.org/fhir/uv/phd/CodeSystem/PhdObservationCategories",
+  "issues" : {
+  "resourceType" : "OperationOutcome",
+  "issue" : [{
+    "extension" : [{
+      "url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-server",
+      "valueUrl" : "http://tx-dev.fhir.org/r4"
+    }],
+    "severity" : "error",
+    "code" : "not-found",
+    "details" : {
+      "coding" : [{
+        "system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type",
+        "code" : "not-found"
+      }],
+      "text" : "A definition for CodeSystem 'http://hl7.org/fhir/uv/phd/CodeSystem/PhdObservationCategories' could not be found, so the code cannot be validated"
+    },
+    "location" : ["Coding.system"],
+    "expression" : ["Coding.system"]
+  }]
+}
+
+}
+-------------------------------------------------------------------------------------

org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/4.0.1/v20203.cache

@@ -40,3 +40,45 @@ v: {
 
 }
 -------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://hl7.org/fhir/v2/0203",
+  "code" : "MR",
+  "display" : "Medical record number"
+}, "valueSet" :null, "langs":"en-US", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "code" : "MR",
+  "system" : "http://hl7.org/fhir/v2/0203",
+  "severity" : "error",
+  "error" : "A definition for CodeSystem 'http://hl7.org/fhir/v2/0203' could not be found, so the code cannot be validated",
+  "class" : "CODESYSTEM_UNSUPPORTED",
+  "server" : "http://tx-dev.fhir.org/r4",
+  "unknown-systems" : "http://hl7.org/fhir/v2/0203",
+  "issues" : {
+  "resourceType" : "OperationOutcome",
+  "issue" : [{
+    "extension" : [{
+      "url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-server",
+      "valueUrl" : "http://tx-dev.fhir.org/r4"
+    }],
+    "severity" : "error",
+    "code" : "not-found",
+    "details" : {
+      "coding" : [{
+        "system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type",
+        "code" : "not-found"
+      }],
+      "text" : "A definition for CodeSystem 'http://hl7.org/fhir/v2/0203' could not be found, so the code cannot be validated"
+    },
+    "location" : ["Coding.system"],
+    "expression" : ["Coding.system"]
+  }]
+}
+
+}
+-------------------------------------------------------------------------------------