Merge pull request #1411 from hapifhir/language-rework

Language rework

org.hl7.fhir.convertors/src/main/java/org/hl7/fhir/convertors/txClient/TerminologyClientR2.java

@@ -209,4 +209,10 @@ public class TerminologyClientR2 implements ITerminologyClient {
   public String getServerVersion() {
     return client.getServerVersion();
   }
+
+  @Override
+  public ITerminologyClient setLanguage(String lang) {
+    client.setLanguage(lang);
+    return this;
+  }
 }

org.hl7.fhir.convertors/src/main/java/org/hl7/fhir/convertors/txClient/TerminologyClientR3.java

@@ -211,4 +211,10 @@ public class TerminologyClientR3 implements ITerminologyClient {
   public String getServerVersion() {
     return client.getServerVersion();
   }
+
+  @Override
+  public ITerminologyClient setLanguage(String lang) {
+    client.setLanguage(lang);
+    return this;
+  }
 }

org.hl7.fhir.convertors/src/main/java/org/hl7/fhir/convertors/txClient/TerminologyClientR4.java

@@ -219,4 +219,10 @@ public class TerminologyClientR4 implements ITerminologyClient {
   public String getServerVersion() {
     return client.getServerVersion();
   }
+
+  @Override
+  public ITerminologyClient setLanguage(String lang) {
+    client.setLanguage(lang);
+    return this;
+  }
 }

org.hl7.fhir.convertors/src/main/java/org/hl7/fhir/convertors/txClient/TerminologyClientR5.java

@@ -199,4 +199,10 @@ public class TerminologyClientR5 implements ITerminologyClient {
   public String getServerVersion() {
     return client.getServerVersion();
   }
+
+  @Override
+  public ITerminologyClient setLanguage(String lang) {
+    client.setLanguage(lang);
+    return this;
+  }
 }

org.hl7.fhir.dstu2/src/main/java/org/hl7/fhir/dstu2/utils/client/ClientUtils.java

@@ -105,6 +105,7 @@ public class ClientUtils {
   private ToolingClientLogger logger;
   private int retryCount;
   private String userAgent;
+  private String acceptLang;
 
   public HttpHost getProxy() {
     return proxy;
@@ -294,6 +295,9 @@ public class ClientUtils {
     if (!Utilities.noString(userAgent)) {
       request.addHeader("User-Agent", userAgent);
     }
+    if (!Utilities.noString(acceptLang)) {
+      request.addHeader("Accept-Language", acceptLang);
+    }
 
     if (format != null) {
       request.addHeader("Accept", format);
@@ -722,4 +726,7 @@ public class ClientUtils {
     this.userAgent = userAgent;
   }
 
+  public void setLanguage(String language) {
+    this.acceptLang = language;
+  }
 }

org.hl7.fhir.dstu2/src/main/java/org/hl7/fhir/dstu2/utils/client/FHIRToolingClient.java

@@ -895,4 +895,8 @@ public class FHIRToolingClient {
   public String getServerVersion() {
     return conf == null ? null : conf.getSoftware().getVersion();
   }
+
+  public void setLanguage(String lang) {
+    utils.setLanguage(lang);
+  }
 }

org.hl7.fhir.dstu3/src/main/java/org/hl7/fhir/dstu3/utils/client/FHIRToolingClient.java

@@ -82,6 +82,7 @@ public class FHIRToolingClient {
   private String password;
   private String userAgent;
   private EnumSet<FhirPublication> allowedVersions;
+  private String acceptLang;
 
   //Pass endpoint for client - URI
   public FHIRToolingClient(String baseServiceUrl, String userAgent) throws URISyntaxException {
@@ -593,6 +594,9 @@ public class FHIRToolingClient {
     }
     if (!Utilities.noString(userAgent)) {
       builder.add("User-Agent: "+userAgent);
+    } 
+    if (!Utilities.noString(acceptLang)) {
+      builder.add("Accept-Language: "+acceptLang);
     }
     return builder.build();
   }
@@ -619,5 +623,9 @@ public class FHIRToolingClient {
     checkCapabilities();
     return capabilities == null ? null : capabilities.getSoftware().getVersion();
   }
+
+  public void setLanguage(String lang) {
+    this.acceptLang = lang;
+  }
 }
 

org.hl7.fhir.r4/src/main/java/org/hl7/fhir/r4/context/BaseWorkerContext.java

@@ -568,10 +568,8 @@ public abstract class BaseWorkerContext extends I18nBase implements IWorkerConte
   }
 
   private void setTerminologyOptions(ValidationOptions options, Parameters pIn) {
-    if (options != null) {
-      for (String s : options.getLanguages()) {
-        pIn.addParameter("displayLanguage", s);
-      }
+    if (options != null && options.hasLanguages()) {
+      pIn.addParameter("displayLanguage", options.getLanguages().toString());
     }
   }
 

org.hl7.fhir.r4/src/main/java/org/hl7/fhir/r4/utils/client/FHIRToolingClient.java

@@ -83,6 +83,7 @@ public class FHIRToolingClient {
   private String username;
   private String password;
   private String userAgent;
+  private String acceptLang;
 
   // Pass endpoint for client - URI
   public FHIRToolingClient(String baseServiceUrl, String userAgent) throws URISyntaxException {
@@ -554,6 +555,11 @@ public class FHIRToolingClient {
     if (!Utilities.noString(userAgent)) {
       builder.add("User-Agent: " + userAgent);
     }
+
+    if (!Utilities.noString(acceptLang)) {
+      builder.add("Accept-Language: "+acceptLang);
+    }
+    
     return builder.build();
   }
 
@@ -579,4 +585,8 @@ public class FHIRToolingClient {
     checkCapabilities();
     return capabilities == null ? null : capabilities.getSoftware().getVersion();
   }
+
+  public void setLanguage(String lang) {
+    this.acceptLang = lang;
+  }
 }

org.hl7.fhir.r4b/src/main/java/org/hl7/fhir/r4b/context/BaseWorkerContext.java

@@ -1048,8 +1048,8 @@ public abstract class BaseWorkerContext extends I18nBase implements IWorkerConte
   }
 
   private void setTerminologyOptions(ValidationOptions options, Parameters pIn) {
-    for (String s : options.getLanguages()) {
-      pIn.addParameter("displayLanguage", s);
+    if (options.hasLanguages()) {
+      pIn.addParameter("displayLanguage", options.getLanguages().toString());
     }
     if (options.getValueSetMode() != ValueSetMode.ALL_CHECKS) {
       pIn.addParameter("valueSetMode", options.getValueSetMode().toString());

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

@@ -1326,8 +1326,8 @@ public abstract class BaseWorkerContext extends I18nBase implements IWorkerConte
   }
 
   private void setTerminologyOptions(ValidationOptions options, Parameters pIn) {
-    for (String s : options.getLanguages()) {
-      pIn.addParameter("displayLanguage", s);
+    if (options.hasLanguages()) {
+      pIn.addParameter("displayLanguage", options.getLanguages().toString());
     }
     if (options.getValueSetMode() != ValueSetMode.ALL_CHECKS) {
       pIn.addParameter("valueSetMode", options.getValueSetMode().toString());
@@ -1540,6 +1540,7 @@ public abstract class BaseWorkerContext extends I18nBase implements IWorkerConte
     boolean inactive = false;
     String status = null;
     List<OperationOutcomeIssueComponent> issues = new ArrayList<>();
+    Set<String> unknownSystems = new HashSet<>();
 
     TerminologyServiceErrorClass err = TerminologyServiceErrorClass.UNKNOWN;
     for (ParametersParameterComponent p : pOut.getParameter()) {
@@ -1562,6 +1563,7 @@ public abstract class BaseWorkerContext extends I18nBase implements IWorkerConte
           status = ((PrimitiveType<?>) p.getValue()).asStringValue();
         } else if (p.getName().equals("x-caused-by-unknown-system")) {
           err = TerminologyServiceErrorClass.CODESYSTEM_UNSUPPORTED;
+          unknownSystems.add(((PrimitiveType<?>) p.getValue()).asStringValue());      
         } else if (p.getName().equals("warning-withdrawn")) {
           OperationOutcomeIssueComponent iss = new OperationOutcomeIssueComponent(org.hl7.fhir.r5.model.OperationOutcome.IssueSeverity.INFORMATION, org.hl7.fhir.r5.model.OperationOutcome.IssueType.BUSINESSRULE);
           iss.getDetails().setText(formatMessage(vs == null ? I18nConstants.MSG_WITHDRAWN : I18nConstants.MSG_WITHDRAWN_SRC, ((PrimitiveType<?>) p.getValue()).asStringValue(), vs));              
@@ -1611,6 +1613,7 @@ public abstract class BaseWorkerContext extends I18nBase implements IWorkerConte
     }
     res.setIssues(issues);
     res.setStatus(inactive, status);
+    res.setUnknownSystems(unknownSystems);
     return res;
   }
 

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

@@ -48,6 +48,7 @@ import org.hl7.fhir.r5.formats.IParser.OutputStyle;
 import org.hl7.fhir.r5.formats.JsonParser;
 import org.hl7.fhir.r5.model.*;
 import org.hl7.fhir.r5.model.CodeSystem.ConceptDefinitionComponent;
+import org.hl7.fhir.r5.model.OperationOutcome.OperationOutcomeIssueComponent;
 import org.hl7.fhir.r5.model.ValueSet.ConceptSetComponent;
 import org.hl7.fhir.r5.model.ValueSet.ConceptSetFilterComponent;
 import org.hl7.fhir.r5.model.ValueSet.ValueSetExpansionContainsComponent;
@@ -567,6 +568,16 @@ public class TerminologyCache {
             if (first) first = false; else sw.write(",\r\n");
             sw.write("  \"definition\" : \""+Utilities.escapeJson(ce.v.getDefinition()).trim()+"\"");
           }
+          if (ce.v.getUnknownSystems() != null) {
+            if (first) first = false; else sw.write(",\r\n");
+            sw.write("  \"unknown-systems\" : \""+Utilities.escapeJson(CommaSeparatedStringBuilder.join(",", ce.v.getUnknownSystems())).trim()+"\"");
+          }
+          if (ce.v.getIssues() != null) {
+            if (first) first = false; else sw.write(",\r\n");
+            OperationOutcome oo = new OperationOutcome();
+            oo.setIssue(ce.v.getIssues());
+            sw.write("  \"issues\" : "+json.composeString(oo).trim()+"\r\n");
+          }
           sw.write("\r\n}\r\n");
         }
         sw.write(ENTRY_MARKER+"\r\n");
@@ -602,8 +613,6 @@ public class TerminologyCache {
     }
   }
 
-
-
   private CacheEntry getCacheEntry(String request, String resultString) throws IOException {
     CacheEntry ce = new CacheEntry();
     ce.persistent = true;
@@ -625,9 +634,15 @@ public class TerminologyCache {
       String system = loadJS(o.get("system"));
       String version = loadJS(o.get("version"));
       String definition = loadJS(o.get("definition"));
+      String unknownSystems = loadJS(o.get("unknown-systems"));
+      OperationOutcome oo = o.has("issues") ? (OperationOutcome) new JsonParser().parse(o.getAsJsonObject("issues")) : null;
       t = loadJS(o.get("class")); 
       TerminologyServiceErrorClass errorClass = t == null ? null : TerminologyServiceErrorClass.valueOf(t) ;
       ce.v = new ValidationResult(severity, error, system, version, new ConceptDefinitionComponent().setDisplay(display).setDefinition(definition).setCode(code), display, null).setErrorClass(errorClass);
+      ce.v.setUnknownSystems(CommaSeparatedStringBuilder.toSet(unknownSystems));
+      if (oo != null) {
+        ce.v.setIssues(oo.getIssue());
+      }
     }
     return ce;
   }

org.hl7.fhir.r5/src/main/java/org/hl7/fhir/r5/elementmodel/LanguageUtils.java

@@ -18,6 +18,8 @@ import org.hl7.fhir.r5.model.Resource;
 import org.hl7.fhir.r5.terminologies.CodeSystemUtilities;
 import org.hl7.fhir.utilities.TextFile;
 import org.hl7.fhir.utilities.Utilities;
+import org.hl7.fhir.utilities.i18n.AcceptLanguageHeader;
+import org.hl7.fhir.utilities.i18n.AcceptLanguageHeader.LanguagePreference;
 import org.hl7.fhir.utilities.i18n.LanguageFileProducer;
 import org.hl7.fhir.utilities.i18n.LanguageFileProducer.LanguageProducerLanguageSession;
 import org.hl7.fhir.utilities.i18n.LanguageFileProducer.TextUnit;
@@ -201,10 +203,49 @@ public class LanguageUtils {
     return res;
   }
 
-  public static boolean langsMatch(String dstLang, String srcLang) {
+  public static boolean langsMatchExact(AcceptLanguageHeader langs, String srcLang) {
+    if (langs == null) {
+      return false;
+    }
+    for (LanguagePreference lang : langs.getLangs()) {
+      if (lang.getValue() > 0) {
+        if ("*".equals(lang.getLang())) {
+          return true;
+        } else {
+          return langsMatch(lang.getLang(), srcLang);
+        }
+      }
+    }
+    return false;
+  }
+
+  public static boolean langsMatch(AcceptLanguageHeader langs, String srcLang) {
+    if (langs == null) {
+      return false;
+    }
+    for (LanguagePreference lang : langs.getLangs()) {
+      if (lang.getValue() > 0) {
+        if ("*".equals(lang.getLang())) {
+          return true;
+        } else {
+          boolean ok = langsMatch(lang.getLang(), srcLang);
+          if (ok) {
+            return true;
+          }
+        }
+      }
+    }
+    return false;
+  }
+
+  public static boolean langsMatchExact(String dstLang, String srcLang) {
     return dstLang == null ? false : dstLang.equals(srcLang);
   }
 
+  public static boolean langsMatch(String dstLang, String srcLang) {
+    return dstLang == null || srcLang == null ? false : dstLang.startsWith(srcLang) || "*".equals(srcLang);
+  }
+
   public static void fillSupplement(CodeSystem cs, List<TranslationUnit> list) {
     cs.setUserData(SUPPLEMENT_NAME, "true");
     for (TranslationUnit tu : list) {

org.hl7.fhir.r5/src/main/java/org/hl7/fhir/r5/elementmodel/XmlParser.java

@@ -78,7 +78,9 @@ import org.hl7.fhir.utilities.xml.XMLUtil;
 import org.hl7.fhir.utilities.xml.XMLWriter;
 import org.w3c.dom.Document;
 import org.w3c.dom.Node;
+import org.xml.sax.ErrorHandler;
 import org.xml.sax.InputSource;
+import org.xml.sax.SAXParseException;
 import org.xml.sax.XMLReader;
 
 public class XmlParser extends ParserBase {
@@ -98,8 +100,6 @@ public class XmlParser extends ParserBase {
     this.schemaPath = schemaPath;
   }
 
-
-
   public boolean isAllowXsiLocation() {
     return allowXsiLocation;
   }
@@ -154,6 +154,7 @@ public class XmlParser extends ParserBase {
         nullTransformer.transform(saxSource, domResult);
       } else {
         DocumentBuilder builder = factory.newDocumentBuilder();
+        builder.setErrorHandler(new NullErrorHandler());
         doc = builder.parse(stream);
       }
     } catch (Exception e) {
@@ -822,4 +823,20 @@ public class XmlParser extends ParserBase {
     return "?xml-p2?";
   }
 
+  class NullErrorHandler implements ErrorHandler {
+    @Override
+    public void fatalError(SAXParseException e) {
+        // do nothing
+    }
+
+    @Override
+    public void error(SAXParseException e) {
+        // do nothing
+    }
+    
+    @Override
+    public void warning(SAXParseException e) {
+        // do nothing
+    }
+}
 }

org.hl7.fhir.r5/src/main/java/org/hl7/fhir/r5/terminologies/client/ITerminologyClient.java

@@ -65,5 +65,6 @@ public interface ITerminologyClient {
   ClientHeaders getClientHeaders();
   ITerminologyClient setClientHeaders(ClientHeaders clientHeaders);
   ITerminologyClient setUserAgent(String userAgent);
+  ITerminologyClient setLanguage(String lang);
   String getUserAgent();
 }

org.hl7.fhir.r5/src/main/java/org/hl7/fhir/r5/terminologies/expansion/ValueSetExpander.java

@@ -87,11 +87,14 @@ import org.hl7.fhir.r5.model.CodeSystem.ConceptDefinitionComponent;
 import org.hl7.fhir.r5.model.CodeSystem.ConceptDefinitionDesignationComponent;
 import org.hl7.fhir.r5.model.CodeSystem.ConceptPropertyComponent;
 import org.hl7.fhir.r5.model.CodeSystem.PropertyComponent;
+import org.hl7.fhir.r5.model.CodeType;
+import org.hl7.fhir.r5.model.Coding;
 import org.hl7.fhir.r5.model.DataType;
 import org.hl7.fhir.r5.model.DateTimeType;
 import org.hl7.fhir.r5.model.Enumerations.FilterOperator;
 import org.hl7.fhir.r5.model.Extension;
 import org.hl7.fhir.r5.model.Factory;
+import org.hl7.fhir.r5.model.IntegerType;
 import org.hl7.fhir.r5.model.PackageInformation;
 import org.hl7.fhir.r5.model.Parameters;
 import org.hl7.fhir.r5.model.Parameters.ParametersParameterComponent;
@@ -112,6 +115,7 @@ import org.hl7.fhir.r5.model.ValueSet.ValueSetExpansionParameterComponent;
 import org.hl7.fhir.r5.model.ValueSet.ValueSetExpansionPropertyComponent;
 import org.hl7.fhir.r5.terminologies.CodeSystemUtilities;
 import org.hl7.fhir.r5.terminologies.ValueSetUtilities;
+import org.hl7.fhir.r5.terminologies.expansion.ValueSetExpander.Token;
 import org.hl7.fhir.r5.terminologies.providers.CodeSystemProvider;
 import org.hl7.fhir.r5.terminologies.providers.CodeSystemProviderExtension;
 import org.hl7.fhir.r5.terminologies.utilities.TerminologyOperationContext;
@@ -121,11 +125,35 @@ import org.hl7.fhir.r5.terminologies.utilities.ValueSetProcessBase;
 import org.hl7.fhir.r5.utils.ToolingExtensions;
 import org.hl7.fhir.utilities.CommaSeparatedStringBuilder;
 import org.hl7.fhir.utilities.Utilities;
+import org.hl7.fhir.utilities.i18n.AcceptLanguageHeader;
+import org.hl7.fhir.utilities.i18n.AcceptLanguageHeader.LanguagePreference;
 import org.hl7.fhir.utilities.i18n.I18nConstants;
 
 public class ValueSetExpander extends ValueSetProcessBase {
 
 
+  public class Token {
+    private String system;
+    private String code;
+    public Token(String system, String code) {
+      super();
+      this.system = system;
+      this.code = code;
+    }
+    public String getSystem() {
+      return system;
+    }
+    public String getCode() {
+      return code;
+    }
+    public boolean matches(Coding use) {
+      return system.equals(use.getSystem()) && code.equals(use.getCode());
+    }
+    public boolean matchesLang(String language) {
+      return system.equals("urn:ietf:bcp:47") && code.equals(language);
+    }
+  }
+
   private static final boolean REPORT_VERSION_ANYWAY = true;
   
   private ValueSet focus;
@@ -136,6 +164,9 @@ public class ValueSetExpander extends ValueSetProcessBase {
   private boolean checkCodesWhenExpanding;
   private boolean includeAbstract = true;
 
+  private AcceptLanguageHeader langs;
+  private List<Token> designations = new ArrayList<>();
+
   public ValueSetExpander(IWorkerContext context, TerminologyOperationContext opContext) {
     super(context, opContext);
   }
@@ -203,31 +234,24 @@ public class ValueSetExpander extends ValueSetProcessBase {
         "http://hl7.org/fhir/StructureDefinition/rendering-xhtml");
     
     // display and designations
-    String srcLang = dispLang;
-    String dstLang = focus.getLanguage();
-    
-    boolean usedDisplay = false;
-    ConceptDefinitionDesignationComponent tu;
-    if (LanguageUtils.langsMatch(dstLang, dispLang)) {
-      tu = null; // use display
-    } else {
-      tu = expParams.hasParameter("displayLanguage") ? getMatchingLang(designations, expParams.getParameterString("displayLanguage")) : null;
-    }
-    if (tu != null) {
-      n.setDisplay(tu.getValue());        
-    } else if (display != null && (srcLang == null || dstLang == null || LanguageUtils.langsMatch(dstLang, srcLang))) {
+    ConceptDefinitionDesignationComponent pref = null;
+    if (langs == null) {
       n.setDisplay(display);
-      usedDisplay = true;
     } else {
-      // we don't have a usable display
+      if (designations == null) {
+        designations = new ArrayList<>();
+      }
+      designations.add(new ConceptDefinitionDesignationComponent().setLanguage(dispLang).setValue(display).setUse(new Coding().setSystem("http://terminology.hl7.org/CodeSystem/designation-usage").setCode("display")));
+      pref = findMatchingDesignation(designations);
+      if (pref != null) {
+        n.setDisplay(pref.getValue());
+      }
     }
 
-    if (expParams.getParameterBool("includeDesignations") && designations != null) {
-      if (!usedDisplay && display != null) {
-        n.addDesignation().setLanguage(srcLang).setValue(display);
-      }
+    if (expParams.getParameterBool("includeDesignations")) {
+      
       for (ConceptDefinitionDesignationComponent t : designations) {
-        if (t != tu && (t.hasLanguage() || t.hasUse()) && t.getValue() != null) {
+        if (t != pref && (t.hasLanguage() || t.hasUse()) && t.getValue() != null && passesDesignationFilter(t)) {
           ConceptReferenceDesignationComponent d = n.addDesignation();
           if (t.getLanguage() != null) {
             d.setLanguage(t.getLanguage().trim());
@@ -288,6 +312,63 @@ public class ValueSetExpander extends ValueSetProcessBase {
     return n;
   }
 
+  private boolean passesDesignationFilter(ConceptDefinitionDesignationComponent d) {
+    if (designations.isEmpty()) {
+      return true;
+    }
+    for (Token t : designations) {
+      if (t.matches(d.getUse()) || t.matchesLang(d.getLanguage())) {
+        return true;
+      }
+      for (Coding c : d.getAdditionalUse()) {
+        if (t.matches(c)) {
+          return true;
+        }
+      }
+    }
+    return false;
+  }
+
+  private ConceptDefinitionDesignationComponent findMatchingDesignation(List<ConceptDefinitionDesignationComponent> designations) {
+    if (langs == null) {
+      return null;
+    }
+    // we have a list of languages in priority order 
+    // we have a list of designations in no order 
+    // language exact match is preferred
+    // display is always preferred
+    
+    for (LanguagePreference lang : langs.getLangs()) {
+      if (lang.getValue() > 0) {
+        for (ConceptDefinitionDesignationComponent cd : designations) {
+          if (isDisplay(cd) && LanguageUtils.langsMatchExact(cd.getLanguage(), lang.getLang())) {
+            return cd;
+          }
+        }
+        for (ConceptDefinitionDesignationComponent cd : designations) {
+          if (isDisplay(cd) && LanguageUtils.langsMatch(cd.getLanguage(), lang.getLang())) {
+            return cd;
+          }
+        }
+        for (ConceptDefinitionDesignationComponent cd : designations) {
+          if (LanguageUtils.langsMatchExact(cd.getLanguage(), lang.getLang())) {
+            return cd;
+          }
+        }
+        for (ConceptDefinitionDesignationComponent cd : designations) {
+          if (LanguageUtils.langsMatch(cd.getLanguage(), lang.getLang())) {
+            return cd;
+          }
+        }
+      }
+    }
+    return null;
+  }
+
+  private boolean isDisplay(ConceptDefinitionDesignationComponent cd) {
+    return cd.getUse().is("http://terminology.hl7.org/CodeSystem/designation-usage", "display");
+  }
+
   private boolean filterContainsCode(List<ValueSet> filters, String system, String code, ValueSetExpansionComponent exp) {
     for (ValueSet vse : filters) {
       checkCanonical(exp, vse, focus);
@@ -307,13 +388,17 @@ public class ValueSetExpander extends ValueSetProcessBase {
     return false;
   }
 
-  private ConceptDefinitionDesignationComponent getMatchingLang(List<ConceptDefinitionDesignationComponent> list, String lang) {
-    for (ConceptDefinitionDesignationComponent t : list)
-      if (t.getLanguage().equals(lang))
+  private ConceptDefinitionDesignationComponent getMatchingLang(List<ConceptDefinitionDesignationComponent> list, AcceptLanguageHeader langs) {
+    for (ConceptDefinitionDesignationComponent t : list) {
+      if (LanguageUtils.langsMatchExact(langs, t.getLanguage())) {
         return t;
-    for (ConceptDefinitionDesignationComponent t : list)
-      if (t.getLanguage().startsWith(lang))
+      }
+    }
+    for (ConceptDefinitionDesignationComponent t : list) {
+      if (LanguageUtils.langsMatch(langs, t.getLanguage())) {
         return t;
+      }
+    }
     return null;
   }
 
@@ -519,6 +604,42 @@ public class ValueSetExpander extends ValueSetProcessBase {
       return doExpand(source, expParams);
   }
 
+  private void processParameter(String name, DataType value) {
+    if (Utilities.existsInList(name, "includeDesignations", "excludeNested", "activeOnly", "offset", "count")) {
+      focus.getExpansion().getParameter().removeIf(p -> p.getName().equals(name));
+      focus.getExpansion().addParameter().setName(name).setValue(value);
+    }
+    if ("displayLanguage".equals(name)) {
+      this.langs = new AcceptLanguageHeader(value.primitiveValue(), true);
+      focus.getExpansion().getParameter().removeIf(p -> p.getName().equals(name));
+      focus.getExpansion().addParameter().setName(name).setValue(new CodeType(value.primitiveValue()));
+    }
+    if ("designation".equals(name)) {
+      String[] v = value.primitiveValue().split("\\|");
+      if (v.length != 2 || !Utilities.isAbsoluteUrl(v[0]) || Utilities.noString(v[1])) {
+        throw new NoTerminologyServiceException("Unable to understand designation parameter "+value.primitiveValue());
+      }
+      this.designations.add(new Token(v[0], v[1]));
+      focus.getExpansion().addParameter().setName(name).setValue(new StringType(value.primitiveValue()));
+    }
+    if ("offset".equals(name) && value instanceof IntegerType) {
+      focus.getExpansion().getParameter().removeIf(p -> p.getName().equals(name));
+      focus.getExpansion().addParameter().setName(name).setValue(value);
+      dwc.setOffset(((IntegerType) value).getValue());
+      if (dwc.getOffset() < 0) {
+        dwc.setOffset(0);
+      }
+    }
+    if ("count".equals(name)) {
+      focus.getExpansion().getParameter().removeIf(p -> p.getName().equals(name));
+      focus.getExpansion().addParameter().setName(name).setValue(value);
+      dwc.setCount(((IntegerType) value).getValue());
+      if (dwc.getCount() < 0) {
+        dwc.setCount(0);
+      }
+    }
+  }
+  
   public ValueSetExpansionOutcome doExpand(ValueSet source, Parameters expParams) throws FHIRException, ETooCostly, FileNotFoundException, IOException, CodeSystemProviderExtension {
     if (expParams == null)
       expParams = makeDefaultExpansion();
@@ -532,33 +653,20 @@ public class ValueSetExpander extends ValueSetProcessBase {
     focus.getExpansion().setTimestampElement(DateTimeType.now());
     focus.getExpansion().setIdentifier(Factory.createUUID()); 
     checkCanonical(focus.getExpansion(), focus, focus);
+    for (Extension ext : focus.getCompose().getExtensionsByUrl("http://hl7.org/fhir/tools/StructureDefinion/valueset-expansion-param")) {
+      processParameter(ext.getExtensionString("name"), ext.getExtensionByUrl("value").getValue());
+    }
     for (ParametersParameterComponent p : expParams.getParameter()) {
-      if (Utilities.existsInList(p.getName(), "includeDesignations", "excludeNested", "activeOnly", "offset", "count")) {
-        focus.getExpansion().addParameter().setName(p.getName()).setValue(p.getValue());
-      }
-      if ("displayLanguage".equals(p.getName()) && (!expParams.hasLanguage() || !expParams.getLanguage().equals(p.getValue().primitiveValue()))) {
-        focus.getExpansion().addParameter().setName(p.getName()).setValue(p.getValue());
-      }
-      if ("offset".equals(p.getName()) && p.hasValueIntegerType()) {
-        dwc.setOffset(p.getValueIntegerType().getValue());
-        if (dwc.getOffset() < 0) {
-          dwc.setOffset(0);
-        }
-      }
-      if ("count".equals(p.getName()) && p.hasValueIntegerType()) {
-        dwc.setCount(p.getValueIntegerType().getValue());
-        if (dwc.getCount() < 0) {
-          dwc.setCount(0);
-        }
-      }
+      processParameter(p.getName(), p.getValue());
     }
     for (Extension s : focus.getExtensionsByUrl(ExtensionConstants.EXT_VSSUPPLEMENT)) {
       requiredSupplements.add(s.getValue().primitiveValue());
     }
-    if (expParams.hasLanguage()) {
-      focus.setLanguage(expParams.getLanguage());
+    if (langs == null && focus.hasLanguage()) {
+      langs = new AcceptLanguageHeader(focus.getLanguage(), true);
+    } else if (langs != null && langs.hasChosen()) {
+      focus.setLanguage(langs.getChosen());
     }
-    
 
     try {
       if (source.hasCompose()) {
@@ -610,6 +718,7 @@ public class ValueSetExpander extends ValueSetProcessBase {
     return new ValueSetExpansionOutcome(focus);
   }
 
+
   private Parameters makeDefaultExpansion() {
     Parameters res = new Parameters();
     res.addParameter("excludeNested", true);

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

@@ -29,8 +29,6 @@ package org.hl7.fhir.r5.terminologies.validation;
 
  */
 
-
-
 import java.util.ArrayList;
 import java.util.Arrays;
 import java.util.Calendar;
@@ -47,9 +45,11 @@ import org.hl7.fhir.exceptions.NoTerminologyServiceException;
 import org.hl7.fhir.r5.context.ContextUtilities;
 import org.hl7.fhir.r5.context.IWorkerContext;
 import org.hl7.fhir.r5.context.IWorkerContext.ValidationResult;
+import org.hl7.fhir.r5.elementmodel.LanguageUtils;
 import org.hl7.fhir.r5.extensions.ExtensionConstants;
 import org.hl7.fhir.r5.model.CanonicalType;
 import org.hl7.fhir.r5.model.CodeSystem;
+import org.hl7.fhir.r5.model.CodeType;
 import org.hl7.fhir.r5.model.Enumerations.CodeSystemContentMode;
 import org.hl7.fhir.r5.model.Enumerations.FilterOperator;
 import org.hl7.fhir.r5.model.CodeSystem.ConceptDefinitionComponent;
@@ -90,6 +90,7 @@ import org.hl7.fhir.r5.utils.validation.ValidationContextCarrier.ValidationConte
 import org.hl7.fhir.utilities.CommaSeparatedStringBuilder;
 import org.hl7.fhir.utilities.Utilities;
 import org.hl7.fhir.utilities.VersionUtilities;
+import org.hl7.fhir.utilities.i18n.AcceptLanguageHeader;
 import org.hl7.fhir.utilities.i18n.I18nConstants;
 import org.hl7.fhir.utilities.validation.ValidationMessage.IssueSeverity;
 import org.hl7.fhir.utilities.validation.ValidationOptions;
@@ -191,6 +192,7 @@ public class ValueSetValidator extends ValueSetProcessBase {
   
   public ValidationResult validateCode(String path, CodeableConcept code) throws FHIRException {
     opContext.deadCheck();
+    checkValueSetOptions();
 
     // first, we validate the codings themselves
     ValidationProcessInfo info = new ValidationProcessInfo();
@@ -212,15 +214,11 @@ public class ValueSetValidator extends ValueSetProcessBase {
           if (context.isNoTerminologyServer()) {
             if (c.hasVersion()) {
               String msg = context.formatMessage(I18nConstants.UNKNOWN_CODESYSTEM_VERSION, c.getSystem(), c.getVersion() , resolveCodeSystemVersions(c.getSystem()).toString());
-//              if (valueSetDependsOn(c.getSystem(), c.getVersion())) {
                 unknownSystems.add(c.getSystem()+"|"+c.getVersion());
-//              }
               res = new ValidationResult(IssueSeverity.ERROR, msg, makeIssue(IssueSeverity.ERROR, IssueType.NOTFOUND, path+".coding["+i+"].system", msg)).setUnknownSystems(unknownSystems);
             } else {
               String msg = context.formatMessage(I18nConstants.UNKNOWN_CODESYSTEM, c.getSystem(), c.getVersion());
-//              if (valueSetDependsOn(c.getSystem(), null)) {
                 unknownSystems.add(c.getSystem());
-//              }
               res = new ValidationResult(IssueSeverity.ERROR, msg, makeIssue(IssueSeverity.ERROR, IssueType.NOTFOUND, path+".coding["+i+"].system", msg)).setUnknownSystems(unknownSystems);
             }
           } else {
@@ -241,7 +239,7 @@ public class ValueSetValidator extends ValueSetProcessBase {
       CommaSeparatedStringBuilder b = new CommaSeparatedStringBuilder(", ");
       
       for (Coding c : code.getCoding()) {
-        b.append(c.getSystem()+(c.hasVersion() ? "|"+c.getVersion() : "")+"#"+c.getCode());
+        b.append("'"+c.getSystem()+(c.hasVersion() ? "|"+c.getVersion() : "")+"#"+c.getCode()+"'");
         Boolean ok = codeInValueSet(path, c.getSystem(), c.getVersion(), c.getCode(), info);
         if (ok == null && result != null && result == false) {
           result = null;
@@ -370,6 +368,8 @@ public class ValueSetValidator extends ValueSetProcessBase {
   
   public ValidationResult validateCode(String path, Coding code) throws FHIRException {
     opContext.deadCheck();
+    checkValueSetOptions();
+    
     String warningMessage = null;
     // first, we validate the concept itself
 
@@ -517,7 +517,7 @@ public class ValueSetValidator extends ValueSetProcessBase {
 //              res.getIssues().addAll(makeIssue(IssueSeverity.ERROR, IssueType.INVALID, path, res.getMessage()));
 //            } else
 //            {
-              String msg = context.formatMessagePlural(1, I18nConstants.NONE_OF_THE_PROVIDED_CODES_ARE_IN_THE_VALUE_SET_, valueset.getVersionedUrl(), code.toString());
+              String msg = context.formatMessagePlural(1, I18nConstants.NONE_OF_THE_PROVIDED_CODES_ARE_IN_THE_VALUE_SET_, valueset.getVersionedUrl(), "'"+code.toString()+"'");
               res.addToMessage(msg).setSeverity(IssueSeverity.ERROR);
               res.getIssues().addAll(makeIssue(IssueSeverity.ERROR, IssueType.CODEINVALID, path, msg));
               res.setDefinition(null);
@@ -539,7 +539,7 @@ public class ValueSetValidator extends ValueSetProcessBase {
           res = new ValidationResult(system, wv, null, null);
         }
       } else if ((res != null && !res.isOk())) {
-        String msg = context.formatMessagePlural(1, I18nConstants.NONE_OF_THE_PROVIDED_CODES_ARE_IN_THE_VALUE_SET_, valueset.getVersionedUrl(), code.toString());
+        String msg = context.formatMessagePlural(1, I18nConstants.NONE_OF_THE_PROVIDED_CODES_ARE_IN_THE_VALUE_SET_, valueset.getVersionedUrl(), "'"+code.toString()+"'");
         res.setMessage(res.getMessage()+"; "+msg);
         res.getIssues().addAll(makeIssue(IssueSeverity.ERROR, IssueType.CODEINVALID, path, msg));
       }
@@ -550,6 +550,21 @@ public class ValueSetValidator extends ValueSetProcessBase {
     return res;
   }
 
+  private void checkValueSetOptions() {
+    if (valueset != null) {
+      for (Extension ext : valueset.getCompose().getExtensionsByUrl("http://hl7.org/fhir/tools/StructureDefinion/valueset-expansion-param")) {
+        var name = ext.getExtensionString("name");
+        var value = ext.getExtensionByUrl("value").getValue();
+        if ("displayLanguage".equals(name)) {
+          options.setLanguages(value.primitiveValue());
+        }
+      }
+      if (!options.hasLanguages() && valueset.hasLanguage()) {
+        options.addLanguage(valueset.getLanguage());
+      }
+    }
+  }
+
   private static final Set<String> SERVER_SIDE_LIST = new HashSet<>(Arrays.asList("http://fdasis.nlm.nih.gov", "http://hl7.org/fhir/sid/ndc", "http://loinc.org", "http://snomed.info/sct", "http://unitsofmeasure.org", 
       "http://unstats.un.org/unsd/methods/m49/m49.htm", "http://varnomen.hgvs.org", "http://www.nlm.nih.gov/research/umls/rxnorm", "https://www.usps.com/",
       "urn:ietf:bcp:13","urn:ietf:bcp:47","urn:ietf:rfc:3986", "urn:iso:std:iso:3166","urn:iso:std:iso:4217", "urn:oid:1.2.36.1.2001.1005.17"));
@@ -694,7 +709,7 @@ public class ValueSetValidator extends ValueSetProcessBase {
     }
     CommaSeparatedStringBuilder b = new CommaSeparatedStringBuilder(", ", " or ");
     if (cc.hasDisplay() && isOkLanguage(cs.getLanguage())) {
-      b.append("'"+cc.getDisplay()+"'");
+      b.append("'"+cc.getDisplay()+"'"+(cs.hasLanguage() ? " ("+cs.getLanguage()+")" : ""));
       if (code.getDisplay().equalsIgnoreCase(cc.getDisplay())) {
         return new ValidationResult(code.getSystem(), cs.getVersion(), cc, getPreferredDisplay(cc, cs)).setStatus(inactive, status);
       } else if (Utilities.normalize(code.getDisplay()).equals(Utilities.normalize(cc.getDisplay()))) {
@@ -736,7 +751,7 @@ public class ValueSetValidator extends ValueSetProcessBase {
       }
     }
     if (b.count() == 0) {
-      String msg = context.formatMessagePlural(options.getLanguages().size(), I18nConstants.NO_VALID_DISPLAY_FOUND, code.getSystem(), code.getCode(), code.getDisplay(), options.langSummary());
+      String msg = context.formatMessagePlural(options.getLanguages().getLangs().size(), I18nConstants.NO_VALID_DISPLAY_FOUND, code.getSystem(), code.getCode(), code.getDisplay(), options.langSummary());
       return new ValidationResult(IssueSeverity.WARNING, msg, code.getSystem(), cs.getVersion(), cc, getPreferredDisplay(cc, cs), makeIssue(IssueSeverity.WARNING, IssueType.INVALID, path+".display", msg)).setStatus(inactive, status);      
     } else {
       String msg = context.formatMessagePlural(b.count(), ws ? I18nConstants.DISPLAY_NAME_WS_FOR__SHOULD_BE_ONE_OF__INSTEAD_OF : I18nConstants.DISPLAY_NAME_FOR__SHOULD_BE_ONE_OF__INSTEAD_OF, code.getSystem(), code.getCode(), b.toString(), code.getDisplay(), options.langSummary());
@@ -756,10 +771,10 @@ public class ValueSetValidator extends ValueSetProcessBase {
     if (!options.hasLanguages()) {
       return true;
     }
-    if (options.getLanguages().contains(language)) {
+    if (LanguageUtils.langsMatch(options.getLanguages(), language)) {
       return true;
     }
-    if (language == null && (options.getLanguages().contains("en") || options.getLanguages().contains("en-US") || options.isEnglishOk())) {
+    if (language == null && (options.langSummary().contains("en") || options.langSummary().contains("en-US") || options.isEnglishOk())) {
       return true;
     }
     return false;
@@ -1285,20 +1300,20 @@ public class ValueSetValidator extends ValueSetProcessBase {
     if (!options.hasLanguages()) {
       return cc.getDisplay();
     }
-    if (options.getLanguages().contains(valueset.getLanguage())) {
+    if (LanguageUtils.langsMatch(options.getLanguages(), valueset.getLanguage())) {
       return cc.getDisplay();
     }
     // if there's no language, we default to accepting the displays as (US) English
-    if (valueset.getLanguage() == null && (options.getLanguages().contains("en") || options.getLanguages().contains("en-US"))) {
+    if (valueset.getLanguage() == null && (options.langSummary().contains("en") || options.langSummary().contains("en-US"))) {
       return cc.getDisplay();
     }
     for (ConceptReferenceDesignationComponent d : cc.getDesignation()) {
-      if (!d.hasUse() && options.getLanguages().contains(d.getLanguage())) {
+      if (!d.hasUse() && LanguageUtils.langsMatch(options.getLanguages(), d.getLanguage())) {
         return d.getValue();
       }
     }
     for (ConceptReferenceDesignationComponent d : cc.getDesignation()) {
-      if (options.getLanguages().contains(d.getLanguage())) {
+      if (LanguageUtils.langsMatch(options.getLanguages(), d.getLanguage())) {
         return d.getValue();
       }
     }
@@ -1310,20 +1325,20 @@ public class ValueSetValidator extends ValueSetProcessBase {
     if (!options.hasLanguages()) {
       return cc.getDisplay();
     }
-    if (cs != null && options.getLanguages().contains(cs.getLanguage())) {
+    if (cs != null && LanguageUtils.langsMatch(options.getLanguages(), cs.getLanguage())) {
       return cc.getDisplay();
     }
     // if there's no language, we default to accepting the displays as (US) English
-    if ((cs == null || cs.getLanguage() == null) && (options.getLanguages().contains("en") || options.getLanguages().contains("en-US"))) {
+    if ((cs == null || cs.getLanguage() == null) && (options.langSummary().contains("en") || options.langSummary().contains("en-US"))) {
       return cc.getDisplay();
     }
     for (ConceptDefinitionDesignationComponent d : cc.getDesignation()) {
-      if (!d.hasUse() && options.getLanguages().contains(d.getLanguage())) {
+      if (!d.hasUse() && LanguageUtils.langsMatch(options.getLanguages(), d.getLanguage())) {
         return d.getValue();
       }
     }
     for (ConceptDefinitionDesignationComponent d : cc.getDesignation()) {
-      if (options.getLanguages().contains(d.getLanguage())) {
+      if (LanguageUtils.langsMatch(options.getLanguages(), d.getLanguage())) {
         return d.getValue();
       }
     }

org.hl7.fhir.r5/src/main/java/org/hl7/fhir/r5/test/utils/CompareUtilities.java

@@ -29,7 +29,7 @@ import java.util.Map;
 
 public class CompareUtilities extends BaseTestingUtilities {
 
-  private static final boolean SHOW_DIFF = true;
+  private static final boolean SHOW_DIFF = false;
   private JsonObject externals;
   
   public String createNotEqualMessage(final String message, final String expected, final String actual) {

org.hl7.fhir.r5/src/main/java/org/hl7/fhir/r5/utils/client/FHIRToolingClient.java

@@ -103,6 +103,9 @@ public class FHIRToolingClient {
   private String password;
   private String userAgent;
 
+
+  private String acceptLang;
+
   //Pass endpoint for client - URI
   public FHIRToolingClient(String baseServiceUrl, String userAgent) throws URISyntaxException {
     preferredResourceFormat = ResourceFormat.RESOURCE_JSON;
@@ -584,6 +587,11 @@ public class FHIRToolingClient {
     if (!Utilities.noString(userAgent)) {
       builder.add("User-Agent: "+userAgent);
     }
+
+    if (!Utilities.noString(acceptLang)) {
+      builder.add("Accept-Language: "+acceptLang);
+    }
+    
     return builder.build();
   }
 
@@ -615,6 +623,10 @@ public class FHIRToolingClient {
     }
     return capabilities == null ? null : capabilities.getSoftware().getVersion();
   }
+
+  public void setLanguage(String lang) {
+    this.acceptLang = lang;
+  }
   
   
 }

org.hl7.fhir.r5/src/test/resources/context/codableConceptEmptyValueSet.json

@@ -9,7 +9,7 @@
   "valueSet": {
     "resourceType": "ValueSet"
   },
-  "langs": "[]",
+  "langs": "",
   "useServer": "true",
   "useClient": "true",
   "guessSystem": "true",

org.hl7.fhir.r5/src/test/resources/context/codableConceptEmptyValueSetSystem.json

@@ -11,7 +11,7 @@
   "valueSet": {
     "resourceType": "ValueSet"
   },
-  "langs": "[]",
+  "langs": "",
   "useServer": "true",
   "useClient": "true",
   "guessSystem": "true",

org.hl7.fhir.r5/src/test/resources/context/codingEmptyValueSet.json

@@ -5,7 +5,7 @@
   "valueSet": {
     "resourceType": "ValueSet"
   },
-  "langs": "[]",
+  "langs": "",
   "useServer": "true",
   "useClient": "true",
   "guessSystem": "true",

org.hl7.fhir.r5/src/test/resources/context/codingEmptyValueSetSystem.json

@@ -7,7 +7,7 @@
   "valueSet": {
     "resourceType": "ValueSet"
   },
-  "langs": "[]",
+  "langs": "",
   "useServer": "true",
   "useClient": "true",
   "guessSystem": "true",

org.hl7.fhir.r5/src/test/resources/txCache/org.hl7.fhir.r5/lang.cache

@@ -12,42 +12,3 @@ e: {
   "error" : "Cannot invoke \"org.hl7.fhir.r5.terminologies.client.ITerminologyClient.expandValueset(org.hl7.fhir.r5.model.ValueSet, org.hl7.fhir.r5.model.Parameters, java.util.Map)\" because the return value of \"org.hl7.fhir.r5.terminologies.client.TerminologyClientContext.getClient()\" is null"
 }
 -------------------------------------------------------------------------------------
-{"hierarchical" : false, "valueSet" :{
-  "resourceType" : "ValueSet",
-  "compose" : {
-    "inactive" : true,
-    "include" : [{
-      "system" : "urn:ietf:bcp:47"
-    }]
-  }
-}}####
-e: {
-  "error" : "Cannot invoke \"org.hl7.fhir.r5.terminologies.client.ITerminologyClient.expandValueset(org.hl7.fhir.r5.model.ValueSet, org.hl7.fhir.r5.model.Parameters, java.util.Map)\" because the return value of \"org.hl7.fhir.r5.terminologies.client.TerminologyClientContext.getClient()\" is null"
-}
--------------------------------------------------------------------------------------
-{"hierarchical" : false, "valueSet" :{
-  "resourceType" : "ValueSet",
-  "compose" : {
-    "inactive" : true,
-    "include" : [{
-      "system" : "urn:ietf:bcp:47"
-    }]
-  }
-}}####
-e: {
-  "error" : "Cannot invoke \"org.hl7.fhir.r5.terminologies.client.ITerminologyClient.expandValueset(org.hl7.fhir.r5.model.ValueSet, org.hl7.fhir.r5.model.Parameters, java.util.Map)\" because the return value of \"org.hl7.fhir.r5.terminologies.client.TerminologyClientContext.getClient()\" is null"
-}
--------------------------------------------------------------------------------------
-{"hierarchical" : false, "valueSet" :{
-  "resourceType" : "ValueSet",
-  "compose" : {
-    "inactive" : true,
-    "include" : [{
-      "system" : "urn:ietf:bcp:47"
-    }]
-  }
-}}####
-e: {
-  "error" : "Cannot invoke \"org.hl7.fhir.r5.terminologies.client.ITerminologyClient.expandValueset(org.hl7.fhir.r5.model.ValueSet, org.hl7.fhir.r5.model.Parameters, java.util.Map)\" because the return value of \"org.hl7.fhir.r5.terminologies.client.TerminologyClientContext.getClient()\" is null"
-}
--------------------------------------------------------------------------------------

org.hl7.fhir.r5/src/test/resources/txCache/org.hl7.fhir.r5/loinc.cache

@@ -44,138 +44,3 @@ e: {
   "error" : "Cannot invoke \"org.hl7.fhir.r5.terminologies.client.ITerminologyClient.expandValueset(org.hl7.fhir.r5.model.ValueSet, org.hl7.fhir.r5.model.Parameters, java.util.Map)\" because the return value of \"org.hl7.fhir.r5.terminologies.client.TerminologyClientContext.getClient()\" is null"
 }
 -------------------------------------------------------------------------------------
-{"hierarchical" : false, "valueSet" :{
-  "resourceType" : "ValueSet",
-  "compose" : {
-    "inactive" : true,
-    "include" : [{
-      "system" : "http://loinc.org",
-      "concept" : [{
-        "extension" : [{
-          "url" : "http://hl7.org/fhir/StructureDefinition/valueset-label",
-          "valueString" : "A."
-        }],
-        "code" : "LA20752-4",
-        "display" : "Within 24 hours"
-      },
-      {
-        "extension" : [{
-          "url" : "http://hl7.org/fhir/StructureDefinition/valueset-label",
-          "valueString" : "B."
-        }],
-        "code" : "LA20753-2",
-        "display" : "After 24 hours but before 3 days"
-      },
-      {
-        "extension" : [{
-          "url" : "http://hl7.org/fhir/StructureDefinition/valueset-label",
-          "valueString" : "C."
-        }],
-        "code" : "LA20754-0",
-        "display" : "Three days or later"
-      },
-      {
-        "extension" : [{
-          "url" : "http://hl7.org/fhir/StructureDefinition/valueset-label",
-          "valueString" : "D."
-        }],
-        "code" : "LA4489-6",
-        "display" : "Unknown"
-      }]
-    }]
-  }
-}}####
-e: {
-  "error" : "Cannot invoke \"org.hl7.fhir.r5.terminologies.client.ITerminologyClient.expandValueset(org.hl7.fhir.r5.model.ValueSet, org.hl7.fhir.r5.model.Parameters, java.util.Map)\" because the return value of \"org.hl7.fhir.r5.terminologies.client.TerminologyClientContext.getClient()\" is null"
-}
--------------------------------------------------------------------------------------
-{"hierarchical" : false, "valueSet" :{
-  "resourceType" : "ValueSet",
-  "compose" : {
-    "inactive" : true,
-    "include" : [{
-      "system" : "http://loinc.org",
-      "concept" : [{
-        "extension" : [{
-          "url" : "http://hl7.org/fhir/StructureDefinition/valueset-label",
-          "valueString" : "A."
-        }],
-        "code" : "LA20752-4",
-        "display" : "Within 24 hours"
-      },
-      {
-        "extension" : [{
-          "url" : "http://hl7.org/fhir/StructureDefinition/valueset-label",
-          "valueString" : "B."
-        }],
-        "code" : "LA20753-2",
-        "display" : "After 24 hours but before 3 days"
-      },
-      {
-        "extension" : [{
-          "url" : "http://hl7.org/fhir/StructureDefinition/valueset-label",
-          "valueString" : "C."
-        }],
-        "code" : "LA20754-0",
-        "display" : "Three days or later"
-      },
-      {
-        "extension" : [{
-          "url" : "http://hl7.org/fhir/StructureDefinition/valueset-label",
-          "valueString" : "D."
-        }],
-        "code" : "LA4489-6",
-        "display" : "Unknown"
-      }]
-    }]
-  }
-}}####
-e: {
-  "error" : "Cannot invoke \"org.hl7.fhir.r5.terminologies.client.ITerminologyClient.expandValueset(org.hl7.fhir.r5.model.ValueSet, org.hl7.fhir.r5.model.Parameters, java.util.Map)\" because the return value of \"org.hl7.fhir.r5.terminologies.client.TerminologyClientContext.getClient()\" is null"
-}
--------------------------------------------------------------------------------------
-{"hierarchical" : false, "valueSet" :{
-  "resourceType" : "ValueSet",
-  "compose" : {
-    "inactive" : true,
-    "include" : [{
-      "system" : "http://loinc.org",
-      "concept" : [{
-        "extension" : [{
-          "url" : "http://hl7.org/fhir/StructureDefinition/valueset-label",
-          "valueString" : "A."
-        }],
-        "code" : "LA20752-4",
-        "display" : "Within 24 hours"
-      },
-      {
-        "extension" : [{
-          "url" : "http://hl7.org/fhir/StructureDefinition/valueset-label",
-          "valueString" : "B."
-        }],
-        "code" : "LA20753-2",
-        "display" : "After 24 hours but before 3 days"
-      },
-      {
-        "extension" : [{
-          "url" : "http://hl7.org/fhir/StructureDefinition/valueset-label",
-          "valueString" : "C."
-        }],
-        "code" : "LA20754-0",
-        "display" : "Three days or later"
-      },
-      {
-        "extension" : [{
-          "url" : "http://hl7.org/fhir/StructureDefinition/valueset-label",
-          "valueString" : "D."
-        }],
-        "code" : "LA4489-6",
-        "display" : "Unknown"
-      }]
-    }]
-  }
-}}####
-e: {
-  "error" : "Cannot invoke \"org.hl7.fhir.r5.terminologies.client.ITerminologyClient.expandValueset(org.hl7.fhir.r5.model.ValueSet, org.hl7.fhir.r5.model.Parameters, java.util.Map)\" because the return value of \"org.hl7.fhir.r5.terminologies.client.TerminologyClientContext.getClient()\" is null"
-}
--------------------------------------------------------------------------------------

org.hl7.fhir.r5/src/test/resources/txCache/org.hl7.fhir.r5/mimetypes.cache

@@ -12,42 +12,3 @@ e: {
   "error" : "Cannot invoke \"org.hl7.fhir.r5.terminologies.client.ITerminologyClient.expandValueset(org.hl7.fhir.r5.model.ValueSet, org.hl7.fhir.r5.model.Parameters, java.util.Map)\" because the return value of \"org.hl7.fhir.r5.terminologies.client.TerminologyClientContext.getClient()\" is null"
 }
 -------------------------------------------------------------------------------------
-{"hierarchical" : false, "valueSet" :{
-  "resourceType" : "ValueSet",
-  "compose" : {
-    "inactive" : true,
-    "include" : [{
-      "system" : "urn:ietf:bcp:13"
-    }]
-  }
-}}####
-e: {
-  "error" : "Cannot invoke \"org.hl7.fhir.r5.terminologies.client.ITerminologyClient.expandValueset(org.hl7.fhir.r5.model.ValueSet, org.hl7.fhir.r5.model.Parameters, java.util.Map)\" because the return value of \"org.hl7.fhir.r5.terminologies.client.TerminologyClientContext.getClient()\" is null"
-}
--------------------------------------------------------------------------------------
-{"hierarchical" : false, "valueSet" :{
-  "resourceType" : "ValueSet",
-  "compose" : {
-    "inactive" : true,
-    "include" : [{
-      "system" : "urn:ietf:bcp:13"
-    }]
-  }
-}}####
-e: {
-  "error" : "Cannot invoke \"org.hl7.fhir.r5.terminologies.client.ITerminologyClient.expandValueset(org.hl7.fhir.r5.model.ValueSet, org.hl7.fhir.r5.model.Parameters, java.util.Map)\" because the return value of \"org.hl7.fhir.r5.terminologies.client.TerminologyClientContext.getClient()\" is null"
-}
--------------------------------------------------------------------------------------
-{"hierarchical" : false, "valueSet" :{
-  "resourceType" : "ValueSet",
-  "compose" : {
-    "inactive" : true,
-    "include" : [{
-      "system" : "urn:ietf:bcp:13"
-    }]
-  }
-}}####
-e: {
-  "error" : "Cannot invoke \"org.hl7.fhir.r5.terminologies.client.ITerminologyClient.expandValueset(org.hl7.fhir.r5.model.ValueSet, org.hl7.fhir.r5.model.Parameters, java.util.Map)\" because the return value of \"org.hl7.fhir.r5.terminologies.client.TerminologyClientContext.getClient()\" is null"
-}
--------------------------------------------------------------------------------------

org.hl7.fhir.r5/src/test/resources/txCache/org.hl7.fhir.r5/ucum.cache

@@ -96,294 +96,3 @@ e: {
   "error" : "Cannot invoke \"org.hl7.fhir.r5.terminologies.client.ITerminologyClient.expandValueset(org.hl7.fhir.r5.model.ValueSet, org.hl7.fhir.r5.model.Parameters, java.util.Map)\" because the return value of \"org.hl7.fhir.r5.terminologies.client.TerminologyClientContext.getClient()\" is null"
 }
 -------------------------------------------------------------------------------------
-{"hierarchical" : false, "valueSet" :{
-  "resourceType" : "ValueSet",
-  "compose" : {
-    "inactive" : true,
-    "include" : [{
-      "system" : "http://unitsofmeasure.org",
-      "concept" : [{
-        "extension" : [{
-          "url" : "http://hl7.org/fhir/StructureDefinition/valueset-concept-definition",
-          "valueString" : "second"
-        }],
-        "code" : "s",
-        "display" : "second",
-        "designation" : [{
-          "language" : "zh",
-          "value" : "秒"
-        }]
-      },
-      {
-        "extension" : [{
-          "url" : "http://hl7.org/fhir/StructureDefinition/valueset-concept-definition",
-          "valueString" : "minute"
-        }],
-        "code" : "min",
-        "display" : "minute",
-        "designation" : [{
-          "language" : "zh",
-          "value" : "分钟"
-        }]
-      },
-      {
-        "extension" : [{
-          "url" : "http://hl7.org/fhir/StructureDefinition/valueset-concept-definition",
-          "valueString" : "hour"
-        }],
-        "code" : "h",
-        "display" : "hour",
-        "designation" : [{
-          "language" : "zh",
-          "value" : "小时"
-        }]
-      },
-      {
-        "extension" : [{
-          "url" : "http://hl7.org/fhir/StructureDefinition/valueset-concept-definition",
-          "valueString" : "day"
-        }],
-        "code" : "d",
-        "display" : "day",
-        "designation" : [{
-          "language" : "zh",
-          "value" : "天"
-        }]
-      },
-      {
-        "extension" : [{
-          "url" : "http://hl7.org/fhir/StructureDefinition/valueset-concept-definition",
-          "valueString" : "week"
-        }],
-        "code" : "wk",
-        "display" : "week",
-        "designation" : [{
-          "language" : "zh",
-          "value" : "星期"
-        }]
-      },
-      {
-        "extension" : [{
-          "url" : "http://hl7.org/fhir/StructureDefinition/valueset-concept-definition",
-          "valueString" : "month - Normal practice is to use the 'mo' code as a calendar month when calculating the next occurrence."
-        }],
-        "code" : "mo",
-        "display" : "month",
-        "designation" : [{
-          "language" : "zh",
-          "value" : "月"
-        }]
-      },
-      {
-        "extension" : [{
-          "url" : "http://hl7.org/fhir/StructureDefinition/valueset-concept-definition",
-          "valueString" : "year"
-        }],
-        "code" : "a",
-        "display" : "year",
-        "designation" : [{
-          "language" : "zh",
-          "value" : "年"
-        }]
-      }]
-    }]
-  }
-}}####
-e: {
-  "error" : "Cannot invoke \"org.hl7.fhir.r5.terminologies.client.ITerminologyClient.expandValueset(org.hl7.fhir.r5.model.ValueSet, org.hl7.fhir.r5.model.Parameters, java.util.Map)\" because the return value of \"org.hl7.fhir.r5.terminologies.client.TerminologyClientContext.getClient()\" is null"
-}
--------------------------------------------------------------------------------------
-{"hierarchical" : false, "valueSet" :{
-  "resourceType" : "ValueSet",
-  "compose" : {
-    "inactive" : true,
-    "include" : [{
-      "system" : "http://unitsofmeasure.org",
-      "concept" : [{
-        "extension" : [{
-          "url" : "http://hl7.org/fhir/StructureDefinition/valueset-concept-definition",
-          "valueString" : "second"
-        }],
-        "code" : "s",
-        "display" : "second",
-        "designation" : [{
-          "language" : "zh",
-          "value" : "秒"
-        }]
-      },
-      {
-        "extension" : [{
-          "url" : "http://hl7.org/fhir/StructureDefinition/valueset-concept-definition",
-          "valueString" : "minute"
-        }],
-        "code" : "min",
-        "display" : "minute",
-        "designation" : [{
-          "language" : "zh",
-          "value" : "分钟"
-        }]
-      },
-      {
-        "extension" : [{
-          "url" : "http://hl7.org/fhir/StructureDefinition/valueset-concept-definition",
-          "valueString" : "hour"
-        }],
-        "code" : "h",
-        "display" : "hour",
-        "designation" : [{
-          "language" : "zh",
-          "value" : "小时"
-        }]
-      },
-      {
-        "extension" : [{
-          "url" : "http://hl7.org/fhir/StructureDefinition/valueset-concept-definition",
-          "valueString" : "day"
-        }],
-        "code" : "d",
-        "display" : "day",
-        "designation" : [{
-          "language" : "zh",
-          "value" : "天"
-        }]
-      },
-      {
-        "extension" : [{
-          "url" : "http://hl7.org/fhir/StructureDefinition/valueset-concept-definition",
-          "valueString" : "week"
-        }],
-        "code" : "wk",
-        "display" : "week",
-        "designation" : [{
-          "language" : "zh",
-          "value" : "星期"
-        }]
-      },
-      {
-        "extension" : [{
-          "url" : "http://hl7.org/fhir/StructureDefinition/valueset-concept-definition",
-          "valueString" : "month - Normal practice is to use the 'mo' code as a calendar month when calculating the next occurrence."
-        }],
-        "code" : "mo",
-        "display" : "month",
-        "designation" : [{
-          "language" : "zh",
-          "value" : "月"
-        }]
-      },
-      {
-        "extension" : [{
-          "url" : "http://hl7.org/fhir/StructureDefinition/valueset-concept-definition",
-          "valueString" : "year"
-        }],
-        "code" : "a",
-        "display" : "year",
-        "designation" : [{
-          "language" : "zh",
-          "value" : "年"
-        }]
-      }]
-    }]
-  }
-}}####
-e: {
-  "error" : "Cannot invoke \"org.hl7.fhir.r5.terminologies.client.ITerminologyClient.expandValueset(org.hl7.fhir.r5.model.ValueSet, org.hl7.fhir.r5.model.Parameters, java.util.Map)\" because the return value of \"org.hl7.fhir.r5.terminologies.client.TerminologyClientContext.getClient()\" is null"
-}
--------------------------------------------------------------------------------------
-{"hierarchical" : false, "valueSet" :{
-  "resourceType" : "ValueSet",
-  "compose" : {
-    "inactive" : true,
-    "include" : [{
-      "system" : "http://unitsofmeasure.org",
-      "concept" : [{
-        "extension" : [{
-          "url" : "http://hl7.org/fhir/StructureDefinition/valueset-concept-definition",
-          "valueString" : "second"
-        }],
-        "code" : "s",
-        "display" : "second",
-        "designation" : [{
-          "language" : "zh",
-          "value" : "秒"
-        }]
-      },
-      {
-        "extension" : [{
-          "url" : "http://hl7.org/fhir/StructureDefinition/valueset-concept-definition",
-          "valueString" : "minute"
-        }],
-        "code" : "min",
-        "display" : "minute",
-        "designation" : [{
-          "language" : "zh",
-          "value" : "分钟"
-        }]
-      },
-      {
-        "extension" : [{
-          "url" : "http://hl7.org/fhir/StructureDefinition/valueset-concept-definition",
-          "valueString" : "hour"
-        }],
-        "code" : "h",
-        "display" : "hour",
-        "designation" : [{
-          "language" : "zh",
-          "value" : "小时"
-        }]
-      },
-      {
-        "extension" : [{
-          "url" : "http://hl7.org/fhir/StructureDefinition/valueset-concept-definition",
-          "valueString" : "day"
-        }],
-        "code" : "d",
-        "display" : "day",
-        "designation" : [{
-          "language" : "zh",
-          "value" : "天"
-        }]
-      },
-      {
-        "extension" : [{
-          "url" : "http://hl7.org/fhir/StructureDefinition/valueset-concept-definition",
-          "valueString" : "week"
-        }],
-        "code" : "wk",
-        "display" : "week",
-        "designation" : [{
-          "language" : "zh",
-          "value" : "星期"
-        }]
-      },
-      {
-        "extension" : [{
-          "url" : "http://hl7.org/fhir/StructureDefinition/valueset-concept-definition",
-          "valueString" : "month - Normal practice is to use the 'mo' code as a calendar month when calculating the next occurrence."
-        }],
-        "code" : "mo",
-        "display" : "month",
-        "designation" : [{
-          "language" : "zh",
-          "value" : "月"
-        }]
-      },
-      {
-        "extension" : [{
-          "url" : "http://hl7.org/fhir/StructureDefinition/valueset-concept-definition",
-          "valueString" : "year"
-        }],
-        "code" : "a",
-        "display" : "year",
-        "designation" : [{
-          "language" : "zh",
-          "value" : "年"
-        }]
-      }]
-    }]
-  }
-}}####
-e: {
-  "error" : "Cannot invoke \"org.hl7.fhir.r5.terminologies.client.ITerminologyClient.expandValueset(org.hl7.fhir.r5.model.ValueSet, org.hl7.fhir.r5.model.Parameters, java.util.Map)\" because the return value of \"org.hl7.fhir.r5.terminologies.client.TerminologyClientContext.getClient()\" is null"
-}
--------------------------------------------------------------------------------------

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

@@ -1,6 +1,10 @@
 package org.hl7.fhir.utilities;
 
+import java.util.Collection;
 import java.util.List;
+import java.util.Set;
+import java.util.ArrayList;
+import java.util.HashSet;
 
 /*
   Copyright (c) 2011+, HL7, Inc.
@@ -110,7 +114,7 @@ public class CommaSeparatedStringBuilder {
     
   }
 
-  public static String join(String sep, List<String> list) {
+  public static String join(String sep, Collection<String> list) {
     CommaSeparatedStringBuilder b = new CommaSeparatedStringBuilder(sep);
     for (String s : list) {
       b.append(s);
@@ -125,4 +129,17 @@ public class CommaSeparatedStringBuilder {
     }
     return self.toString();
   }
+
+  public static Set<String> toSet(String source) {
+    if (source == null) {
+      return null;
+    }
+    Set<String> res = new HashSet<>();
+    if (!Utilities.noString(source)) {
+      for (String s : source.split("\\,")) {
+        res.add(s.trim());
+      }
+    }
+    return res;
+  }
 }

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

@@ -0,0 +1,176 @@
+package org.hl7.fhir.utilities.i18n;
+
+import java.util.List;
+import java.util.ArrayList;
+import java.util.Collections;
+import java.util.Comparator;
+
+import org.hl7.fhir.utilities.CommaSeparatedStringBuilder;
+import org.hl7.fhir.utilities.Utilities;
+import org.hl7.fhir.utilities.i18n.AcceptLanguageHeader.LanguagePreference;
+import org.hl7.fhir.utilities.i18n.AcceptLanguageHeader.LanguageSorter;
+
+import net.sf.saxon.functions.Lang;
+
+public class AcceptLanguageHeader {
+
+  public class LanguageSorter implements Comparator<LanguagePreference> {
+
+    @Override
+    public int compare(LanguagePreference o1, LanguagePreference o2) {
+      if (o1.getValue() == o2.getValue()) {
+        return o1.getOrder() - o2.getOrder();
+      } else if (o1.getValue() > o2.getValue()) {
+        return -1;
+      } else {
+        return 1;
+      }
+    }
+
+  }
+
+  public class LanguagePreference {
+    private int order;
+    private String lang;
+    private double value;
+    private boolean auto;
+    
+    public String getLang() {
+      return lang;
+    }
+    public double getValue() {
+      return value;
+    }
+    
+    public int getOrder() {
+      return order;
+    }
+    public boolean isAuto() {
+      return auto;
+    }
+    public LanguagePreference(int order, String lang, double value, boolean auto) {
+      super();
+      this.order = order;
+      this.lang = lang;
+      this.value = value;
+      this.auto = auto;
+    }
+
+    @Override
+    public String toString() {
+      if (value == 1) {
+        return lang;
+      } else {
+        return lang+"; q="+(String.format("%.6f", value).replaceAll("(\\.\\d+?)0*$", "$1")); //Double.toString(value);
+      }
+    }
+  }
+
+  private String source;
+  private List<LanguagePreference> langs = new ArrayList<>();
+  private boolean doWildcard;
+  
+  public String getSource() {
+    return source;
+  }
+
+  public List<LanguagePreference> getLangs() {
+    return langs;
+  }
+
+  public AcceptLanguageHeader(String source, boolean doWildcard) {
+    super();
+    this.doWildcard = doWildcard;
+    this.source = source == null ? "" : source;
+    process(source, langs, doWildcard);
+  }
+
+  private void process(String src, List<LanguagePreference> list, boolean doWildcard) {
+    list.clear();
+    boolean wildcard = false;
+    int offset = langs.size();
+    if (!Utilities.noString(src)) {
+      String[] parts = src.split("\\,");
+      for (int i = 0; i < parts.length; i++) {
+        String lang = parts[i].trim();
+        double weight = 1;
+        if (lang.contains(";")) {
+          String w = lang.substring(lang.indexOf(";")+1);
+          if (w.contains("=")) {
+            w = w.substring(w.indexOf("=")+1);
+          }
+          lang = lang.substring(0, lang.indexOf(";"));
+          weight = Float.valueOf(w);
+        }
+        if (!Utilities.noString(lang)) {
+          list.add(new LanguagePreference(i+offset, lang, weight, false));
+          wildcard = wildcard || "*".equals(lang);
+        }
+      }
+    }
+    if (!wildcard && doWildcard) {
+      list.add(new LanguagePreference(100, "*", 0.01, true));
+    }
+    Collections.sort(list, new LanguageSorter());
+
+  }
+
+  public boolean hasChosen() {
+    for (LanguagePreference lang : langs) {
+      if (lang.value == 1) {
+        return true;
+      }
+    }
+    return false;
+  }
+  public String getChosen() {
+    for (LanguagePreference lang : langs) {
+      if (lang.value == 1) {
+        return lang.lang;
+      }
+    }
+    return null;
+  }
+
+  public void add(String language) {
+    List<LanguagePreference> list = new ArrayList<>();
+    process(language, list, false);
+    for (LanguagePreference lang : list) {
+      LanguagePreference existing = getByLang(langs, lang.lang);
+      if (existing == null) {
+        langs.add(lang);
+      } else {
+        existing.auto = false;
+        existing.value = lang.value;
+      }
+    }
+    Collections.sort(langs, new LanguageSorter());
+    source = toString();
+  }
+
+  private LanguagePreference getByLang(List<LanguagePreference> list, String lang) {
+    for (LanguagePreference l : list) {
+      if (l.lang.equals(lang)) {
+        return l;
+      }
+    }
+    return null;
+  }
+
+  public AcceptLanguageHeader copy() {
+    return new AcceptLanguageHeader(toString(), doWildcard);
+  }
+
+  @Override
+  public String toString() {
+    CommaSeparatedStringBuilder b = new CommaSeparatedStringBuilder();
+    for (LanguagePreference lang : langs) {
+      if (!lang.isAuto()) {
+       b .append(lang.toString());
+      }
+    }
+    return b.toString();
+  }
+
+
+}

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

@@ -4,13 +4,16 @@ import java.util.HashSet;
 import java.util.Set;
 
 import org.hl7.fhir.utilities.Utilities;
+import org.hl7.fhir.utilities.i18n.AcceptLanguageHeader;
+
+import com.google.gson.JsonElement;
 
 public class ValidationOptions {
   public enum ValueSetMode {
     ALL_CHECKS, CHECK_MEMERSHIP_ONLY, NO_MEMBERSHIP_CHECK
   }
-
-  private Set<String> languages = new HashSet<>();
+  
+  private AcceptLanguageHeader langs = null;
   private boolean useServer = true;
   private boolean useClient = true;
   private boolean guessSystem = false;
@@ -21,15 +24,19 @@ public class ValidationOptions {
   private boolean useValueSetDisplays;
   private boolean englishOk = true;
 
-  public ValidationOptions(String... languages) {
+  public ValidationOptions() {
     super();
-    for(String s : languages) {
-      this.languages.add(s);
+  }
+
+  public ValidationOptions(String language) {
+    super();
+    if (!Utilities.noString(language)) {
+      langs = new AcceptLanguageHeader(language, false);
     }
   }
 
   public static ValidationOptions defaults() {
-    return new ValidationOptions("en", "en-US");
+    return new ValidationOptions("en, en-US");
   }
   
   /**
@@ -39,12 +46,12 @@ public class ValidationOptions {
    * 
    * @return
    */
-  public Set<String> getLanguages() {
-    return languages;
+  public AcceptLanguageHeader getLanguages() {
+    return langs;
   }
 
   public boolean hasLanguages() {
-    return languages.size() > 0;
+    return langs != null && !Utilities.noString(langs.getSource());
   }
 
 
@@ -128,7 +135,7 @@ public class ValidationOptions {
       return this;
     }
     ValidationOptions n = this.copy();
-    n.languages.add(language);
+    n.addLanguage(language);
     return n;
   }
 
@@ -187,7 +194,16 @@ public class ValidationOptions {
   }
 
   public ValidationOptions addLanguage(String language) {
-    this.languages.add(language);
+    if (this.langs == null) {
+      langs = new AcceptLanguageHeader(language, false);
+    } else {
+      langs.add(language);
+    }
+    return this;
+  }
+
+  public ValidationOptions setLanguages(String language) {
+    langs = new AcceptLanguageHeader(language, false);
     return this;
   }
 
@@ -247,7 +263,7 @@ public class ValidationOptions {
 
   public ValidationOptions copy() {
     ValidationOptions n = new ValidationOptions();
-    n.languages.addAll(languages);
+    n.langs = langs == null ? null : langs.copy();
     n.useServer = useServer;
     n.useClient = useClient;
     n.guessSystem = guessSystem; 
@@ -261,19 +277,22 @@ public class ValidationOptions {
   
 
   public String toJson() {
-    return "\"langs\":\""+languages.toString()+"\", \"useServer\":\""+Boolean.toString(useServer)+"\", \"useClient\":\""+Boolean.toString(useClient)+"\", "+
+    return "\"langs\":\""+( langs == null ? "" : langs.toString())+"\", \"useServer\":\""+Boolean.toString(useServer)+"\", \"useClient\":\""+Boolean.toString(useClient)+"\", "+
        "\"guessSystem\":\""+Boolean.toString(guessSystem)+"\", \"valueSetMode\":\""+valueSetMode.toString()+"\", \"displayWarningMode\":\""+Boolean.toString(displayWarningMode)+"\", \"versionFlexible\":\""+Boolean.toString(versionFlexible)+"\"";
   }
 
   public String langSummary() {
-    if (languages.size() == 0) {
+    if (langs == null) {
       return "--";
     } else {
-      return String.join("|", Utilities.sorted(languages));
+      String s = langs.toString();
+      if (Utilities.noString(s)) {
+        s = "--";
+      }
+      return s;
     }
   }
 
 
-
   
 }

org.hl7.fhir.utilities/src/test/java/org/hl7/fhir/utilities/i18n/AcceptLanguageTests.java

@@ -0,0 +1,55 @@
+package org.hl7.fhir.utilities.i18n;
+
+import org.junit.jupiter.api.Assertions;
+import org.junit.jupiter.api.Test;
+
+public class AcceptLanguageTests {
+
+  @Test
+  public void testEasy() {
+    AcceptLanguageHeader hdr = new AcceptLanguageHeader("en", true);
+    Assertions.assertEquals(2, hdr.getLangs().size());
+    Assertions.assertEquals(1, hdr.getLangs().get(0).getValue());
+    Assertions.assertEquals(0, hdr.getLangs().get(0).getOrder());
+    Assertions.assertEquals("en", hdr.getLangs().get(0).getLang());
+  }
+  
+
+  @Test
+  public void testEasy2() {
+    AcceptLanguageHeader hdr = new AcceptLanguageHeader("en", false);
+    Assertions.assertEquals(1, hdr.getLangs().size());
+    Assertions.assertEquals(1, hdr.getLangs().get(0).getValue());
+    Assertions.assertEquals(0, hdr.getLangs().get(0).getOrder());
+    Assertions.assertEquals("en", hdr.getLangs().get(0).getLang());
+  }
+  
+
+  @Test
+  public void testComplex() {
+    AcceptLanguageHeader hdr = new AcceptLanguageHeader("en; q=0.9, de;q=0.7, *", true);
+    Assertions.assertEquals(3, hdr.getLangs().size());
+    
+    Assertions.assertEquals(1, hdr.getLangs().get(0).getValue());
+    Assertions.assertEquals(2, hdr.getLangs().get(0).getOrder());
+    Assertions.assertEquals("*", hdr.getLangs().get(0).getLang());
+    
+    Assertions.assertEquals(0.9, hdr.getLangs().get(1).getValue(), 0.001);
+    Assertions.assertEquals(0, hdr.getLangs().get(1).getOrder());
+    Assertions.assertEquals("en", hdr.getLangs().get(1).getLang());
+    
+    Assertions.assertEquals(0.7, hdr.getLangs().get(2).getValue(), 0.001);
+    Assertions.assertEquals(1, hdr.getLangs().get(2).getOrder());
+    Assertions.assertEquals("de", hdr.getLangs().get(2).getLang());
+  }
+  
+
+  @Test
+  public void testBadSyntax() {
+    AcceptLanguageHeader hdr = new AcceptLanguageHeader("en; 0.9, ; q=0.7, *:0.1", true);
+    Assertions.assertEquals(3, hdr.getLangs().size());
+    
+  }
+  
+  
+}

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

@@ -6592,9 +6592,6 @@ public class InstanceValidator extends BaseValidator implements IResourceValidat
 
   public void setValidationLanguage(String validationLanguage) {
     this.validationLanguage = validationLanguage;
-    if (this.validationLanguage == null) {
-      this.validationLanguage = "en";
-    }
   }
 
  
@@ -6636,9 +6633,6 @@ public class InstanceValidator extends BaseValidator implements IResourceValidat
     if (lang == null) {
       lang = validationLanguage;
     }
-    if (lang == null) {
-      lang = "en"; // ubiquitious default languauge
-    }
     codingObserver.seeCode(stack, system, version, code, display);
     return checkForInctive(context.validateCode(baseOptions.withLanguage(lang), system, version, code, checkDisplay ? display : null));
   }

org.hl7.fhir.validation/src/main/java/org/hl7/fhir/validation/special/TxTester.java

@@ -190,11 +190,12 @@ public class TxTester {
         }
         JsonObject ext = externals == null ? null : externals.getJsonObject(fn);
 
+        String lang = test.asString("Accept-Language");
         String msg = null;
         if (test.asString("operation").equals("expand")) {
-          msg = expand(tx, setup, req, resp, fp, profile, ext);
+          msg = expand(tx, setup, req, resp, fp, lang, profile, ext);
         } else if (test.asString("operation").equals("validate-code")) {
-          msg = validate(tx, setup, req, resp, fp, profile, ext);      
+          msg = validate(tx, setup, req, resp, fp, lang, profile, ext);      
         } else {
           throw new Exception("Unknown Operation "+test.asString("operation"));
         }
@@ -243,10 +244,11 @@ public class TxTester {
     return new URI(server).getHost();
   }
 
-  private String expand(ITerminologyClient tx, List<Resource> setup, Parameters p, String resp, String fp, Parameters profile, JsonObject ext) throws IOException {
+  private String expand(ITerminologyClient tx, List<Resource> setup, Parameters p, String resp, String fp, String lang, Parameters profile, JsonObject ext) throws IOException {
     for (Resource r : setup) {
       p.addParameter().setName("tx-resource").setResource(r);
     }
+    tx.setLanguage(lang);
     p.getParameter().addAll(profile.getParameter());
     String vsj;
     try {
@@ -259,7 +261,7 @@ public class TxTester {
       TxTesterScrubbers.scrubOO(oo, tight);
       vsj = new org.hl7.fhir.r5.formats.JsonParser().setOutputStyle(OutputStyle.PRETTY).composeString(oo);
     }
-    String diff = CompareUtilities.checkJsonSrcIsSame(resp, vsj, ext);
+    String diff = CompareUtilities.checkJsonSrcIsSame(resp, vsj, false, ext);
     if (diff != null) {
       Utilities.createDirectory(Utilities.getDirectoryForFile(fp));
       TextFile.stringToFile(vsj, fp);        
@@ -267,11 +269,12 @@ public class TxTester {
     return diff;
   }
 
-  private String validate(ITerminologyClient tx, List<Resource> setup, Parameters p, String resp, String fp, Parameters profile, JsonObject ext) throws IOException {
+  private String validate(ITerminologyClient tx, List<Resource> setup, Parameters p, String resp, String fp, String lang, Parameters profile, JsonObject ext) throws IOException {
     for (Resource r : setup) {
       p.addParameter().setName("tx-resource").setResource(r);
     }
     p.getParameter().addAll(profile.getParameter());
+    tx.setLanguage(lang);
     String pj;
     try {
       Parameters po = tx.validateVS(p);
@@ -283,7 +286,7 @@ public class TxTester {
       oo.setText(null);
       pj = new org.hl7.fhir.r5.formats.JsonParser().setOutputStyle(OutputStyle.PRETTY).composeString(oo);
     }
-    String diff = CompareUtilities.checkJsonSrcIsSame(resp, pj, ext);
+    String diff = CompareUtilities.checkJsonSrcIsSame(resp, pj, false, ext);
     if (diff != null) {
       Utilities.createDirectory(Utilities.getDirectoryForFile(fp));
       TextFile.stringToFile(pj, fp);        

org.hl7.fhir.validation/src/test/java/org/hl7/fhir/terminology/tests/TerminologyServiceTests.java

@@ -142,19 +142,22 @@ public class TerminologyServiceTests {
       engine.getContext().setExpansionProfile((org.hl7.fhir.r5.model.Parameters) loadResource("parameters-default.json"));
     }
     if (setup.test.asString("operation").equals("expand")) {
-      expand(engine, req, resp, fp, ext);
+      expand(engine, req, resp, setup.test.asString("Accept-Language"), fp, ext);
     } else if (setup.test.asString("operation").equals("validate-code")) {
-      validate(engine, setup.test.asString("name"), req, resp, fp, ext);      
+      validate(engine, setup.test.asString("name"), req, resp, setup.test.asString("Accept-Language"), fp, ext);      
     } else {
       Assertions.fail("Unknown Operation "+setup.test.asString("operation"));
     }
   }
 
-  private void expand(ValidationEngine engine, Resource req, String resp, String fp, JsonObject ext) throws IOException {
+  private void expand(ValidationEngine engine, Resource req, String resp, String lang, String fp, JsonObject ext) throws IOException {
     org.hl7.fhir.r5.model.Parameters p = ( org.hl7.fhir.r5.model.Parameters) req;
     ValueSet vs = engine.getContext().fetchResource(ValueSet.class, p.getParameterValue("url").primitiveValue());
     boolean hierarchical = p.hasParameter("excludeNested") ? p.getParameterBool("excludeNested") == false : true;
     Assertions.assertNotNull(vs);
+    if (lang != null && !p.hasParameter("displayLanguage")) {
+      p.addParameter("displayLanguage", new CodeType(lang));
+    }
     ValueSetExpansionOutcome vse = engine.getContext().expandVS(vs, false, hierarchical, false, p);
     if (resp.contains("\"ValueSet\"")) {
       if (vse.getValueset() == null) {
@@ -230,7 +233,7 @@ public class TerminologyServiceTests {
     }
   }
 
-  private void validate(ValidationEngine engine, String name, Resource req, String resp, String fp, JsonObject ext) throws JsonSyntaxException, FileNotFoundException, IOException {
+  private void validate(ValidationEngine engine, String name, Resource req, String resp, String lang, String fp, JsonObject ext) throws JsonSyntaxException, FileNotFoundException, IOException {
     org.hl7.fhir.r5.model.Parameters p = (org.hl7.fhir.r5.model.Parameters) req;
     ValueSet vs = null;
     if (p.hasParameter("valueSetVersion")) {
@@ -241,6 +244,8 @@ public class TerminologyServiceTests {
     ValidationOptions options = new ValidationOptions();
     if (p.hasParameter("displayLanguage")) {
       options = options.withLanguage(p.getParameterString("displayLanguage"));
+    } else if (lang != null ) {
+      options = options.withLanguage(lang);
     }
     if (p.hasParameter("valueSetMode") && "CHECK_MEMBERSHIP_ONLY".equals(p.getParameterString("valueSetMode"))) {
       options = options.withCheckValueSetOnly();

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

@@ -21,8 +21,8 @@ import org.junit.jupiter.api.Test;
 
 public class ValidationEngineTests {
 
-  private static final String DEF_TX = FhirSettings.getTxFhirDevelopment();
-//  private static final String DEF_TX = FhirSettings.getTxFhirLocal();
+//  private static final String DEF_TX = FhirSettings.getTxFhirDevelopment();
+  private static final String DEF_TX = FhirSettings.getTxFhirLocal();
 
   public static boolean inbuild;
 

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

@@ -214,14 +214,11 @@ public class ValidationTests implements IEvaluationContext, IValidatorResourceFe
     if (!VersionUtilities.isR5Plus(val.getContext().getVersion())) {
       val.getBaseOptions().setUseValueSetDisplays(true);
     }
-    val.getBaseOptions().getLanguages().clear();
-    if (content.has("languages")) {
-      for (String s : content.get("languages").getAsString().split("\\,")) {
-        String l = s.trim();
-        val.getBaseOptions().getLanguages().add(l);        
-      }
+    if (content.has("language")) {
+      val.getBaseOptions().setLanguages(content.get("language").getAsString());
+      val.setValidationLanguage(val.getBaseOptions().getLanguages().getChosen());
     } else {
-      
+      val.getBaseOptions().setLanguages(null);      
     }
     
     if (content.has("fetcher") && "standalone".equals(JsonUtilities.str(content, "fetcher"))) {
@@ -417,7 +414,7 @@ public class ValidationTests implements IEvaluationContext, IValidatorResourceFe
 
 
   private ValidationEngine buildVersionEngine(String ver, String txLog) throws Exception {
-    String server = FhirSettings.getTxFhirDevelopment();
+    String server = FhirSettings.getTxFhirLocal();
     switch (ver) {
     case "1.0": return TestUtilities.getValidationEngine("hl7.fhir.r2.core#1.0.2", server, txLog, FhirPublication.DSTU2, true, "1.0.2");
     case "1.4": return TestUtilities.getValidationEngine("hl7.fhir.r2b.core#1.4.0", server, txLog, FhirPublication.DSTU2016May, true, "1.4.0"); 

org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.r5/v3-ObservationInterpretation.cache

@@ -1,30 +1,4 @@
 -------------------------------------------------------------------------------------
-{"hierarchical" : false, "valueSet" :{
-  "resourceType" : "ValueSet",
-  "compose" : {
-    "inactive" : true,
-    "include" : [{
-      "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
-      "concept" : [{
-        "code" : "LL"
-      },
-      {
-        "code" : "HH"
-      },
-      {
-        "code" : "L",
-        "display" : "Extra Low"
-      },
-      {
-        "code" : "H"
-      }]
-    }]
-  }
-}}####
-e: {
-  "error" : "Cannot invoke \"org.hl7.fhir.r5.terminologies.client.ITerminologyClient.expandValueset(org.hl7.fhir.r5.model.ValueSet, org.hl7.fhir.r5.model.Parameters, java.util.Map)\" because the return value of \"org.hl7.fhir.r5.terminologies.client.TerminologyClientContext.getClient()\" is null"
-}
--------------------------------------------------------------------------------------
 {"hierarchical" : false, "valueSet" :{
   "resourceType" : "ValueSet",
   "compose" : {

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

@@ -12,11 +12,11 @@
     "url" : "http://hl7.org/fhir/3.0/StructureDefinition/extension-CapabilityStatement.acceptUnknown",
     "valueCode" : "both"
   }],
-  "url" : "http://tx.fhir.org/r2/metadata",
-  "version" : "1.0.2-2.1.0",
+  "url" : "http://localhost/r2/metadata",
+  "version" : "1.0.2-3.0.0",
   "name" : "FHIR Reference Server Conformance Statement",
   "status" : "active",
-  "date" : "2023-05-17T01:02:17.467Z",
+  "date" : "2023-08-28T13:43:40.282Z",
   "contact" : [{
     "telecom" : [{
       "system" : "other",
@@ -27,12 +27,12 @@
   "kind" : "instance",
   "software" : {
     "name" : "Reference Server",
-    "version" : "2.1.0",
-    "releaseDate" : "2022-05-13T19:50:55.040Z"
+    "version" : "3.0.0",
+    "releaseDate" : "2023-06-19T19:50:55.040Z"
   },
   "implementation" : {
-    "description" : "FHIR Server running at http://tx.fhir.org/r2",
-    "url" : "http://tx.fhir.org/r2"
+    "description" : "FHIR Server running at http://localhost/r2",
+    "url" : "http://localhost/r2"
   },
   "fhirVersion" : "1.0.2",
   "format" : ["application/xml+fhir",

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

@@ -6,6 +6,9 @@
   {
     "uri" : "http://fdasis.nlm.nih.gov"
   },
+  {
+    "uri" : "http://fhir.ohdsi.org/CodeSystem/concepts"
+  },
   {
     "uri" : "http://healthit.gov/nhin/purposeofuse"
   },
@@ -138,9 +141,6 @@
   {
     "uri" : "http://hl7.org/fhir/concept-map-equivalence"
   },
-  {
-    "uri" : "http://hl7.org/fhir/conditional-delete-status"
-  },
   {
     "uri" : "http://hl7.org/fhir/condition-category"
   },
@@ -153,6 +153,9 @@
   {
     "uri" : "http://hl7.org/fhir/condition-ver-status"
   },
+  {
+    "uri" : "http://hl7.org/fhir/conditional-delete-status"
+  },
   {
     "uri" : "http://hl7.org/fhir/conformance-expectation"
   },
@@ -165,15 +168,15 @@
   {
     "uri" : "http://hl7.org/fhir/constraint-severity"
   },
-  {
-    "uri" : "http://hl7.org/fhir/contactentity-type"
-  },
   {
     "uri" : "http://hl7.org/fhir/contact-point-system"
   },
   {
     "uri" : "http://hl7.org/fhir/contact-point-use"
   },
+  {
+    "uri" : "http://hl7.org/fhir/contactentity-type"
+  },
   {
     "uri" : "http://hl7.org/fhir/content-type"
   },
@@ -196,10 +199,10 @@
     "uri" : "http://hl7.org/fhir/data-absent-reason"
   },
   {
-    "uri" : "http://hl7.org/fhir/dataelement-stringency"
+    "uri" : "http://hl7.org/fhir/data-types"
   },
   {
-    "uri" : "http://hl7.org/fhir/data-types"
+    "uri" : "http://hl7.org/fhir/dataelement-stringency"
   },
   {
     "uri" : "http://hl7.org/fhir/days-of-week"
@@ -210,15 +213,15 @@
   {
     "uri" : "http://hl7.org/fhir/device-action"
   },
-  {
-    "uri" : "http://hl7.org/fhir/devicestatus"
-  },
   {
     "uri" : "http://hl7.org/fhir/device-use-request-priority"
   },
   {
     "uri" : "http://hl7.org/fhir/device-use-request-status"
   },
+  {
+    "uri" : "http://hl7.org/fhir/devicestatus"
+  },
   {
     "uri" : "http://hl7.org/fhir/diagnostic-order-priority"
   },
@@ -270,9 +273,6 @@
   {
     "uri" : "http://hl7.org/fhir/episode-of-care-status"
   },
-  {
-    "uri" : "http://hl7.org/fhir/exception"
-  },
   {
     "uri" : "http://hl7.org/fhir/ex-fdi"
   },
@@ -288,9 +288,6 @@
   {
     "uri" : "http://hl7.org/fhir/ex-surface"
   },
-  {
-    "uri" : "http://hl7.org/fhir/extension-context"
-  },
   {
     "uri" : "http://hl7.org/fhir/ex-udi"
   },
@@ -300,15 +297,18 @@
   {
     "uri" : "http://hl7.org/fhir/ex-visionprescriptionproduct"
   },
+  {
+    "uri" : "http://hl7.org/fhir/exception"
+  },
+  {
+    "uri" : "http://hl7.org/fhir/extension-context"
+  },
   {
     "uri" : "http://hl7.org/fhir/FDI-surface"
   },
   {
     "uri" : "http://hl7.org/fhir/filter-operator"
   },
-  {
-    "uri" : "http://hl7.org/fhir/flagCategory"
-  },
   {
     "uri" : "http://hl7.org/fhir/flag-category"
   },
@@ -318,6 +318,9 @@
   {
     "uri" : "http://hl7.org/fhir/flag-status"
   },
+  {
+    "uri" : "http://hl7.org/fhir/flagCategory"
+  },
   {
     "uri" : "http://hl7.org/fhir/fm-conditions"
   },
@@ -504,6 +507,9 @@
   {
     "uri" : "http://hl7.org/fhir/object-type"
   },
+  {
+    "uri" : "http://hl7.org/fhir/obs-kind"
+  },
   {
     "uri" : "http://hl7.org/fhir/observation-category"
   },
@@ -513,9 +519,6 @@
   {
     "uri" : "http://hl7.org/fhir/observation-status"
   },
-  {
-    "uri" : "http://hl7.org/fhir/obs-kind"
-  },
   {
     "uri" : "http://hl7.org/fhir/operation-kind"
   },
@@ -531,15 +534,15 @@
   {
     "uri" : "http://hl7.org/fhir/organization-type"
   },
+  {
+    "uri" : "http://hl7.org/fhir/participant-type"
+  },
   {
     "uri" : "http://hl7.org/fhir/participantrequired"
   },
   {
     "uri" : "http://hl7.org/fhir/participantstatus"
   },
-  {
-    "uri" : "http://hl7.org/fhir/participant-type"
-  },
   {
     "uri" : "http://hl7.org/fhir/participationstatus"
   },
@@ -553,10 +556,10 @@
     "uri" : "http://hl7.org/fhir/payeetype"
   },
   {
-    "uri" : "http://hl7.org/fhir/paymentstatus"
+    "uri" : "http://hl7.org/fhir/payment-type"
   },
   {
-    "uri" : "http://hl7.org/fhir/payment-type"
+    "uri" : "http://hl7.org/fhir/paymentstatus"
   },
   {
     "uri" : "http://hl7.org/fhir/practitioner-role"
@@ -735,15 +738,15 @@
   {
     "uri" : "http://hl7.org/fhir/substance-category"
   },
-  {
-    "uri" : "http://hl7.org/fhir/supplydelivery-status"
-  },
   {
     "uri" : "http://hl7.org/fhir/supply-item-type"
   },
   {
     "uri" : "http://hl7.org/fhir/supply-kind"
   },
+  {
+    "uri" : "http://hl7.org/fhir/supplydelivery-status"
+  },
   {
     "uri" : "http://hl7.org/fhir/supplyrequest-reason"
   },
@@ -2478,6 +2481,9 @@
   {
     "uri" : "http://www.abs.gov.au/ausstats/abs@.nsf/mf/1220.0"
   },
+  {
+    "uri" : "http://www.ama-assn.org/go/cpt"
+  },
   {
     "uri" : "http://www.hl7.org/fhir/contractaction"
   },
@@ -2517,6 +2523,78 @@
     },
     {
       "name" : "tx-resource"
+    },
+    {
+      "name" : "_incomplete"
+    },
+    {
+      "name" : "abstract"
+    },
+    {
+      "name" : "activeOnly"
+    },
+    {
+      "name" : "check-system-version"
+    },
+    {
+      "name" : "count"
+    },
+    {
+      "name" : "default-to-latest-version"
+    },
+    {
+      "name" : "displayLanguage"
+    },
+    {
+      "name" : "excludeNested"
+    },
+    {
+      "name" : "excludeNotForUI"
+    },
+    {
+      "name" : "excludePostCoordinated"
+    },
+    {
+      "name" : "force-system-version"
+    },
+    {
+      "name" : "inactive"
+    },
+    {
+      "name" : "includeAlternateCodes"
+    },
+    {
+      "name" : "includeDefinition"
+    },
+    {
+      "name" : "includeDesignations"
+    },
+    {
+      "name" : "incomplete-ok"
+    },
+    {
+      "name" : "limitedExpansion"
+    },
+    {
+      "name" : "mode"
+    },
+    {
+      "name" : "no-cache"
+    },
+    {
+      "name" : "offset"
+    },
+    {
+      "name" : "profile"
+    },
+    {
+      "name" : "property"
+    },
+    {
+      "name" : "system-version"
+    },
+    {
+      "name" : "valueSetMode"
     }]
   }
 }

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

@@ -3,7 +3,7 @@
   "system" : "http://loinc.org",
   "code" : "3141-9",
   "display" : "Weight Measured"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"true", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"true", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -14,14 +14,18 @@ v: {
   "display" : "Body weight Measured",
   "code" : "3141-9",
   "system" : "http://loinc.org",
-  "version" : "2.74"
+  "version" : "2.74",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://loinc.org",
   "code" : "3141-9",
   "display" : "Weight Measured"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -32,6 +36,11 @@ v: {
   "display" : "Body weight Measured",
   "code" : "3141-9",
   "system" : "http://loinc.org",
-  "version" : "2.74"
+  "version" : "2.74",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------

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

@@ -3,7 +3,7 @@
   "system" : "http://snomed.info/sct",
   "code" : "27113001",
   "display" : "Body weight"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"true", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"true", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -14,14 +14,18 @@ v: {
   "display" : "Body weight",
   "code" : "27113001",
   "system" : "http://snomed.info/sct",
-  "version" : "http://snomed.info/sct/900000000000207008/version/20230131"
+  "version" : "http://snomed.info/sct/900000000000207008/version/20230731",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://snomed.info/sct",
   "code" : "27113001",
   "display" : "Body weight"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -32,6 +36,11 @@ v: {
   "display" : "Body weight",
   "code" : "27113001",
   "system" : "http://snomed.info/sct",
-  "version" : "http://snomed.info/sct/900000000000207008/version/20230131"
+  "version" : "http://snomed.info/sct/900000000000207008/version/20230731",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------

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

@@ -2,7 +2,7 @@
 {"code" : {
   "system" : "http://unitsofmeasure.org",
   "code" : "[lb_av]"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"true", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"true", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -13,13 +13,17 @@ v: {
   "display" : "[lb_av]",
   "code" : "[lb_av]",
   "system" : "http://unitsofmeasure.org",
-  "version" : "2.0.1"
+  "version" : "2.0.1",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://unitsofmeasure.org",
   "code" : "[lb_av]"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -30,6 +34,11 @@ v: {
   "display" : "[lb_av]",
   "code" : "[lb_av]",
   "system" : "http://unitsofmeasure.org",
-  "version" : "2.0.1"
+  "version" : "2.0.1",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------

org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/1.4.0/.capabilityStatement.cache

@@ -12,11 +12,11 @@
     "url" : "http://hl7.org/fhir/3.0/StructureDefinition/extension-CapabilityStatement.acceptUnknown",
     "valueCode" : "both"
   }],
-  "url" : "http://tx.fhir.org/r3/metadata",
-  "version" : "3.0.2-2.1.0",
+  "url" : "http://localhost/r3/metadata",
+  "version" : "3.0.2-3.0.0",
   "name" : "FHIR Reference Server Conformance Statement",
   "status" : "active",
-  "date" : "2023-05-17T01:02:21.779Z",
+  "date" : "2023-08-28T13:43:41.790Z",
   "contact" : [{
     "telecom" : [{
       "system" : "other",
@@ -27,12 +27,12 @@
   "instantiates" : ["http://hl7.org/fhir/CapabilityStatement/terminology-server"],
   "software" : {
     "name" : "Reference Server",
-    "version" : "2.1.0",
-    "releaseDate" : "2022-05-13T19:50:55.040Z"
+    "version" : "3.0.0",
+    "releaseDate" : "2023-06-19T19:50:55.040Z"
   },
   "implementation" : {
-    "description" : "FHIR Server running at http://tx.fhir.org/r3",
-    "url" : "http://tx.fhir.org/r3"
+    "description" : "FHIR Server running at http://localhost/r3",
+    "url" : "http://localhost/r3"
   },
   "fhirVersion" : "3.0.2",
   "format" : ["application/fhir+xml",
@@ -64,7 +64,7 @@
     },
     {
       "name" : "versions",
-      "definition" : "http://tx.fhir.org/r3/OperationDefinition/fso-versions"
+      "definition" : "http://localhost/r3/OperationDefinition/fso-versions"
     }]
   }]
 }

org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/1.4.0/.terminologyCapabilities.cache

@@ -12,6 +12,9 @@
   {
     "uri" : "http://fdasis.nlm.nih.gov"
   },
+  {
+    "uri" : "http://fhir.ohdsi.org/CodeSystem/concepts"
+  },
   {
     "uri" : "http://healthit.gov/nhin/purposeofuse"
   },
@@ -30,9 +33,6 @@
   {
     "uri" : "http://hl7.org/fhir/action-grouping-behavior"
   },
-  {
-    "uri" : "http://hl7.org/fhir/actionlist"
-  },
   {
     "uri" : "http://hl7.org/fhir/action-participant-type"
   },
@@ -48,6 +48,9 @@
   {
     "uri" : "http://hl7.org/fhir/action-selection-behavior"
   },
+  {
+    "uri" : "http://hl7.org/fhir/actionlist"
+  },
   {
     "uri" : "http://hl7.org/fhir/additionalmaterials"
   },
@@ -144,33 +147,33 @@
   {
     "uri" : "http://hl7.org/fhir/chargeitem-status"
   },
+  {
+    "uri" : "http://hl7.org/fhir/claim-use"
+  },
   {
     "uri" : "http://hl7.org/fhir/claimcareteamrole"
   },
   {
     "uri" : "http://hl7.org/fhir/claiminformationcategory"
   },
-  {
-    "uri" : "http://hl7.org/fhir/claim-use"
-  },
   {
     "uri" : "http://hl7.org/fhir/classification-or-context"
   },
   {
     "uri" : "http://hl7.org/fhir/clinical-impression-status"
   },
-  {
-    "uri" : "http://hl7.org/fhir/CodeSystem/example"
-  },
-  {
-    "uri" : "http://hl7.org/fhir/CodeSystem/summary"
-  },
   {
     "uri" : "http://hl7.org/fhir/codesystem-content-mode"
   },
   {
     "uri" : "http://hl7.org/fhir/codesystem-hierarchy-meaning"
   },
+  {
+    "uri" : "http://hl7.org/fhir/CodeSystem/example"
+  },
+  {
+    "uri" : "http://hl7.org/fhir/CodeSystem/summary"
+  },
   {
     "uri" : "http://hl7.org/fhir/compartment-type"
   },
@@ -183,27 +186,21 @@
   {
     "uri" : "http://hl7.org/fhir/concept-map-equivalence"
   },
-  {
-    "uri" : "http://hl7.org/fhir/conceptmap-unmapped-mode"
-  },
   {
     "uri" : "http://hl7.org/fhir/concept-properties"
   },
   {
     "uri" : "http://hl7.org/fhir/concept-property-type"
   },
+  {
+    "uri" : "http://hl7.org/fhir/conceptmap-unmapped-mode"
+  },
   {
     "uri" : "http://hl7.org/fhir/conditional-delete-status"
   },
   {
     "uri" : "http://hl7.org/fhir/conditional-read-status"
   },
-  {
-    "uri" : "http://hl7.org/fhir/consentaction"
-  },
-  {
-    "uri" : "http://hl7.org/fhir/consentcategorycodes"
-  },
   {
     "uri" : "http://hl7.org/fhir/consent-data-meaning"
   },
@@ -213,6 +210,12 @@
   {
     "uri" : "http://hl7.org/fhir/consent-state-codes"
   },
+  {
+    "uri" : "http://hl7.org/fhir/consentaction"
+  },
+  {
+    "uri" : "http://hl7.org/fhir/consentcategorycodes"
+  },
   {
     "uri" : "http://hl7.org/fhir/constraint-severity"
   },
@@ -244,10 +247,10 @@
     "uri" : "http://hl7.org/fhir/coverage-level"
   },
   {
-    "uri" : "http://hl7.org/fhir/dataelement-stringency"
+    "uri" : "http://hl7.org/fhir/data-types"
   },
   {
-    "uri" : "http://hl7.org/fhir/data-types"
+    "uri" : "http://hl7.org/fhir/dataelement-stringency"
   },
   {
     "uri" : "http://hl7.org/fhir/days-of-week"
@@ -330,9 +333,6 @@
   {
     "uri" : "http://hl7.org/fhir/ex-pharmaservice"
   },
-  {
-    "uri" : "http://hl7.org/fhir/explanationofbenefit-status"
-  },
   {
     "uri" : "http://hl7.org/fhir/ex-programcode"
   },
@@ -351,15 +351,9 @@
   {
     "uri" : "http://hl7.org/fhir/ex-serviceproduct"
   },
-  {
-    "uri" : "http://hl7.org/fhir/extension-context"
-  },
   {
     "uri" : "http://hl7.org/fhir/ex-tooth"
   },
-  {
-    "uri" : "http://hl7.org/fhir/extra-activity-type"
-  },
   {
     "uri" : "http://hl7.org/fhir/ex-udi"
   },
@@ -369,6 +363,15 @@
   {
     "uri" : "http://hl7.org/fhir/ex-visionprescriptionproduct"
   },
+  {
+    "uri" : "http://hl7.org/fhir/explanationofbenefit-status"
+  },
+  {
+    "uri" : "http://hl7.org/fhir/extension-context"
+  },
+  {
+    "uri" : "http://hl7.org/fhir/extra-activity-type"
+  },
   {
     "uri" : "http://hl7.org/fhir/FDI-surface"
   },
@@ -451,10 +454,10 @@
     "uri" : "http://hl7.org/fhir/item-type"
   },
   {
-    "uri" : "http://hl7.org/fhir/linkage-type"
+    "uri" : "http://hl7.org/fhir/link-type"
   },
   {
-    "uri" : "http://hl7.org/fhir/link-type"
+    "uri" : "http://hl7.org/fhir/linkage-type"
   },
   {
     "uri" : "http://hl7.org/fhir/list-example-use-codes"
@@ -495,15 +498,15 @@
   {
     "uri" : "http://hl7.org/fhir/marital-status"
   },
-  {
-    "uri" : "http://hl7.org/fhir/measurement-principle"
-  },
   {
     "uri" : "http://hl7.org/fhir/measure-report-status"
   },
   {
     "uri" : "http://hl7.org/fhir/measure-report-type"
   },
+  {
+    "uri" : "http://hl7.org/fhir/measurement-principle"
+  },
   {
     "uri" : "http://hl7.org/fhir/media-subtype"
   },
@@ -549,9 +552,6 @@
   {
     "uri" : "http://hl7.org/fhir/message-events"
   },
-  {
-    "uri" : "http://hl7.org/fhir/messageheader-response-request"
-  },
   {
     "uri" : "http://hl7.org/fhir/message-reasons-encounter"
   },
@@ -561,6 +561,9 @@
   {
     "uri" : "http://hl7.org/fhir/message-transport"
   },
+  {
+    "uri" : "http://hl7.org/fhir/messageheader-response-request"
+  },
   {
     "uri" : "http://hl7.org/fhir/metric-calibration-state"
   },
@@ -609,9 +612,6 @@
   {
     "uri" : "http://hl7.org/fhir/observation-status"
   },
-  {
-    "uri" : "http://hl7.org/fhir/operational-status"
-  },
   {
     "uri" : "http://hl7.org/fhir/operation-kind"
   },
@@ -619,11 +619,14 @@
     "uri" : "http://hl7.org/fhir/operation-parameter-use"
   },
   {
-    "uri" : "http://hl7.org/fhir/participantrequired"
+    "uri" : "http://hl7.org/fhir/operational-status"
   },
   {
     "uri" : "http://hl7.org/fhir/participant-type"
   },
+  {
+    "uri" : "http://hl7.org/fhir/participantrequired"
+  },
   {
     "uri" : "http://hl7.org/fhir/participationstatus"
   },
@@ -816,15 +819,15 @@
   {
     "uri" : "http://hl7.org/fhir/substance-status"
   },
-  {
-    "uri" : "http://hl7.org/fhir/supplydelivery-status"
-  },
   {
     "uri" : "http://hl7.org/fhir/supply-item-type"
   },
   {
     "uri" : "http://hl7.org/fhir/supply-kind"
   },
+  {
+    "uri" : "http://hl7.org/fhir/supplydelivery-status"
+  },
   {
     "uri" : "http://hl7.org/fhir/supplyrequest-status"
   },
@@ -1065,17 +1068,17 @@
   {
     "uri" : "http://terminology.hl7.org/CodeSystem/chromosome-human"
   },
-  {
-    "uri" : "http://terminology.hl7.org/CodeSystem/claimcareteamrole"
-  },
   {
     "uri" : "http://terminology.hl7.org/CodeSystem/claim-exception"
   },
   {
-    "uri" : "http://terminology.hl7.org/CodeSystem/claiminformationcategory"
+    "uri" : "http://terminology.hl7.org/CodeSystem/claim-type"
   },
   {
-    "uri" : "http://terminology.hl7.org/CodeSystem/claim-type"
+    "uri" : "http://terminology.hl7.org/CodeSystem/claimcareteamrole"
+  },
+  {
+    "uri" : "http://terminology.hl7.org/CodeSystem/claiminformationcategory"
   },
   {
     "uri" : "http://terminology.hl7.org/CodeSystem/codesystem-altcode-kind"
@@ -1137,18 +1140,21 @@
   {
     "uri" : "http://terminology.hl7.org/CodeSystem/container-cap"
   },
-  {
-    "uri" : "http://terminology.hl7.org/CodeSystem/contractaction"
-  },
-  {
-    "uri" : "http://terminology.hl7.org/CodeSystem/contractactorrole"
-  },
   {
     "uri" : "http://terminology.hl7.org/CodeSystem/contract-content-derivative"
   },
   {
     "uri" : "http://terminology.hl7.org/CodeSystem/contract-data-meaning"
   },
+  {
+    "uri" : "http://terminology.hl7.org/CodeSystem/contract-type"
+  },
+  {
+    "uri" : "http://terminology.hl7.org/CodeSystem/contractaction"
+  },
+  {
+    "uri" : "http://terminology.hl7.org/CodeSystem/contractactorrole"
+  },
   {
     "uri" : "http://terminology.hl7.org/CodeSystem/contractsignertypecodes"
   },
@@ -1161,9 +1167,6 @@
   {
     "uri" : "http://terminology.hl7.org/CodeSystem/contracttermtypecodes"
   },
-  {
-    "uri" : "http://terminology.hl7.org/CodeSystem/contract-type"
-  },
   {
     "uri" : "http://terminology.hl7.org/CodeSystem/copy-number-event"
   },
@@ -1174,10 +1177,10 @@
     "uri" : "http://terminology.hl7.org/CodeSystem/coverage-copay-type"
   },
   {
-    "uri" : "http://terminology.hl7.org/CodeSystem/coverageeligibilityresponse-ex-auth-support"
+    "uri" : "http://terminology.hl7.org/CodeSystem/coverage-selfpay"
   },
   {
-    "uri" : "http://terminology.hl7.org/CodeSystem/coverage-selfpay"
+    "uri" : "http://terminology.hl7.org/CodeSystem/coverageeligibilityresponse-ex-auth-support"
   },
   {
     "uri" : "http://terminology.hl7.org/CodeSystem/data-absent-reason"
@@ -1254,12 +1257,6 @@
   {
     "uri" : "http://terminology.hl7.org/CodeSystem/ex-diagnosistype"
   },
-  {
-    "uri" : "http://terminology.hl7.org/CodeSystem/expansion-parameter-source"
-  },
-  {
-    "uri" : "http://terminology.hl7.org/CodeSystem/expansion-processing-rule"
-  },
   {
     "uri" : "http://terminology.hl7.org/CodeSystem/ex-payee-resource-type"
   },
@@ -1287,15 +1284,21 @@
   {
     "uri" : "http://terminology.hl7.org/CodeSystem/ex-tooth"
   },
-  {
-    "uri" : "http://terminology.hl7.org/CodeSystem/extra-security-role-type"
-  },
   {
     "uri" : "http://terminology.hl7.org/CodeSystem/ex-USCLS"
   },
   {
     "uri" : "http://terminology.hl7.org/CodeSystem/ex-visionprescriptionproduct"
   },
+  {
+    "uri" : "http://terminology.hl7.org/CodeSystem/expansion-parameter-source"
+  },
+  {
+    "uri" : "http://terminology.hl7.org/CodeSystem/expansion-processing-rule"
+  },
+  {
+    "uri" : "http://terminology.hl7.org/CodeSystem/extra-security-role-type"
+  },
   {
     "uri" : "http://terminology.hl7.org/CodeSystem/failure-action"
   },
@@ -1342,10 +1345,10 @@
     "uri" : "http://terminology.hl7.org/CodeSystem/history-absent-reason"
   },
   {
-    "uri" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra"
+    "uri" : "http://terminology.hl7.org/CodeSystem/hl7-work-group"
   },
   {
-    "uri" : "http://terminology.hl7.org/CodeSystem/hl7-work-group"
+    "uri" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra"
   },
   {
     "uri" : "http://terminology.hl7.org/CodeSystem/immunization-evaluation-dose-status"
@@ -1419,6 +1422,9 @@
   {
     "uri" : "http://terminology.hl7.org/CodeSystem/medication-admin-location"
   },
+  {
+    "uri" : "http://terminology.hl7.org/CodeSystem/medication-usage-admin-location"
+  },
   {
     "uri" : "http://terminology.hl7.org/CodeSystem/medicationdispense-performer-function"
   },
@@ -1443,9 +1449,6 @@
   {
     "uri" : "http://terminology.hl7.org/CodeSystem/medicationrequest-status-reason"
   },
-  {
-    "uri" : "http://terminology.hl7.org/CodeSystem/medication-usage-admin-location"
-  },
   {
     "uri" : "http://terminology.hl7.org/CodeSystem/message-reasons-encounter"
   },
@@ -1492,10 +1495,10 @@
     "uri" : "http://terminology.hl7.org/CodeSystem/payment-adjustment-reason"
   },
   {
-    "uri" : "http://terminology.hl7.org/CodeSystem/paymentstatus"
+    "uri" : "http://terminology.hl7.org/CodeSystem/payment-type"
   },
   {
-    "uri" : "http://terminology.hl7.org/CodeSystem/payment-type"
+    "uri" : "http://terminology.hl7.org/CodeSystem/paymentstatus"
   },
   {
     "uri" : "http://terminology.hl7.org/CodeSystem/plan-definition-type"
@@ -3471,6 +3474,9 @@
   {
     "uri" : "http://www.ada.org/snodent"
   },
+  {
+    "uri" : "http://www.ama-assn.org/go/cpt"
+  },
   {
     "uri" : "http://www.hl7.org/fhir/contractaction"
   },
@@ -3507,6 +3513,9 @@
   {
     "uri" : "urn:ietf:rfc:3986"
   },
+  {
+    "uri" : "urn:iso-astm:E1762-95:2013"
+  },
   {
     "uri" : "urn:iso:std:iso:11073:10101"
   },
@@ -3519,9 +3528,6 @@
   {
     "uri" : "urn:iso:std:iso:4217"
   },
-  {
-    "uri" : "urn:iso-astm:E1762-95:2013"
-  },
   {
     "uri" : "urn:oid:1.2.36.1.2001.1001.101.104.16592"
   },
@@ -3540,6 +3546,78 @@
     },
     {
       "name" : "tx-resource"
+    },
+    {
+      "name" : "_incomplete"
+    },
+    {
+      "name" : "abstract"
+    },
+    {
+      "name" : "activeOnly"
+    },
+    {
+      "name" : "check-system-version"
+    },
+    {
+      "name" : "count"
+    },
+    {
+      "name" : "default-to-latest-version"
+    },
+    {
+      "name" : "displayLanguage"
+    },
+    {
+      "name" : "excludeNested"
+    },
+    {
+      "name" : "excludeNotForUI"
+    },
+    {
+      "name" : "excludePostCoordinated"
+    },
+    {
+      "name" : "force-system-version"
+    },
+    {
+      "name" : "inactive"
+    },
+    {
+      "name" : "includeAlternateCodes"
+    },
+    {
+      "name" : "includeDefinition"
+    },
+    {
+      "name" : "includeDesignations"
+    },
+    {
+      "name" : "incomplete-ok"
+    },
+    {
+      "name" : "limitedExpansion"
+    },
+    {
+      "name" : "mode"
+    },
+    {
+      "name" : "no-cache"
+    },
+    {
+      "name" : "offset"
+    },
+    {
+      "name" : "profile"
+    },
+    {
+      "name" : "property"
+    },
+    {
+      "name" : "system-version"
+    },
+    {
+      "name" : "valueSetMode"
     }]
   }
 }

org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/1.4.0/all-systems.cache

@@ -1,7 +1,7 @@
 -------------------------------------------------------------------------------------
 {"code" : {
   "code" : "Foo"
-}, "url": "https://fhir.infoway-inforoute.ca/ValueSet/canadianjurisdiction", "version": "20170626", "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"true", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "url": "https://fhir.infoway-inforoute.ca/ValueSet/canadianjurisdiction", "version": "20170626", "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"true", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -10,7 +10,12 @@
 }}####
 v: {
   "severity" : "error",
-  "error" : "The CodeSystem http://canadapost.ca/CodeSystem/ProvinceCodes is unknown; The provided code http://canadapost.ca/CodeSystem/ProvinceCodes#Foo is not in the value set 'https://fhir.infoway-inforoute.ca/ValueSet/canadianjurisdiction' (from Tx-Server)",
-  "class" : "UNKNOWN"
+  "error" : "The CodeSystem http://canadapost.ca/CodeSystem/ProvinceCodes is unknown; The provided code 'http://canadapost.ca/CodeSystem/ProvinceCodes#Foo' is not in the value set 'https://fhir.infoway-inforoute.ca/ValueSet/canadianjurisdiction|20170626' (from Tx-Server)",
+  "class" : "CODESYSTEM_UNSUPPORTED",
+  "unknown-systems" : "http://canadapost.ca/CodeSystem/ProvinceCodes",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------

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

@@ -12,11 +12,11 @@
     "url" : "http://hl7.org/fhir/3.0/StructureDefinition/extension-CapabilityStatement.acceptUnknown",
     "valueCode" : "both"
   }],
-  "url" : "http://tx.fhir.org/r3/metadata",
-  "version" : "3.0.2-2.1.0",
+  "url" : "http://localhost/r3/metadata",
+  "version" : "3.0.2-3.0.0",
   "name" : "FHIR Reference Server Conformance Statement",
   "status" : "active",
-  "date" : "2023-05-17T01:02:25.717Z",
+  "date" : "2023-08-28T13:43:44.270Z",
   "contact" : [{
     "telecom" : [{
       "system" : "other",
@@ -27,12 +27,12 @@
   "instantiates" : ["http://hl7.org/fhir/CapabilityStatement/terminology-server"],
   "software" : {
     "name" : "Reference Server",
-    "version" : "2.1.0",
-    "releaseDate" : "2022-05-13T19:50:55.040Z"
+    "version" : "3.0.0",
+    "releaseDate" : "2023-06-19T19:50:55.040Z"
   },
   "implementation" : {
-    "description" : "FHIR Server running at http://tx.fhir.org/r3",
-    "url" : "http://tx.fhir.org/r3"
+    "description" : "FHIR Server running at http://localhost/r3",
+    "url" : "http://localhost/r3"
   },
   "fhirVersion" : "3.0.2",
   "format" : ["application/fhir+xml",
@@ -64,7 +64,7 @@
     },
     {
       "name" : "versions",
-      "definition" : "http://tx.fhir.org/r3/OperationDefinition/fso-versions"
+      "definition" : "http://localhost/r3/OperationDefinition/fso-versions"
     }]
   }]
 }

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

@@ -12,6 +12,9 @@
   {
     "uri" : "http://fdasis.nlm.nih.gov"
   },
+  {
+    "uri" : "http://fhir.ohdsi.org/CodeSystem/concepts"
+  },
   {
     "uri" : "http://healthit.gov/nhin/purposeofuse"
   },
@@ -30,9 +33,6 @@
   {
     "uri" : "http://hl7.org/fhir/action-grouping-behavior"
   },
-  {
-    "uri" : "http://hl7.org/fhir/actionlist"
-  },
   {
     "uri" : "http://hl7.org/fhir/action-participant-type"
   },
@@ -48,6 +48,9 @@
   {
     "uri" : "http://hl7.org/fhir/action-selection-behavior"
   },
+  {
+    "uri" : "http://hl7.org/fhir/actionlist"
+  },
   {
     "uri" : "http://hl7.org/fhir/additionalmaterials"
   },
@@ -144,33 +147,33 @@
   {
     "uri" : "http://hl7.org/fhir/chargeitem-status"
   },
+  {
+    "uri" : "http://hl7.org/fhir/claim-use"
+  },
   {
     "uri" : "http://hl7.org/fhir/claimcareteamrole"
   },
   {
     "uri" : "http://hl7.org/fhir/claiminformationcategory"
   },
-  {
-    "uri" : "http://hl7.org/fhir/claim-use"
-  },
   {
     "uri" : "http://hl7.org/fhir/classification-or-context"
   },
   {
     "uri" : "http://hl7.org/fhir/clinical-impression-status"
   },
-  {
-    "uri" : "http://hl7.org/fhir/CodeSystem/example"
-  },
-  {
-    "uri" : "http://hl7.org/fhir/CodeSystem/summary"
-  },
   {
     "uri" : "http://hl7.org/fhir/codesystem-content-mode"
   },
   {
     "uri" : "http://hl7.org/fhir/codesystem-hierarchy-meaning"
   },
+  {
+    "uri" : "http://hl7.org/fhir/CodeSystem/example"
+  },
+  {
+    "uri" : "http://hl7.org/fhir/CodeSystem/summary"
+  },
   {
     "uri" : "http://hl7.org/fhir/compartment-type"
   },
@@ -183,27 +186,21 @@
   {
     "uri" : "http://hl7.org/fhir/concept-map-equivalence"
   },
-  {
-    "uri" : "http://hl7.org/fhir/conceptmap-unmapped-mode"
-  },
   {
     "uri" : "http://hl7.org/fhir/concept-properties"
   },
   {
     "uri" : "http://hl7.org/fhir/concept-property-type"
   },
+  {
+    "uri" : "http://hl7.org/fhir/conceptmap-unmapped-mode"
+  },
   {
     "uri" : "http://hl7.org/fhir/conditional-delete-status"
   },
   {
     "uri" : "http://hl7.org/fhir/conditional-read-status"
   },
-  {
-    "uri" : "http://hl7.org/fhir/consentaction"
-  },
-  {
-    "uri" : "http://hl7.org/fhir/consentcategorycodes"
-  },
   {
     "uri" : "http://hl7.org/fhir/consent-data-meaning"
   },
@@ -213,6 +210,12 @@
   {
     "uri" : "http://hl7.org/fhir/consent-state-codes"
   },
+  {
+    "uri" : "http://hl7.org/fhir/consentaction"
+  },
+  {
+    "uri" : "http://hl7.org/fhir/consentcategorycodes"
+  },
   {
     "uri" : "http://hl7.org/fhir/constraint-severity"
   },
@@ -244,10 +247,10 @@
     "uri" : "http://hl7.org/fhir/coverage-level"
   },
   {
-    "uri" : "http://hl7.org/fhir/dataelement-stringency"
+    "uri" : "http://hl7.org/fhir/data-types"
   },
   {
-    "uri" : "http://hl7.org/fhir/data-types"
+    "uri" : "http://hl7.org/fhir/dataelement-stringency"
   },
   {
     "uri" : "http://hl7.org/fhir/days-of-week"
@@ -330,9 +333,6 @@
   {
     "uri" : "http://hl7.org/fhir/ex-pharmaservice"
   },
-  {
-    "uri" : "http://hl7.org/fhir/explanationofbenefit-status"
-  },
   {
     "uri" : "http://hl7.org/fhir/ex-programcode"
   },
@@ -351,15 +351,9 @@
   {
     "uri" : "http://hl7.org/fhir/ex-serviceproduct"
   },
-  {
-    "uri" : "http://hl7.org/fhir/extension-context"
-  },
   {
     "uri" : "http://hl7.org/fhir/ex-tooth"
   },
-  {
-    "uri" : "http://hl7.org/fhir/extra-activity-type"
-  },
   {
     "uri" : "http://hl7.org/fhir/ex-udi"
   },
@@ -369,6 +363,15 @@
   {
     "uri" : "http://hl7.org/fhir/ex-visionprescriptionproduct"
   },
+  {
+    "uri" : "http://hl7.org/fhir/explanationofbenefit-status"
+  },
+  {
+    "uri" : "http://hl7.org/fhir/extension-context"
+  },
+  {
+    "uri" : "http://hl7.org/fhir/extra-activity-type"
+  },
   {
     "uri" : "http://hl7.org/fhir/FDI-surface"
   },
@@ -451,10 +454,10 @@
     "uri" : "http://hl7.org/fhir/item-type"
   },
   {
-    "uri" : "http://hl7.org/fhir/linkage-type"
+    "uri" : "http://hl7.org/fhir/link-type"
   },
   {
-    "uri" : "http://hl7.org/fhir/link-type"
+    "uri" : "http://hl7.org/fhir/linkage-type"
   },
   {
     "uri" : "http://hl7.org/fhir/list-example-use-codes"
@@ -495,15 +498,15 @@
   {
     "uri" : "http://hl7.org/fhir/marital-status"
   },
-  {
-    "uri" : "http://hl7.org/fhir/measurement-principle"
-  },
   {
     "uri" : "http://hl7.org/fhir/measure-report-status"
   },
   {
     "uri" : "http://hl7.org/fhir/measure-report-type"
   },
+  {
+    "uri" : "http://hl7.org/fhir/measurement-principle"
+  },
   {
     "uri" : "http://hl7.org/fhir/media-subtype"
   },
@@ -549,9 +552,6 @@
   {
     "uri" : "http://hl7.org/fhir/message-events"
   },
-  {
-    "uri" : "http://hl7.org/fhir/messageheader-response-request"
-  },
   {
     "uri" : "http://hl7.org/fhir/message-reasons-encounter"
   },
@@ -561,6 +561,9 @@
   {
     "uri" : "http://hl7.org/fhir/message-transport"
   },
+  {
+    "uri" : "http://hl7.org/fhir/messageheader-response-request"
+  },
   {
     "uri" : "http://hl7.org/fhir/metric-calibration-state"
   },
@@ -609,9 +612,6 @@
   {
     "uri" : "http://hl7.org/fhir/observation-status"
   },
-  {
-    "uri" : "http://hl7.org/fhir/operational-status"
-  },
   {
     "uri" : "http://hl7.org/fhir/operation-kind"
   },
@@ -619,11 +619,14 @@
     "uri" : "http://hl7.org/fhir/operation-parameter-use"
   },
   {
-    "uri" : "http://hl7.org/fhir/participantrequired"
+    "uri" : "http://hl7.org/fhir/operational-status"
   },
   {
     "uri" : "http://hl7.org/fhir/participant-type"
   },
+  {
+    "uri" : "http://hl7.org/fhir/participantrequired"
+  },
   {
     "uri" : "http://hl7.org/fhir/participationstatus"
   },
@@ -816,15 +819,15 @@
   {
     "uri" : "http://hl7.org/fhir/substance-status"
   },
-  {
-    "uri" : "http://hl7.org/fhir/supplydelivery-status"
-  },
   {
     "uri" : "http://hl7.org/fhir/supply-item-type"
   },
   {
     "uri" : "http://hl7.org/fhir/supply-kind"
   },
+  {
+    "uri" : "http://hl7.org/fhir/supplydelivery-status"
+  },
   {
     "uri" : "http://hl7.org/fhir/supplyrequest-status"
   },
@@ -1065,17 +1068,17 @@
   {
     "uri" : "http://terminology.hl7.org/CodeSystem/chromosome-human"
   },
-  {
-    "uri" : "http://terminology.hl7.org/CodeSystem/claimcareteamrole"
-  },
   {
     "uri" : "http://terminology.hl7.org/CodeSystem/claim-exception"
   },
   {
-    "uri" : "http://terminology.hl7.org/CodeSystem/claiminformationcategory"
+    "uri" : "http://terminology.hl7.org/CodeSystem/claim-type"
   },
   {
-    "uri" : "http://terminology.hl7.org/CodeSystem/claim-type"
+    "uri" : "http://terminology.hl7.org/CodeSystem/claimcareteamrole"
+  },
+  {
+    "uri" : "http://terminology.hl7.org/CodeSystem/claiminformationcategory"
   },
   {
     "uri" : "http://terminology.hl7.org/CodeSystem/codesystem-altcode-kind"
@@ -1137,18 +1140,21 @@
   {
     "uri" : "http://terminology.hl7.org/CodeSystem/container-cap"
   },
-  {
-    "uri" : "http://terminology.hl7.org/CodeSystem/contractaction"
-  },
-  {
-    "uri" : "http://terminology.hl7.org/CodeSystem/contractactorrole"
-  },
   {
     "uri" : "http://terminology.hl7.org/CodeSystem/contract-content-derivative"
   },
   {
     "uri" : "http://terminology.hl7.org/CodeSystem/contract-data-meaning"
   },
+  {
+    "uri" : "http://terminology.hl7.org/CodeSystem/contract-type"
+  },
+  {
+    "uri" : "http://terminology.hl7.org/CodeSystem/contractaction"
+  },
+  {
+    "uri" : "http://terminology.hl7.org/CodeSystem/contractactorrole"
+  },
   {
     "uri" : "http://terminology.hl7.org/CodeSystem/contractsignertypecodes"
   },
@@ -1161,9 +1167,6 @@
   {
     "uri" : "http://terminology.hl7.org/CodeSystem/contracttermtypecodes"
   },
-  {
-    "uri" : "http://terminology.hl7.org/CodeSystem/contract-type"
-  },
   {
     "uri" : "http://terminology.hl7.org/CodeSystem/copy-number-event"
   },
@@ -1174,10 +1177,10 @@
     "uri" : "http://terminology.hl7.org/CodeSystem/coverage-copay-type"
   },
   {
-    "uri" : "http://terminology.hl7.org/CodeSystem/coverageeligibilityresponse-ex-auth-support"
+    "uri" : "http://terminology.hl7.org/CodeSystem/coverage-selfpay"
   },
   {
-    "uri" : "http://terminology.hl7.org/CodeSystem/coverage-selfpay"
+    "uri" : "http://terminology.hl7.org/CodeSystem/coverageeligibilityresponse-ex-auth-support"
   },
   {
     "uri" : "http://terminology.hl7.org/CodeSystem/data-absent-reason"
@@ -1254,12 +1257,6 @@
   {
     "uri" : "http://terminology.hl7.org/CodeSystem/ex-diagnosistype"
   },
-  {
-    "uri" : "http://terminology.hl7.org/CodeSystem/expansion-parameter-source"
-  },
-  {
-    "uri" : "http://terminology.hl7.org/CodeSystem/expansion-processing-rule"
-  },
   {
     "uri" : "http://terminology.hl7.org/CodeSystem/ex-payee-resource-type"
   },
@@ -1287,15 +1284,21 @@
   {
     "uri" : "http://terminology.hl7.org/CodeSystem/ex-tooth"
   },
-  {
-    "uri" : "http://terminology.hl7.org/CodeSystem/extra-security-role-type"
-  },
   {
     "uri" : "http://terminology.hl7.org/CodeSystem/ex-USCLS"
   },
   {
     "uri" : "http://terminology.hl7.org/CodeSystem/ex-visionprescriptionproduct"
   },
+  {
+    "uri" : "http://terminology.hl7.org/CodeSystem/expansion-parameter-source"
+  },
+  {
+    "uri" : "http://terminology.hl7.org/CodeSystem/expansion-processing-rule"
+  },
+  {
+    "uri" : "http://terminology.hl7.org/CodeSystem/extra-security-role-type"
+  },
   {
     "uri" : "http://terminology.hl7.org/CodeSystem/failure-action"
   },
@@ -1342,10 +1345,10 @@
     "uri" : "http://terminology.hl7.org/CodeSystem/history-absent-reason"
   },
   {
-    "uri" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra"
+    "uri" : "http://terminology.hl7.org/CodeSystem/hl7-work-group"
   },
   {
-    "uri" : "http://terminology.hl7.org/CodeSystem/hl7-work-group"
+    "uri" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra"
   },
   {
     "uri" : "http://terminology.hl7.org/CodeSystem/immunization-evaluation-dose-status"
@@ -1419,6 +1422,9 @@
   {
     "uri" : "http://terminology.hl7.org/CodeSystem/medication-admin-location"
   },
+  {
+    "uri" : "http://terminology.hl7.org/CodeSystem/medication-usage-admin-location"
+  },
   {
     "uri" : "http://terminology.hl7.org/CodeSystem/medicationdispense-performer-function"
   },
@@ -1443,9 +1449,6 @@
   {
     "uri" : "http://terminology.hl7.org/CodeSystem/medicationrequest-status-reason"
   },
-  {
-    "uri" : "http://terminology.hl7.org/CodeSystem/medication-usage-admin-location"
-  },
   {
     "uri" : "http://terminology.hl7.org/CodeSystem/message-reasons-encounter"
   },
@@ -1492,10 +1495,10 @@
     "uri" : "http://terminology.hl7.org/CodeSystem/payment-adjustment-reason"
   },
   {
-    "uri" : "http://terminology.hl7.org/CodeSystem/paymentstatus"
+    "uri" : "http://terminology.hl7.org/CodeSystem/payment-type"
   },
   {
-    "uri" : "http://terminology.hl7.org/CodeSystem/payment-type"
+    "uri" : "http://terminology.hl7.org/CodeSystem/paymentstatus"
   },
   {
     "uri" : "http://terminology.hl7.org/CodeSystem/plan-definition-type"
@@ -3471,6 +3474,9 @@
   {
     "uri" : "http://www.ada.org/snodent"
   },
+  {
+    "uri" : "http://www.ama-assn.org/go/cpt"
+  },
   {
     "uri" : "http://www.hl7.org/fhir/contractaction"
   },
@@ -3507,6 +3513,9 @@
   {
     "uri" : "urn:ietf:rfc:3986"
   },
+  {
+    "uri" : "urn:iso-astm:E1762-95:2013"
+  },
   {
     "uri" : "urn:iso:std:iso:11073:10101"
   },
@@ -3519,9 +3528,6 @@
   {
     "uri" : "urn:iso:std:iso:4217"
   },
-  {
-    "uri" : "urn:iso-astm:E1762-95:2013"
-  },
   {
     "uri" : "urn:oid:1.2.36.1.2001.1001.101.104.16592"
   },
@@ -3540,6 +3546,78 @@
     },
     {
       "name" : "tx-resource"
+    },
+    {
+      "name" : "_incomplete"
+    },
+    {
+      "name" : "abstract"
+    },
+    {
+      "name" : "activeOnly"
+    },
+    {
+      "name" : "check-system-version"
+    },
+    {
+      "name" : "count"
+    },
+    {
+      "name" : "default-to-latest-version"
+    },
+    {
+      "name" : "displayLanguage"
+    },
+    {
+      "name" : "excludeNested"
+    },
+    {
+      "name" : "excludeNotForUI"
+    },
+    {
+      "name" : "excludePostCoordinated"
+    },
+    {
+      "name" : "force-system-version"
+    },
+    {
+      "name" : "inactive"
+    },
+    {
+      "name" : "includeAlternateCodes"
+    },
+    {
+      "name" : "includeDefinition"
+    },
+    {
+      "name" : "includeDesignations"
+    },
+    {
+      "name" : "incomplete-ok"
+    },
+    {
+      "name" : "limitedExpansion"
+    },
+    {
+      "name" : "mode"
+    },
+    {
+      "name" : "no-cache"
+    },
+    {
+      "name" : "offset"
+    },
+    {
+      "name" : "profile"
+    },
+    {
+      "name" : "property"
+    },
+    {
+      "name" : "system-version"
+    },
+    {
+      "name" : "valueSetMode"
     }]
   }
 }

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

@@ -1,7 +1,7 @@
 -------------------------------------------------------------------------------------
 {"code" : {
   "code" : "fi"
-}, "url": "http://hl7.org/fhir/ValueSet/languages", "version": "3.0.2", "langs":"[fi]", "useServer":"true", "useClient":"true", "guessSystem":"true", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "url": "http://hl7.org/fhir/ValueSet/languages", "version": "3.0.2", "langs":"fi", "useServer":"true", "useClient":"true", "guessSystem":"true", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -9,14 +9,18 @@
   }]
 }}####
 v: {
-  "display" : "Finnish",
   "code" : "fi",
-  "system" : "urn:ietf:bcp:47"
+  "system" : "urn:ietf:bcp:47",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "code" : "d"
-}, "url": "http://hl7.org/fhir/ValueSet/units-of-time", "version": "3.0.2", "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"true", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "url": "http://hl7.org/fhir/ValueSet/units-of-time", "version": "3.0.2", "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"true", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -27,7 +31,12 @@ v: {
   "display" : "day",
   "code" : "d",
   "system" : "http://unitsofmeasure.org",
-  "version" : "2.0.1"
+  "version" : "2.0.1",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
@@ -39,7 +48,7 @@ v: {
       "system" : "urn:ietf:bcp:13"
     }]
   }
-}, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"true", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"true", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -49,7 +58,12 @@ v: {
 v: {
   "display" : "image/jpg",
   "code" : "image/jpg",
-  "system" : "urn:ietf:bcp:13"
+  "system" : "urn:ietf:bcp:13",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
@@ -61,7 +75,7 @@ v: {
       "system" : "urn:ietf:bcp:13"
     }]
   }
-}, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"true", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"true", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -71,12 +85,17 @@ v: {
 v: {
   "display" : "application/pdf",
   "code" : "application/pdf",
-  "system" : "urn:ietf:bcp:13"
+  "system" : "urn:ietf:bcp:13",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "code" : "de-CH"
-}, "url": "http://hl7.org/fhir/ValueSet/languages", "version": "3.0.2", "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"true", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "url": "http://hl7.org/fhir/ValueSet/languages", "version": "3.0.2", "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"true", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -86,14 +105,19 @@ v: {
 v: {
   "display" : "German (Switzerland)",
   "code" : "de-CH",
-  "system" : "urn:ietf:bcp:47"
+  "system" : "urn:ietf:bcp:47",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "urn:iso:std:iso:3166",
   "code" : "US",
   "display" : "United States of America"
-}, "url": "http://hl7.org/fhir/ValueSet/jurisdiction", "version": "3.0.2", "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"NO_MEMBERSHIP_CHECK", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "url": "http://hl7.org/fhir/ValueSet/jurisdiction", "version": "3.0.2", "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"NO_MEMBERSHIP_CHECK", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -104,12 +128,17 @@ v: {
   "display" : "United States of America",
   "code" : "US",
   "system" : "urn:iso:std:iso:3166",
-  "version" : "2018"
+  "version" : "2018",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "code" : "en"
-}, "url": "http://hl7.org/fhir/ValueSet/languages", "version": "3.0.2", "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"true", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "url": "http://hl7.org/fhir/ValueSet/languages", "version": "3.0.2", "langs":"en", "useServer":"true", "useClient":"true", "guessSystem":"true", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -119,6 +148,11 @@ v: {
 v: {
   "display" : "English",
   "code" : "en",
-  "system" : "urn:ietf:bcp:47"
+  "system" : "urn:ietf:bcp:47",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------

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

@@ -2,7 +2,7 @@
 {"code" : {
   "system" : "urn:iso:std:iso:3166",
   "code" : "NL"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -13,14 +13,19 @@ v: {
   "display" : "Netherlands",
   "code" : "NL",
   "system" : "urn:iso:std:iso:3166",
-  "version" : "2018"
+  "version" : "2018",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "urn:iso:std:iso:3166",
   "code" : "NL",
   "display" : "Netherlands"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -31,14 +36,19 @@ v: {
   "display" : "Netherlands",
   "code" : "NL",
   "system" : "urn:iso:std:iso:3166",
-  "version" : "2018"
+  "version" : "2018",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "urn:iso:std:iso:3166",
   "code" : "NL",
   "display" : "Netherlands"
-}, "valueSet" :null, "langs":"[]", "useServer":"true", "useClient":"false", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"true", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"false", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"true", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -49,13 +59,18 @@ v: {
   "display" : "Netherlands",
   "code" : "NL",
   "system" : "urn:iso:std:iso:3166",
-  "version" : "2018"
+  "version" : "2018",
+  "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":"[]", "useServer":"true", "useClient":"false", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"true", "profile": {
+}, "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":"", "useServer":"true", "useClient":"false", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"true", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -66,13 +81,18 @@ v: {
   "display" : "Netherlands",
   "code" : "NL",
   "system" : "urn:iso:std:iso:3166",
-  "version" : "2018"
+  "version" : "2018",
+  "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]", "useServer":"true", "useClient":"false", "guessSystem":"false", "valueSetMode":"CHECK_MEMERSHIP_ONLY", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "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":"", "useServer":"true", "useClient":"false", "guessSystem":"false", "valueSetMode":"CHECK_MEMERSHIP_ONLY", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -83,14 +103,19 @@ v: {
   "display" : "Netherlands",
   "code" : "NL",
   "system" : "urn:iso:std:iso:3166",
-  "version" : "2018"
+  "version" : "2018",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "urn:iso:std:iso:3166",
   "code" : "NL",
   "display" : "Netherlands"
-}, "url": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.20.5.2--20171231000000", "version": "2017-12-31T00:00:00", "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"NO_MEMBERSHIP_CHECK", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "url": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.20.5.2--20171231000000", "version": "2017-12-31T00:00:00", "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"NO_MEMBERSHIP_CHECK", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -101,13 +126,18 @@ v: {
   "display" : "Netherlands",
   "code" : "NL",
   "system" : "urn:iso:std:iso:3166",
-  "version" : "2018"
+  "version" : "2018",
+  "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]", "useServer":"true", "useClient":"false", "guessSystem":"false", "valueSetMode":"CHECK_MEMERSHIP_ONLY", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "url": "http://hl7.org/fhir/ValueSet/jurisdiction--0", "version": "3.0.2", "langs":"", "useServer":"true", "useClient":"false", "guessSystem":"false", "valueSetMode":"CHECK_MEMERSHIP_ONLY", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -118,13 +148,18 @@ v: {
   "display" : "United States of America",
   "code" : "US",
   "system" : "urn:iso:std:iso:3166",
-  "version" : "2018"
+  "version" : "2018",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "urn:iso:std:iso:3166",
   "code" : "US"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -135,6 +170,11 @@ v: {
   "display" : "United States of America",
   "code" : "US",
   "system" : "urn:iso:std:iso:3166",
-  "version" : "2018"
+  "version" : "2018",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------

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

@@ -3,7 +3,7 @@
   "system" : "http://loinc.org",
   "code" : "29463-7",
   "display" : "Body Weight"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"true", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"true", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -14,14 +14,18 @@ v: {
   "display" : "Body weight",
   "code" : "29463-7",
   "system" : "http://loinc.org",
-  "version" : "2.74"
+  "version" : "2.74",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://loinc.org",
   "code" : "3141-9",
   "display" : "Body weight Measured"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"true", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"true", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -32,14 +36,18 @@ v: {
   "display" : "Body weight Measured",
   "code" : "3141-9",
   "system" : "http://loinc.org",
-  "version" : "2.74"
+  "version" : "2.74",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://loinc.org",
   "code" : "19935-6",
   "display" : "Maximum expiratory gas flow Respiratory system airway by Peak flow meter"
-}, "valueSet" :null, "langs":"[fi]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "valueSet" :null, "langs":"fi", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -47,16 +55,20 @@ v: {
   }]
 }}####
 v: {
-  "display" : "Maximum expiratory gas flow Respiratory system airway by Peak flow meter",
   "code" : "19935-6",
   "system" : "http://loinc.org",
-  "version" : "2.74"
+  "version" : "2.74",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://loinc.org",
   "code" : "19935-6"
-}, "url": "http://phr.kanta.fi/ValueSet/fiphr-vs-vitalsigns--0", "version": "0.03", "langs":"[fi]", "useServer":"true", "useClient":"false", "guessSystem":"false", "valueSetMode":"CHECK_MEMERSHIP_ONLY", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "url": "http://phr.kanta.fi/ValueSet/fiphr-vs-vitalsigns--0", "version": "0.03", "langs":"fi", "useServer":"true", "useClient":"false", "guessSystem":"false", "valueSetMode":"CHECK_MEMERSHIP_ONLY", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -64,17 +76,22 @@ v: {
   }]
 }}####
 v: {
-  "display" : "Maximum expiratory gas flow Respiratory system airway by Peak flow meter",
+  "display" : "ei käännetty",
   "code" : "19935-6",
   "system" : "http://loinc.org",
-  "version" : "2.74"
+  "version" : "2.74",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://loinc.org",
   "code" : "19935-6",
   "display" : "Maximum expiratory gas flow Respiratory system airway by Peak flow meter"
-}, "url": "http://phr.kanta.fi/ValueSet/fiphr-vs-vitalsigns", "version": "0.03", "langs":"[fi]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"NO_MEMBERSHIP_CHECK", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "url": "http://phr.kanta.fi/ValueSet/fiphr-vs-vitalsigns", "version": "0.03", "langs":"fi", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"NO_MEMBERSHIP_CHECK", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -82,16 +99,20 @@ v: {
   }]
 }}####
 v: {
-  "display" : "Maximum expiratory gas flow Respiratory system airway by Peak flow meter",
   "code" : "19935-6",
   "system" : "http://loinc.org",
-  "version" : "2.74"
+  "version" : "2.74",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://loinc.org",
   "code" : "19935-6"
-}, "valueSet" :null, "langs":"[fi]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "valueSet" :null, "langs":"fi", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -99,16 +120,20 @@ v: {
   }]
 }}####
 v: {
-  "display" : "Maximum expiratory gas flow Respiratory system airway by Peak flow meter",
   "code" : "19935-6",
   "system" : "http://loinc.org",
-  "version" : "2.74"
+  "version" : "2.74",
+  "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]", "useServer":"true", "useClient":"false", "guessSystem":"false", "valueSetMode":"CHECK_MEMERSHIP_ONLY", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "url": "http://hl7.org/fhir/ValueSet/doc-typecodes--0", "version": "3.0.2", "langs":"", "useServer":"true", "useClient":"false", "guessSystem":"false", "valueSetMode":"CHECK_MEMERSHIP_ONLY", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -119,13 +144,18 @@ v: {
   "display" : "Attending Discharge summary",
   "code" : "28655-9",
   "system" : "http://loinc.org",
-  "version" : "2.74"
+  "version" : "2.74",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://loinc.org",
   "code" : "28655-9"
-}, "url": "http://hl7.org/fhir/ValueSet/doc-typecodes", "version": "3.0.2", "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"NO_MEMBERSHIP_CHECK", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "url": "http://hl7.org/fhir/ValueSet/doc-typecodes", "version": "3.0.2", "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"NO_MEMBERSHIP_CHECK", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -136,13 +166,18 @@ v: {
   "display" : "Attending Discharge summary",
   "code" : "28655-9",
   "system" : "http://loinc.org",
-  "version" : "2.74"
+  "version" : "2.74",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://loinc.org",
   "code" : "28655-9"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -153,14 +188,19 @@ v: {
   "display" : "Attending Discharge summary",
   "code" : "28655-9",
   "system" : "http://loinc.org",
-  "version" : "2.74"
+  "version" : "2.74",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://loinc.org",
   "code" : "29299-5",
   "display" : "Reason for visit Narrative"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -171,14 +211,19 @@ v: {
   "display" : "Reason for visit Narrative",
   "code" : "29299-5",
   "system" : "http://loinc.org",
-  "version" : "2.74"
+  "version" : "2.74",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://loinc.org",
   "code" : "10183-2",
   "display" : "Hospital discharge medications Narrative"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -189,14 +234,19 @@ v: {
   "display" : "Hospital discharge medications Narrative",
   "code" : "10183-2",
   "system" : "http://loinc.org",
-  "version" : "2.74"
+  "version" : "2.74",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://loinc.org",
   "code" : "48765-2",
   "display" : "Allergies and adverse reactions Document"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -207,13 +257,18 @@ v: {
   "display" : "Allergies and adverse reactions Document",
   "code" : "48765-2",
   "system" : "http://loinc.org",
-  "version" : "2.74"
+  "version" : "2.74",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://loinc.org",
   "code" : "46241-6"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -224,13 +279,18 @@ v: {
   "display" : "Hospital admission diagnosis Narrative - Reported",
   "code" : "46241-6",
   "system" : "http://loinc.org",
-  "version" : "2.74"
+  "version" : "2.74",
+  "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]", "useServer":"true", "useClient":"false", "guessSystem":"false", "valueSetMode":"CHECK_MEMERSHIP_ONLY", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "url": "http://hl7.org/fhir/ValueSet/doc-typecodes--0", "version": "3.0.2", "langs":"", "useServer":"true", "useClient":"false", "guessSystem":"false", "valueSetMode":"CHECK_MEMERSHIP_ONLY", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -241,14 +301,19 @@ v: {
   "display" : "Discharge summary",
   "code" : "18842-5",
   "system" : "http://loinc.org",
-  "version" : "2.74"
+  "version" : "2.74",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://loinc.org",
   "code" : "18842-5",
   "display" : "Discharge Summary"
-}, "url": "http://hl7.org/fhir/ValueSet/doc-typecodes", "version": "3.0.2", "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"NO_MEMBERSHIP_CHECK", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "url": "http://hl7.org/fhir/ValueSet/doc-typecodes", "version": "3.0.2", "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"NO_MEMBERSHIP_CHECK", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -259,13 +324,18 @@ v: {
   "display" : "Discharge summary",
   "code" : "18842-5",
   "system" : "http://loinc.org",
-  "version" : "2.74"
+  "version" : "2.74",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://loinc.org",
   "code" : "18842-5"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -276,14 +346,19 @@ v: {
   "display" : "Discharge summary",
   "code" : "18842-5",
   "system" : "http://loinc.org",
-  "version" : "2.74"
+  "version" : "2.74",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://loinc.org",
   "code" : "48765-2",
   "display" : "Allergies"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -292,15 +367,20 @@ v: {
 }}####
 v: {
   "severity" : "error",
-  "error" : "Wrong Display Name 'Allergies' for http://loinc.org#48765-2 - should be one of 28 choices: 'Allergies and adverse reactions Document, \"Allergies &or adverse reactions Doc\", \"临床文档型\" (zh-CN), \"临床文档\" (zh-CN), \"文档\" (zh-CN), \"文书\" (zh-CN), \"医疗文书\" (zh-CN), \"临床医疗文书 医疗服务对象\" (zh-CN), \"客户\" (zh-CN), \"病人\" (zh-CN), \"病患\" (zh-CN), \"病号\" (zh-CN), \"超系统 - 病人 发现是一个原子型临床观察指标，并不是作为印象的概括陈述。体格检查、病史、系统检查及其他此类观察指标的属性均为发现。它们的标尺对于编码型发现可能是名义型，而对于叙述型文本之中所报告的发现，则可能是叙述型。\" (zh-CN), \"发现物\" (zh-CN), \"所见\" (zh-CN), \"结果\" (zh-CN), \"结论 变态反应与不良反应 文档.其他\" (zh-CN), \"杂项类文档\" (zh-CN), \"其他文档 时刻\" (zh-CN), \"随机\" (zh-CN), \"随意\" (zh-CN), \"瞬间 杂项\" (zh-CN), \"杂项类\" (zh-CN), \"杂项试验 过敏反应\" (zh-CN), \"过敏\" (zh-CN), \"Allergie e reazioni avverse Documentazione miscellanea Miscellanea Osservazione paziente Punto nel tempo (episodio)\" (it-IT), \"Документ Точка во времени\" (ru-RU), \"Момент\" (ru-RU)' for the language(s) '--' (from Tx-Server)",
-  "class" : "UNKNOWN"
+  "error" : "Wrong Display Name 'Allergies' for http://loinc.org#48765-2 - should be one of 28 choices: 'Allergies and adverse reactions Document', 'Allergies &or adverse reactions Doc', '临床文档型' (zh-CN), '临床文档' (zh-CN), '文档' (zh-CN), '文书' (zh-CN), '医疗文书' (zh-CN), '临床医疗文书 医疗服务对象' (zh-CN), '客户' (zh-CN), '病人' (zh-CN), '病患' (zh-CN), '病号' (zh-CN), '超系统 - 病人 发现是一个原子型临床观察指标，并不是作为印象的概括陈述。体格检查、病史、系统检查及其他此类观察指标的属性均为发现。它们的标尺对于编码型发现可能是名义型，而对于叙述型文本之中所报告的发现，则可能是叙述型。' (zh-CN), '发现物' (zh-CN), '所见' (zh-CN), '结果' (zh-CN), '结论 变态反应与不良反应 文档.其他' (zh-CN), '杂项类文档' (zh-CN), '其他文档 时刻' (zh-CN), '随机' (zh-CN), '随意' (zh-CN), '瞬间 杂项' (zh-CN), '杂项类' (zh-CN), '杂项试验 过敏反应' (zh-CN), '过敏' (zh-CN), 'Allergie e reazioni avverse Documentazione miscellanea Miscellanea Osservazione paziente Punto nel tempo (episodio)' (it-IT), 'Документ Точка во времени' (ru-RU) or 'Момент' (ru-RU) (for the language(s) '--') (from Tx-Server)",
+  "class" : "UNKNOWN",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://loinc.org",
   "code" : "8648-8",
   "display" : "Hospital course Narrative"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -311,14 +391,19 @@ v: {
   "display" : "Hospital course Narrative",
   "code" : "8648-8",
   "system" : "http://loinc.org",
-  "version" : "2.74"
+  "version" : "2.74",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://loinc.org",
   "code" : "78375-3",
   "display" : "Discharge diagnosis Narrative"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -329,14 +414,19 @@ v: {
   "display" : "Discharge diagnosis Narrative",
   "code" : "78375-3",
   "system" : "http://loinc.org",
-  "version" : "2.74"
+  "version" : "2.74",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://loinc.org",
   "code" : "75311-1",
   "display" : "Discharge medications Narrative"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -347,14 +437,19 @@ v: {
   "display" : "Discharge medications Narrative",
   "code" : "75311-1",
   "system" : "http://loinc.org",
-  "version" : "2.74"
+  "version" : "2.74",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://loinc.org",
   "code" : "42347-5",
   "display" : "Admission diagnosis (narrative)"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -365,14 +460,19 @@ v: {
   "display" : "Admission diagnosis (narrative)",
   "code" : "42347-5",
   "system" : "http://loinc.org",
-  "version" : "2.74"
+  "version" : "2.74",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://loinc.org",
   "code" : "42346-7",
   "display" : "Medications on admission (narrative)"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -383,14 +483,19 @@ v: {
   "display" : "Medications on admission (narrative)",
   "code" : "42346-7",
   "system" : "http://loinc.org",
-  "version" : "2.74"
+  "version" : "2.74",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://loinc.org",
   "code" : "42344-2",
   "display" : "Discharge diet (narrative)"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -401,14 +506,19 @@ v: {
   "display" : "Discharge diet (narrative)",
   "code" : "42344-2",
   "system" : "http://loinc.org",
-  "version" : "2.74"
+  "version" : "2.74",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://loinc.org",
   "code" : "10164-2",
   "display" : "History of Present illness Narrative"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -419,14 +529,19 @@ v: {
   "display" : "History of Present illness Narrative",
   "code" : "10164-2",
   "system" : "http://loinc.org",
-  "version" : "2.74"
+  "version" : "2.74",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://loinc.org",
   "code" : "18776-5",
   "display" : "Plan of care"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -435,15 +550,20 @@ v: {
 }}####
 v: {
   "severity" : "error",
-  "error" : "Wrong Display Name 'Plan of care' for http://loinc.org#18776-5 - should be one of 30 choices: 'Plan of care note, \"Plan of care note\", \"临床文档型\" (zh-CN), \"临床文档\" (zh-CN), \"文档\" (zh-CN), \"文书\" (zh-CN), \"医疗文书\" (zh-CN), \"临床医疗文书 事件发生的地方\" (zh-CN), \"场景\" (zh-CN), \"环境\" (zh-CN), \"背景 医疗服务（照护服务、护理服务、护理、照护、医疗照护、诊疗、诊疗服务、照顾、看护）计划（方案）记录 发现是一个原子型临床观察指标，并不是作为印象的概括陈述。体格检查、病史、系统检查及其他此类观察指标的属性均为发现。它们的标尺对于编码型发现可能是名义型，而对于叙述型文本之中所报告的发现，则可能是叙述型。\" (zh-CN), \"发现物\" (zh-CN), \"所见\" (zh-CN), \"结果\" (zh-CN), \"结论 文档本体\" (zh-CN), \"临床文档本体\" (zh-CN), \"文档本体\" (zh-CN), \"文书本体\" (zh-CN), \"医疗文书本体\" (zh-CN), \"临床医疗文书本体 时刻\" (zh-CN), \"随机\" (zh-CN), \"随意\" (zh-CN), \"瞬间 未加明确说明的角色 笔记\" (zh-CN), \"按语\" (zh-CN), \"注释\" (zh-CN), \"说明\" (zh-CN), \"票据\" (zh-CN), \"单据\" (zh-CN), \"证明书\" (zh-CN), \"Documentazione dell'ontologia Osservazione Piano di cura Punto nel tempo (episodio) Ruolo non specificato\" (it-IT)' for the language(s) '--' (from Tx-Server)",
-  "class" : "UNKNOWN"
+  "error" : "Wrong Display Name 'Plan of care' for http://loinc.org#18776-5 - should be one of 30 choices: 'Plan of care note', 'Plan of care note', '临床文档型' (zh-CN), '临床文档' (zh-CN), '文档' (zh-CN), '文书' (zh-CN), '医疗文书' (zh-CN), '临床医疗文书 事件发生的地方' (zh-CN), '场景' (zh-CN), '环境' (zh-CN), '背景 医疗服务（照护服务、护理服务、护理、照护、医疗照护、诊疗、诊疗服务、照顾、看护）计划（方案）记录 发现是一个原子型临床观察指标，并不是作为印象的概括陈述。体格检查、病史、系统检查及其他此类观察指标的属性均为发现。它们的标尺对于编码型发现可能是名义型，而对于叙述型文本之中所报告的发现，则可能是叙述型。' (zh-CN), '发现物' (zh-CN), '所见' (zh-CN), '结果' (zh-CN), '结论 文档本体' (zh-CN), '临床文档本体' (zh-CN), '文档本体' (zh-CN), '文书本体' (zh-CN), '医疗文书本体' (zh-CN), '临床医疗文书本体 时刻' (zh-CN), '随机' (zh-CN), '随意' (zh-CN), '瞬间 未加明确说明的角色 笔记' (zh-CN), '按语' (zh-CN), '注释' (zh-CN), '说明' (zh-CN), '票据' (zh-CN), '单据' (zh-CN), '证明书' (zh-CN) or 'Documentazione dell'ontologia Osservazione Piano di cura Punto nel tempo (episodio) Ruolo non specificato' (it-IT) (for the language(s) '--') (from Tx-Server)",
+  "class" : "UNKNOWN",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://loinc.org",
   "code" : "47420-5",
   "display" : "Functional status assessment note"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -454,14 +574,19 @@ v: {
   "display" : "Functional status assessment note",
   "code" : "47420-5",
   "system" : "http://loinc.org",
-  "version" : "2.74"
+  "version" : "2.74",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://loinc.org",
   "code" : "47519-4",
   "display" : "History of Procedures Document"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -472,14 +597,19 @@ v: {
   "display" : "History of Procedures Document",
   "code" : "47519-4",
   "system" : "http://loinc.org",
-  "version" : "2.74"
+  "version" : "2.74",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://loinc.org",
   "code" : "10187-3",
   "display" : "Review of systems Narrative Reporte"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -488,15 +618,20 @@ v: {
 }}####
 v: {
   "severity" : "error",
-  "error" : "Wrong Display Name 'Review of systems Narrative Reporte' for http://loinc.org#10187-3 - should be one of 41 choices: 'Review of systems Narrative - Reported, \"Review of systems\", \"医疗服务对象\" (zh-CN), \"客户\" (zh-CN), \"病人\" (zh-CN), \"病患\" (zh-CN), \"病号\" (zh-CN), \"超系统 - 病人 历史纪录与体格检查 历史纪录与体格检查.历史记录\" (zh-CN), \"历史纪录与体格检查.历史记录类\" (zh-CN), \"历史纪录与体格检查.历史记录类别\" (zh-CN), \"历史纪录与体格检查.病史\" (zh-CN), \"历史纪录与体格检查.病史类\" (zh-CN), \"历史纪录与体格检查.病史类别\" (zh-CN), \"历史纪录与体格检查.病史记录\" (zh-CN), \"历史纪录与体格检查.病史记录类\" (zh-CN), \"历史纪录与体格检查.病史记录类别\" (zh-CN), \"历史纪录与体格检查小节.历史记录\" (zh-CN), \"历史纪录与体格检查小节.历史记录类\" (zh-CN), \"历史纪录与体格检查小节.历史记录类别\" (zh-CN), \"历史纪录与体格检查小节.病史\" (zh-CN), \"历史纪录与体格检查小节.病史类\" (zh-CN), \"历史纪录与体格检查小节.病史类别 历史纪录与体格检查小节 发现是一个原子型临床观察指标，并不是作为印象的概括陈述。体格检查、病史、系统检查及其他此类观察指标的属性均为发现。它们的标尺对于编码型发现可能是名义型，而对于叙述型文本之中所报告的发现，则可能是叙述型。\" (zh-CN), \"发现物\" (zh-CN), \"所见\" (zh-CN), \"结果\" (zh-CN), \"结论 叙述\" (zh-CN), \"叙述性文字\" (zh-CN), \"报告\" (zh-CN), \"报告型\" (zh-CN), \"文字叙述\" (zh-CN), \"文本叙述型\" (zh-CN), \"文本描述\" (zh-CN), \"文本描述型 时刻\" (zh-CN), \"随机\" (zh-CN), \"随意\" (zh-CN), \"瞬间 病史与体格检查 系统回顾\" (zh-CN), \"系统审核\" (zh-CN), \"Anamnesi Osservazione paziente Punto nel tempo (episodio)\" (it-IT), \"Анамнестические сведения\" (ru-RU), \"Сообщенная третьим лицом информация Описательный Точка во времени\" (ru-RU), \"Момент\" (ru-RU)' for the language(s) '--' (from Tx-Server)",
-  "class" : "UNKNOWN"
+  "error" : "Wrong Display Name 'Review of systems Narrative Reporte' for http://loinc.org#10187-3 - should be one of 41 choices: 'Review of systems Narrative - Reported', 'Review of systems', '医疗服务对象' (zh-CN), '客户' (zh-CN), '病人' (zh-CN), '病患' (zh-CN), '病号' (zh-CN), '超系统 - 病人 历史纪录与体格检查 历史纪录与体格检查.历史记录' (zh-CN), '历史纪录与体格检查.历史记录类' (zh-CN), '历史纪录与体格检查.历史记录类别' (zh-CN), '历史纪录与体格检查.病史' (zh-CN), '历史纪录与体格检查.病史类' (zh-CN), '历史纪录与体格检查.病史类别' (zh-CN), '历史纪录与体格检查.病史记录' (zh-CN), '历史纪录与体格检查.病史记录类' (zh-CN), '历史纪录与体格检查.病史记录类别' (zh-CN), '历史纪录与体格检查小节.历史记录' (zh-CN), '历史纪录与体格检查小节.历史记录类' (zh-CN), '历史纪录与体格检查小节.历史记录类别' (zh-CN), '历史纪录与体格检查小节.病史' (zh-CN), '历史纪录与体格检查小节.病史类' (zh-CN), '历史纪录与体格检查小节.病史类别 历史纪录与体格检查小节 发现是一个原子型临床观察指标，并不是作为印象的概括陈述。体格检查、病史、系统检查及其他此类观察指标的属性均为发现。它们的标尺对于编码型发现可能是名义型，而对于叙述型文本之中所报告的发现，则可能是叙述型。' (zh-CN), '发现物' (zh-CN), '所见' (zh-CN), '结果' (zh-CN), '结论 叙述' (zh-CN), '叙述性文字' (zh-CN), '报告' (zh-CN), '报告型' (zh-CN), '文字叙述' (zh-CN), '文本叙述型' (zh-CN), '文本描述' (zh-CN), '文本描述型 时刻' (zh-CN), '随机' (zh-CN), '随意' (zh-CN), '瞬间 病史与体格检查 系统回顾' (zh-CN), '系统审核' (zh-CN), 'Anamnesi Osservazione paziente Punto nel tempo (episodio)' (it-IT), 'Анамнестические сведения' (ru-RU), 'Сообщенная третьим лицом информация Описательный Точка во времени' (ru-RU) or 'Момент' (ru-RU) (for the language(s) '--') (from Tx-Server)",
+  "class" : "UNKNOWN",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://loinc.org",
   "code" : "87504-7",
   "display" : "Administrative information"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -506,14 +641,19 @@ v: {
 v: {
   "severity" : "error",
   "error" : "Wrong Display Name 'Administrative information' for http://loinc.org#87504-7 - should be 'LCDS v4.00 - Administrative information - discharge [CMS Assessment]' (for the language(s) '--') (from Tx-Server)",
-  "class" : "UNKNOWN"
+  "class" : "UNKNOWN",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://loinc.org",
   "code" : "2069-3",
   "display" : "Chloride [Moles/volume] in Blood"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -524,6 +664,11 @@ v: {
   "display" : "Chloride [Moles/volume] in Blood",
   "code" : "2069-3",
   "system" : "http://loinc.org",
-  "version" : "2.74"
+  "version" : "2.74",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------

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

@@ -3,7 +3,7 @@
   "system" : "http://snomed.info/sct",
   "code" : "27113001",
   "display" : "Body weight"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"true", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"true", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -14,13 +14,17 @@ v: {
   "display" : "Body weight",
   "code" : "27113001",
   "system" : "http://snomed.info/sct",
-  "version" : "http://snomed.info/sct/900000000000207008/version/20230131"
+  "version" : "http://snomed.info/sct/900000000000207008/version/20230731",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://snomed.info/sct",
   "code" : "66493003"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -31,14 +35,19 @@ v: {
   "display" : "Product containing theophylline (medicinal product)",
   "code" : "66493003",
   "system" : "http://snomed.info/sct",
-  "version" : "http://snomed.info/sct/900000000000207008/version/20230131"
+  "version" : "http://snomed.info/sct/900000000000207008/version/20230731",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://snomed.info/sct",
   "code" : "394899003",
   "display" : "oral administration of treatment"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -49,14 +58,19 @@ v: {
   "display" : "Oral administration of treatment",
   "code" : "394899003",
   "system" : "http://snomed.info/sct",
-  "version" : "http://snomed.info/sct/900000000000207008/version/20230131"
+  "version" : "http://snomed.info/sct/900000000000207008/version/20230731",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://snomed.info/sct",
   "code" : "118246004",
   "display" : "Laboratory test finding (finding)"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -65,15 +79,20 @@ v: {
 }}####
 v: {
   "severity" : "error",
-  "error" : "Wrong Display Name 'Laboratory test finding (finding)' for http://snomed.info/sct#118246004 - should be one of 4 choices: 'Laboratory test finding, \"Laboratory test observations\", \"Laboratory test result\", \"Laboratory test finding (navigational concept)\"' for the language(s) '--' (from Tx-Server)",
-  "class" : "UNKNOWN"
+  "error" : "Wrong Display Name 'Laboratory test finding (finding)' for http://snomed.info/sct#118246004 - should be one of 4 choices: 'Laboratory test finding', 'Laboratory test observations', 'Laboratory test result' or 'Laboratory test finding (navigational concept)' (for the language(s) '--') (from Tx-Server)",
+  "class" : "UNKNOWN",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://snomed.info/sct",
   "code" : "275711006",
   "display" : "Chemistry"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -82,15 +101,20 @@ v: {
 }}####
 v: {
   "severity" : "error",
-  "error" : "Wrong Display Name 'Chemistry' for http://snomed.info/sct#275711006 - should be one of 2 choices: 'Serum chemistry test, \"Serum chemistry test (procedure)\"' for the language(s) '--' (from Tx-Server)",
-  "class" : "UNKNOWN"
+  "error" : "Wrong Display Name 'Chemistry' for http://snomed.info/sct#275711006 - should be one of 2 choices: 'Serum chemistry test' or 'Serum chemistry test (procedure)' (for the language(s) '--') (from Tx-Server)",
+  "class" : "UNKNOWN",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://snomed.info/sct",
   "code" : "281302008",
   "display" : "Above reference range"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -101,14 +125,19 @@ v: {
   "display" : "Above reference range",
   "code" : "281302008",
   "system" : "http://snomed.info/sct",
-  "version" : "http://snomed.info/sct/900000000000207008/version/20230131"
+  "version" : "http://snomed.info/sct/900000000000207008/version/20230731",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://snomed.info/sct",
   "code" : "419891008",
   "display" : "Record artifact (record artifact)"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -119,14 +148,19 @@ v: {
   "display" : "Record artifact (record artifact)",
   "code" : "419891008",
   "system" : "http://snomed.info/sct",
-  "version" : "http://snomed.info/sct/900000000000207008/version/20230131"
+  "version" : "http://snomed.info/sct/900000000000207008/version/20230731",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://snomed.info/sct",
   "code" : "371525003",
   "display" : "Clinical procedure report (record artifact)"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -137,14 +171,19 @@ v: {
   "display" : "Clinical procedure report",
   "code" : "371525003",
   "system" : "http://snomed.info/sct",
-  "version" : "http://snomed.info/sct/900000000000207008/version/20230131"
+  "version" : "http://snomed.info/sct/900000000000207008/version/20230731",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://snomed.info/sct",
   "code" : "17621005",
   "display" : "Normal (qualifier value)"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -155,14 +194,19 @@ v: {
   "display" : "Normal",
   "code" : "17621005",
   "system" : "http://snomed.info/sct",
-  "version" : "http://snomed.info/sct/900000000000207008/version/20230131"
+  "version" : "http://snomed.info/sct/900000000000207008/version/20230731",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://snomed.info/sct",
   "code" : "722172003",
   "display" : "Military health institution (environment)"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -173,14 +217,19 @@ v: {
   "display" : "Military health institution (environment)",
   "code" : "722172003",
   "system" : "http://snomed.info/sct",
-  "version" : "http://snomed.info/sct/900000000000207008/version/20230131"
+  "version" : "http://snomed.info/sct/900000000000207008/version/20230731",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://snomed.info/sct",
   "code" : "394609007",
   "display" : "General surgery (qualifier value)"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -191,14 +240,19 @@ v: {
   "display" : "General surgery (qualifier value)",
   "code" : "394609007",
   "system" : "http://snomed.info/sct",
-  "version" : "http://snomed.info/sct/900000000000207008/version/20230131"
+  "version" : "http://snomed.info/sct/900000000000207008/version/20230731",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://snomed.info/sct",
   "code" : "71388002",
   "display" : "Procedure (procedure)"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -209,14 +263,19 @@ v: {
   "display" : "Procedure",
   "code" : "71388002",
   "system" : "http://snomed.info/sct",
-  "version" : "http://snomed.info/sct/900000000000207008/version/20230131"
+  "version" : "http://snomed.info/sct/900000000000207008/version/20230731",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://snomed.info/sct",
   "code" : "823681000000100",
   "display" : "Outpatient letter"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -225,15 +284,20 @@ v: {
 }}####
 v: {
   "severity" : "error",
-  "error" : "Unable to find code 823681000000100 in http://snomed.info/sct (version http://snomed.info/sct/900000000000207008/version/20230131); Unknown Code '823681000000100' in the system 'http://snomed.info/sct'; The provided code http://snomed.info/sct#823681000000100 is not in the value set 'http://hl7.org/fhir/ValueSet/@all' (from Tx-Server)",
-  "class" : "UNKNOWN"
+  "error" : "Unable to find code 823681000000100 in http://snomed.info/sct (version http://snomed.info/sct/900000000000207008/version/20230731); Unknown Code '823681000000100' in the system 'http://snomed.info/sct'; The provided code 'http://snomed.info/sct#823681000000100' is not in the value set 'http://hl7.org/fhir/ValueSet/@all' (from Tx-Server)",
+  "class" : "UNKNOWN",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://snomed.info/sct",
   "code" : "886921000000105",
   "display" : "Allergies and adverse reactions"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -242,15 +306,20 @@ v: {
 }}####
 v: {
   "severity" : "error",
-  "error" : "Unable to find code 886921000000105 in http://snomed.info/sct (version http://snomed.info/sct/900000000000207008/version/20230131); Unknown Code '886921000000105' in the system 'http://snomed.info/sct'; The provided code http://snomed.info/sct#886921000000105 is not in the value set 'http://hl7.org/fhir/ValueSet/@all' (from Tx-Server)",
-  "class" : "UNKNOWN"
+  "error" : "Unable to find code 886921000000105 in http://snomed.info/sct (version http://snomed.info/sct/900000000000207008/version/20230731); Unknown Code '886921000000105' in the system 'http://snomed.info/sct'; The provided code 'http://snomed.info/sct#886921000000105' is not in the value set 'http://hl7.org/fhir/ValueSet/@all' (from Tx-Server)",
+  "class" : "UNKNOWN",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://snomed.info/sct",
   "code" : "1077881000000105",
   "display" : "Attendance details"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -259,15 +328,20 @@ v: {
 }}####
 v: {
   "severity" : "error",
-  "error" : "Unable to find code 1077881000000105 in http://snomed.info/sct (version http://snomed.info/sct/900000000000207008/version/20230131); Unknown Code '1077881000000105' in the system 'http://snomed.info/sct'; The provided code http://snomed.info/sct#1077881000000105 is not in the value set 'http://hl7.org/fhir/ValueSet/@all' (from Tx-Server)",
-  "class" : "UNKNOWN"
+  "error" : "Unable to find code 1077881000000105 in http://snomed.info/sct (version http://snomed.info/sct/900000000000207008/version/20230731); Unknown Code '1077881000000105' in the system 'http://snomed.info/sct'; The provided code 'http://snomed.info/sct#1077881000000105' is not in the value set 'http://hl7.org/fhir/ValueSet/@all' (from Tx-Server)",
+  "class" : "UNKNOWN",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://snomed.info/sct",
   "code" : "887181000000106",
   "display" : "Clinical summary"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -276,15 +350,20 @@ v: {
 }}####
 v: {
   "severity" : "error",
-  "error" : "Unable to find code 887181000000106 in http://snomed.info/sct (version http://snomed.info/sct/900000000000207008/version/20230131); Unknown Code '887181000000106' in the system 'http://snomed.info/sct'; The provided code http://snomed.info/sct#887181000000106 is not in the value set 'http://hl7.org/fhir/ValueSet/@all' (from Tx-Server)",
-  "class" : "UNKNOWN"
+  "error" : "Unable to find code 887181000000106 in http://snomed.info/sct (version http://snomed.info/sct/900000000000207008/version/20230731); Unknown Code '887181000000106' in the system 'http://snomed.info/sct'; The provided code 'http://snomed.info/sct#887181000000106' is not in the value set 'http://hl7.org/fhir/ValueSet/@all' (from Tx-Server)",
+  "class" : "UNKNOWN",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://snomed.info/sct",
   "code" : "887161000000102",
   "display" : "Diagnoses"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -293,15 +372,20 @@ v: {
 }}####
 v: {
   "severity" : "error",
-  "error" : "Unable to find code 887161000000102 in http://snomed.info/sct (version http://snomed.info/sct/900000000000207008/version/20230131); Unknown Code '887161000000102' in the system 'http://snomed.info/sct'; The provided code http://snomed.info/sct#887161000000102 is not in the value set 'http://hl7.org/fhir/ValueSet/@all' (from Tx-Server)",
-  "class" : "UNKNOWN"
+  "error" : "Unable to find code 887161000000102 in http://snomed.info/sct (version http://snomed.info/sct/900000000000207008/version/20230731); Unknown Code '887161000000102' in the system 'http://snomed.info/sct'; The provided code 'http://snomed.info/sct#887161000000102' is not in the value set 'http://hl7.org/fhir/ValueSet/@all' (from Tx-Server)",
+  "class" : "UNKNOWN",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://snomed.info/sct",
   "code" : "1052891000000108",
   "display" : "Referrer details"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -310,15 +394,20 @@ v: {
 }}####
 v: {
   "severity" : "error",
-  "error" : "Unable to find code 1052891000000108 in http://snomed.info/sct (version http://snomed.info/sct/900000000000207008/version/20230131); Unknown Code '1052891000000108' in the system 'http://snomed.info/sct'; The provided code http://snomed.info/sct#1052891000000108 is not in the value set 'http://hl7.org/fhir/ValueSet/@all' (from Tx-Server)",
-  "class" : "UNKNOWN"
+  "error" : "Unable to find code 1052891000000108 in http://snomed.info/sct (version http://snomed.info/sct/900000000000207008/version/20230731); Unknown Code '1052891000000108' in the system 'http://snomed.info/sct'; The provided code 'http://snomed.info/sct#1052891000000108' is not in the value set 'http://hl7.org/fhir/ValueSet/@all' (from Tx-Server)",
+  "class" : "UNKNOWN",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://snomed.info/sct",
   "code" : "715851000000102",
   "display" : "Examination findings"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -327,15 +416,20 @@ v: {
 }}####
 v: {
   "severity" : "error",
-  "error" : "Unable to find code 715851000000102 in http://snomed.info/sct (version http://snomed.info/sct/900000000000207008/version/20230131); Unknown Code '715851000000102' in the system 'http://snomed.info/sct'; The provided code http://snomed.info/sct#715851000000102 is not in the value set 'http://hl7.org/fhir/ValueSet/@all' (from Tx-Server)",
-  "class" : "UNKNOWN"
+  "error" : "Unable to find code 715851000000102 in http://snomed.info/sct (version http://snomed.info/sct/900000000000207008/version/20230731); Unknown Code '715851000000102' in the system 'http://snomed.info/sct'; The provided code 'http://snomed.info/sct#715851000000102' is not in the value set 'http://hl7.org/fhir/ValueSet/@all' (from Tx-Server)",
+  "class" : "UNKNOWN",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://snomed.info/sct",
   "code" : "717121000000105",
   "display" : "History"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -344,15 +438,20 @@ v: {
 }}####
 v: {
   "severity" : "error",
-  "error" : "Unable to find code 717121000000105 in http://snomed.info/sct (version http://snomed.info/sct/900000000000207008/version/20230131); Unknown Code '717121000000105' in the system 'http://snomed.info/sct'; The provided code http://snomed.info/sct#717121000000105 is not in the value set 'http://hl7.org/fhir/ValueSet/@all' (from Tx-Server)",
-  "class" : "UNKNOWN"
+  "error" : "Unable to find code 717121000000105 in http://snomed.info/sct (version http://snomed.info/sct/900000000000207008/version/20230731); Unknown Code '717121000000105' in the system 'http://snomed.info/sct'; The provided code 'http://snomed.info/sct#717121000000105' is not in the value set 'http://hl7.org/fhir/ValueSet/@all' (from Tx-Server)",
+  "class" : "UNKNOWN",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://snomed.info/sct",
   "code" : "933361000000108",
   "display" : "Medications and medical devices"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -361,15 +460,20 @@ v: {
 }}####
 v: {
   "severity" : "error",
-  "error" : "Unable to find code 933361000000108 in http://snomed.info/sct (version http://snomed.info/sct/900000000000207008/version/20230131); Unknown Code '933361000000108' in the system 'http://snomed.info/sct'; The provided code http://snomed.info/sct#933361000000108 is not in the value set 'http://hl7.org/fhir/ValueSet/@all' (from Tx-Server)",
-  "class" : "UNKNOWN"
+  "error" : "Unable to find code 933361000000108 in http://snomed.info/sct (version http://snomed.info/sct/900000000000207008/version/20230731); Unknown Code '933361000000108' in the system 'http://snomed.info/sct'; The provided code 'http://snomed.info/sct#933361000000108' is not in the value set 'http://hl7.org/fhir/ValueSet/@all' (from Tx-Server)",
+  "class" : "UNKNOWN",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://snomed.info/sct",
   "code" : "887171000000109",
   "display" : "Procedures"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -378,15 +482,20 @@ v: {
 }}####
 v: {
   "severity" : "error",
-  "error" : "Unable to find code 887171000000109 in http://snomed.info/sct (version http://snomed.info/sct/900000000000207008/version/20230131); Unknown Code '887171000000109' in the system 'http://snomed.info/sct'; The provided code http://snomed.info/sct#887171000000109 is not in the value set 'http://hl7.org/fhir/ValueSet/@all' (from Tx-Server)",
-  "class" : "UNKNOWN"
+  "error" : "Unable to find code 887171000000109 in http://snomed.info/sct (version http://snomed.info/sct/900000000000207008/version/20230731); Unknown Code '887171000000109' in the system 'http://snomed.info/sct'; The provided code 'http://snomed.info/sct#887171000000109' is not in the value set 'http://hl7.org/fhir/ValueSet/@all' (from Tx-Server)",
+  "class" : "UNKNOWN",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://snomed.info/sct",
   "code" : "887201000000105",
   "display" : "Plan and requested actions"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -395,15 +504,20 @@ v: {
 }}####
 v: {
   "severity" : "error",
-  "error" : "Unable to find code 887201000000105 in http://snomed.info/sct (version http://snomed.info/sct/900000000000207008/version/20230131); Unknown Code '887201000000105' in the system 'http://snomed.info/sct'; The provided code http://snomed.info/sct#887201000000105 is not in the value set 'http://hl7.org/fhir/ValueSet/@all' (from Tx-Server)",
-  "class" : "UNKNOWN"
+  "error" : "Unable to find code 887201000000105 in http://snomed.info/sct (version http://snomed.info/sct/900000000000207008/version/20230731); Unknown Code '887201000000105' in the system 'http://snomed.info/sct'; The provided code 'http://snomed.info/sct#887201000000105' is not in the value set 'http://hl7.org/fhir/ValueSet/@all' (from Tx-Server)",
+  "class" : "UNKNOWN",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://snomed.info/sct",
   "code" : "1052951000000105",
   "display" : "Information and advice given"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -412,15 +526,20 @@ v: {
 }}####
 v: {
   "severity" : "error",
-  "error" : "Unable to find code 1052951000000105 in http://snomed.info/sct (version http://snomed.info/sct/900000000000207008/version/20230131); Unknown Code '1052951000000105' in the system 'http://snomed.info/sct'; The provided code http://snomed.info/sct#1052951000000105 is not in the value set 'http://hl7.org/fhir/ValueSet/@all' (from Tx-Server)",
-  "class" : "UNKNOWN"
+  "error" : "Unable to find code 1052951000000105 in http://snomed.info/sct (version http://snomed.info/sct/900000000000207008/version/20230731); Unknown Code '1052951000000105' in the system 'http://snomed.info/sct'; The provided code 'http://snomed.info/sct#1052951000000105' is not in the value set 'http://hl7.org/fhir/ValueSet/@all' (from Tx-Server)",
+  "class" : "UNKNOWN",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://snomed.info/sct",
   "code" : "886731000000109",
   "display" : "Patient demographics"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -429,15 +548,20 @@ v: {
 }}####
 v: {
   "severity" : "error",
-  "error" : "Unable to find code 886731000000109 in http://snomed.info/sct (version http://snomed.info/sct/900000000000207008/version/20230131); Unknown Code '886731000000109' in the system 'http://snomed.info/sct'; The provided code http://snomed.info/sct#886731000000109 is not in the value set 'http://hl7.org/fhir/ValueSet/@all' (from Tx-Server)",
-  "class" : "UNKNOWN"
+  "error" : "Unable to find code 886731000000109 in http://snomed.info/sct (version http://snomed.info/sct/900000000000207008/version/20230731); Unknown Code '886731000000109' in the system 'http://snomed.info/sct'; The provided code 'http://snomed.info/sct#886731000000109' is not in the value set 'http://hl7.org/fhir/ValueSet/@all' (from Tx-Server)",
+  "class" : "UNKNOWN",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://snomed.info/sct",
   "code" : "887231000000104",
   "display" : "Person completing record"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -446,15 +570,20 @@ v: {
 }}####
 v: {
   "severity" : "error",
-  "error" : "Unable to find code 887231000000104 in http://snomed.info/sct (version http://snomed.info/sct/900000000000207008/version/20230131); Unknown Code '887231000000104' in the system 'http://snomed.info/sct'; The provided code http://snomed.info/sct#887231000000104 is not in the value set 'http://hl7.org/fhir/ValueSet/@all' (from Tx-Server)",
-  "class" : "UNKNOWN"
+  "error" : "Unable to find code 887231000000104 in http://snomed.info/sct (version http://snomed.info/sct/900000000000207008/version/20230731); Unknown Code '887231000000104' in the system 'http://snomed.info/sct'; The provided code 'http://snomed.info/sct#887231000000104' is not in the value set 'http://hl7.org/fhir/ValueSet/@all' (from Tx-Server)",
+  "class" : "UNKNOWN",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://snomed.info/sct",
   "code" : "9290701000001101",
   "display" : "Optrex"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -463,15 +592,20 @@ v: {
 }}####
 v: {
   "severity" : "error",
-  "error" : "Unable to find code 9290701000001101 in http://snomed.info/sct (version http://snomed.info/sct/900000000000207008/version/20230131); Unknown Code '9290701000001101' in the system 'http://snomed.info/sct'; The provided code http://snomed.info/sct#9290701000001101 is not in the value set 'http://hl7.org/fhir/ValueSet/@all' (from Tx-Server)",
-  "class" : "UNKNOWN"
+  "error" : "Unable to find code 9290701000001101 in http://snomed.info/sct (version http://snomed.info/sct/900000000000207008/version/20230731); Unknown Code '9290701000001101' in the system 'http://snomed.info/sct'; The provided code 'http://snomed.info/sct#9290701000001101' is not in the value set 'http://hl7.org/fhir/ValueSet/@all' (from Tx-Server)",
+  "class" : "UNKNOWN",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://snomed.info/sct",
   "code" : "443938003",
   "display" : "Procedure carried out on subject"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -482,14 +616,19 @@ v: {
   "display" : "Procedure carried out on subject (situation)",
   "code" : "443938003",
   "system" : "http://snomed.info/sct",
-  "version" : "http://snomed.info/sct/900000000000207008/version/20230131"
+  "version" : "http://snomed.info/sct/900000000000207008/version/20230731",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://snomed.info/sct",
   "code" : "17621005",
   "display" : "Normal"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -500,13 +639,18 @@ v: {
   "display" : "Normal",
   "code" : "17621005",
   "system" : "http://snomed.info/sct",
-  "version" : "http://snomed.info/sct/900000000000207008/version/20230131"
+  "version" : "http://snomed.info/sct/900000000000207008/version/20230731",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://snomed.info/sct",
   "code" : "27171005"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -517,13 +661,18 @@ v: {
   "display" : "Urinalysis",
   "code" : "27171005",
   "system" : "http://snomed.info/sct",
-  "version" : "http://snomed.info/sct/900000000000207008/version/20230131"
+  "version" : "http://snomed.info/sct/900000000000207008/version/20230731",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://snomed.info/sct",
   "code" : "55011004"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "valueSet" :null, "langs":"en", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -531,10 +680,14 @@ v: {
   }]
 }}####
 v: {
-  "display" : "Steady",
   "code" : "55011004",
   "system" : "http://snomed.info/sct",
-  "version" : "http://snomed.info/sct/900000000000207008/version/20230131"
+  "version" : "http://snomed.info/sct/900000000000207008/version/20230731",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
@@ -548,7 +701,7 @@ v: {
       "code" : "55011004"
     }]
   }
-}, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"true", "profile": {
+}, "langs":"en", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"true", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -556,16 +709,20 @@ v: {
   }]
 }}####
 v: {
-  "display" : "Steady",
   "code" : "55011004",
   "system" : "http://snomed.info/sct",
-  "version" : "http://snomed.info/sct/900000000000207008/version/20230131"
+  "version" : "http://snomed.info/sct/900000000000207008/version/20230731",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://snomed.info/sct",
   "code" : "11181000146103"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -574,7 +731,12 @@ v: {
 }}####
 v: {
   "severity" : "error",
-  "error" : "Unable to find code 11181000146103 in http://snomed.info/sct (version http://snomed.info/sct/900000000000207008/version/20230131); Unknown Code '11181000146103' in the system 'http://snomed.info/sct'; The provided code http://snomed.info/sct#11181000146103 is not in the value set 'http://hl7.org/fhir/ValueSet/@all' (from Tx-Server)",
-  "class" : "UNKNOWN"
+  "error" : "Unable to find code 11181000146103 in http://snomed.info/sct (version http://snomed.info/sct/900000000000207008/version/20230731); Unknown Code '11181000146103' in the system 'http://snomed.info/sct'; The provided code 'http://snomed.info/sct#11181000146103' is not in the value set 'http://hl7.org/fhir/ValueSet/@all' (from Tx-Server)",
+  "class" : "UNKNOWN",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------

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

@@ -2,7 +2,7 @@
 {"code" : {
   "system" : "http://unitsofmeasure.org",
   "code" : "[lb_av]"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"true", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"true", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -13,13 +13,17 @@ v: {
   "display" : "[lb_av]",
   "code" : "[lb_av]",
   "system" : "http://unitsofmeasure.org",
-  "version" : "2.0.1"
+  "version" : "2.0.1",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://unitsofmeasure.org",
   "code" : "L/min"
-}, "valueSet" :null, "langs":"[fi]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "valueSet" :null, "langs":"fi", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -27,16 +31,20 @@ v: {
   }]
 }}####
 v: {
-  "display" : "L/min",
   "code" : "L/min",
   "system" : "http://unitsofmeasure.org",
-  "version" : "2.0.1"
+  "version" : "2.0.1",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://unitsofmeasure.org",
   "code" : "21612-7"
-}, "valueSet" :null, "langs":"[fi]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "valueSet" :null, "langs":"fi", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -45,14 +53,19 @@ v: {
 }}####
 v: {
   "severity" : "error",
-  "error" : "Error processing Unit: '21612-7': Expected \"/\" or \".\" at character 6; Unknown Code '21612-7' in the system 'http://unitsofmeasure.org'; The provided code http://unitsofmeasure.org#21612-7 is not in the value set 'http://hl7.org/fhir/ValueSet/@all' (from Tx-Server)",
-  "class" : "UNKNOWN"
+  "error" : "Error processing Unit: '21612-7': Expected \"/\" or \".\" at character 6; Unknown Code '21612-7' in the system 'http://unitsofmeasure.org'; The provided code 'http://unitsofmeasure.org#21612-7' is not in the value set 'http://hl7.org/fhir/ValueSet/@all' (from Tx-Server)",
+  "class" : "UNKNOWN",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://unitsofmeasure.org",
   "code" : "tbl"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -61,14 +74,19 @@ v: {
 }}####
 v: {
   "severity" : "error",
-  "error" : "Error processing Unit: 'tbl': The unit \"tbl\" is unknown at character 1; Unknown Code 'tbl' in the system 'http://unitsofmeasure.org'; The provided code http://unitsofmeasure.org#tbl is not in the value set 'http://hl7.org/fhir/ValueSet/@all' (from Tx-Server)",
-  "class" : "UNKNOWN"
+  "error" : "Error processing Unit: 'tbl': The unit \"tbl\" is unknown at character 1; Unknown Code 'tbl' in the system 'http://unitsofmeasure.org'; The provided code 'http://unitsofmeasure.org#tbl' is not in the value set 'http://hl7.org/fhir/ValueSet/@all' (from Tx-Server)",
+  "class" : "UNKNOWN",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://unitsofmeasure.org",
   "code" : "mmol/L"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -79,6 +97,11 @@ v: {
   "display" : "mmol/L",
   "code" : "mmol/L",
   "system" : "http://unitsofmeasure.org",
-  "version" : "2.0.1"
+  "version" : "2.0.1",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------

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

@@ -8,11 +8,11 @@
       "display" : "Subsetted"
     }]
   },
-  "url" : "http://tx.fhir.org/r4/metadata",
-  "version" : "4.0.1-2.1.0",
+  "url" : "http://localhost/r4/metadata",
+  "version" : "4.0.1-3.0.0",
   "name" : "FHIR Reference Server Conformance Statement",
   "status" : "active",
-  "date" : "2023-05-17T01:02:05.811Z",
+  "date" : "2023-08-28T13:43:31.629Z",
   "contact" : [{
     "telecom" : [{
       "system" : "other",
@@ -23,12 +23,12 @@
   "instantiates" : ["http://hl7.org/fhir/CapabilityStatement/terminology-server"],
   "software" : {
     "name" : "Reference Server",
-    "version" : "2.1.0",
-    "releaseDate" : "2022-05-13T19:50:55.040Z"
+    "version" : "3.0.0",
+    "releaseDate" : "2023-06-19T19:50:55.040Z"
   },
   "implementation" : {
-    "description" : "FHIR Server running at http://tx.fhir.org/r4",
-    "url" : "http://tx.fhir.org/r4"
+    "description" : "FHIR Server running at http://localhost/r4",
+    "url" : "http://localhost/r4"
   },
   "fhirVersion" : "4.0.1",
   "format" : ["application/fhir+xml",
@@ -60,7 +60,7 @@
     },
     {
       "name" : "versions",
-      "definition" : "http://tx.fhir.org/r4/OperationDefinition/fso-versions"
+      "definition" : "http://localhost/r4/OperationDefinition/fso-versions"
     }]
   }]
 }

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

@@ -1,11 +1,11 @@
 {
   "resourceType" : "TerminologyCapabilities",
   "id" : "FhirServer",
-  "url" : "http://tx.fhir.org/r4/metadata",
+  "url" : "http://localhost/r4/metadata",
   "version" : "2.0.0",
   "name" : "FHIR Reference Server Teminology Capability Statement",
   "status" : "active",
-  "date" : "2023-05-17T01:02:06.045Z",
+  "date" : "2023-08-28T13:43:31.663Z",
   "contact" : [{
     "telecom" : [{
       "system" : "other",
@@ -28,6 +28,9 @@
   {
     "uri" : "http://fdasis.nlm.nih.gov"
   },
+  {
+    "uri" : "http://fhir.ohdsi.org/CodeSystem/concepts"
+  },
   {
     "uri" : "http://healthit.gov/nhin/purposeofuse"
   },
@@ -133,21 +136,27 @@
   {
     "uri" : "http://hl7.org/fhir/code-search-support"
   },
+  {
+    "uri" : "http://hl7.org/fhir/codesystem-content-mode"
+  },
+  {
+    "uri" : "http://hl7.org/fhir/codesystem-hierarchy-meaning"
+  },
   {
     "uri" : "http://hl7.org/fhir/CodeSystem/example"
   },
-  {
-    "uri" : "http://hl7.org/fhir/CodeSystem/medicationrequest-intent"
-  },
-  {
-    "uri" : "http://hl7.org/fhir/CodeSystem/medicationrequest-status"
-  },
   {
     "uri" : "http://hl7.org/fhir/CodeSystem/medication-statement-status"
   },
   {
     "uri" : "http://hl7.org/fhir/CodeSystem/medication-status"
   },
+  {
+    "uri" : "http://hl7.org/fhir/CodeSystem/medicationrequest-intent"
+  },
+  {
+    "uri" : "http://hl7.org/fhir/CodeSystem/medicationrequest-status"
+  },
   {
     "uri" : "http://hl7.org/fhir/CodeSystem/status"
   },
@@ -157,12 +166,6 @@
   {
     "uri" : "http://hl7.org/fhir/CodeSystem/task-code"
   },
-  {
-    "uri" : "http://hl7.org/fhir/codesystem-content-mode"
-  },
-  {
-    "uri" : "http://hl7.org/fhir/codesystem-hierarchy-meaning"
-  },
   {
     "uri" : "http://hl7.org/fhir/compartment-type"
   },
@@ -175,9 +178,6 @@
   {
     "uri" : "http://hl7.org/fhir/concept-map-equivalence"
   },
-  {
-    "uri" : "http://hl7.org/fhir/conceptmap-unmapped-mode"
-  },
   {
     "uri" : "http://hl7.org/fhir/concept-properties"
   },
@@ -187,6 +187,9 @@
   {
     "uri" : "http://hl7.org/fhir/concept-subsumption-outcome"
   },
+  {
+    "uri" : "http://hl7.org/fhir/conceptmap-unmapped-mode"
+  },
   {
     "uri" : "http://hl7.org/fhir/conditional-delete-status"
   },
@@ -196,15 +199,15 @@
   {
     "uri" : "http://hl7.org/fhir/consent-data-meaning"
   },
-  {
-    "uri" : "http://hl7.org/fhir/consentperformer"
-  },
   {
     "uri" : "http://hl7.org/fhir/consent-provision-type"
   },
   {
     "uri" : "http://hl7.org/fhir/consent-state-codes"
   },
+  {
+    "uri" : "http://hl7.org/fhir/consentperformer"
+  },
   {
     "uri" : "http://hl7.org/fhir/constraint-severity"
   },
@@ -340,9 +343,6 @@
   {
     "uri" : "http://hl7.org/fhir/event-timing"
   },
-  {
-    "uri" : "http://hl7.org/fhir/examplescenario-actor-type"
-  },
   {
     "uri" : "http://hl7.org/fhir/ex-claimitemtype"
   },
@@ -358,6 +358,18 @@
   {
     "uri" : "http://hl7.org/fhir/ex-pharmaservice"
   },
+  {
+    "uri" : "http://hl7.org/fhir/ex-servicemodifier"
+  },
+  {
+    "uri" : "http://hl7.org/fhir/ex-serviceproduct"
+  },
+  {
+    "uri" : "http://hl7.org/fhir/ex-udi"
+  },
+  {
+    "uri" : "http://hl7.org/fhir/examplescenario-actor-type"
+  },
   {
     "uri" : "http://hl7.org/fhir/explanationofbenefit-status"
   },
@@ -367,21 +379,12 @@
   {
     "uri" : "http://hl7.org/fhir/expression-language"
   },
-  {
-    "uri" : "http://hl7.org/fhir/ex-servicemodifier"
-  },
-  {
-    "uri" : "http://hl7.org/fhir/ex-serviceproduct"
-  },
   {
     "uri" : "http://hl7.org/fhir/extension-context-type"
   },
   {
     "uri" : "http://hl7.org/fhir/extra-activity-type"
   },
-  {
-    "uri" : "http://hl7.org/fhir/ex-udi"
-  },
   {
     "uri" : "http://hl7.org/fhir/feeding-device"
   },
@@ -473,10 +476,10 @@
     "uri" : "http://hl7.org/fhir/language-preference-type"
   },
   {
-    "uri" : "http://hl7.org/fhir/linkage-type"
+    "uri" : "http://hl7.org/fhir/link-type"
   },
   {
-    "uri" : "http://hl7.org/fhir/link-type"
+    "uri" : "http://hl7.org/fhir/linkage-type"
   },
   {
     "uri" : "http://hl7.org/fhir/list-mode"
@@ -521,10 +524,10 @@
     "uri" : "http://hl7.org/fhir/message-events"
   },
   {
-    "uri" : "http://hl7.org/fhir/messageheader-response-request"
+    "uri" : "http://hl7.org/fhir/message-significance-category"
   },
   {
-    "uri" : "http://hl7.org/fhir/message-significance-category"
+    "uri" : "http://hl7.org/fhir/messageheader-response-request"
   },
   {
     "uri" : "http://hl7.org/fhir/metric-calibration-state"
@@ -650,10 +653,10 @@
     "uri" : "http://hl7.org/fhir/related-artifact-type"
   },
   {
-    "uri" : "http://hl7.org/fhir/relationship"
+    "uri" : "http://hl7.org/fhir/relation-type"
   },
   {
-    "uri" : "http://hl7.org/fhir/relation-type"
+    "uri" : "http://hl7.org/fhir/relationship"
   },
   {
     "uri" : "http://hl7.org/fhir/remittance-outcome"
@@ -997,17 +1000,17 @@
   {
     "uri" : "http://terminology.hl7.org/CodeSystem/chromosome-human"
   },
-  {
-    "uri" : "http://terminology.hl7.org/CodeSystem/claimcareteamrole"
-  },
   {
     "uri" : "http://terminology.hl7.org/CodeSystem/claim-exception"
   },
   {
-    "uri" : "http://terminology.hl7.org/CodeSystem/claiminformationcategory"
+    "uri" : "http://terminology.hl7.org/CodeSystem/claim-type"
   },
   {
-    "uri" : "http://terminology.hl7.org/CodeSystem/claim-type"
+    "uri" : "http://terminology.hl7.org/CodeSystem/claimcareteamrole"
+  },
+  {
+    "uri" : "http://terminology.hl7.org/CodeSystem/claiminformationcategory"
   },
   {
     "uri" : "http://terminology.hl7.org/CodeSystem/codesystem-altcode-kind"
@@ -1066,18 +1069,21 @@
   {
     "uri" : "http://terminology.hl7.org/CodeSystem/container-cap"
   },
-  {
-    "uri" : "http://terminology.hl7.org/CodeSystem/contractaction"
-  },
-  {
-    "uri" : "http://terminology.hl7.org/CodeSystem/contractactorrole"
-  },
   {
     "uri" : "http://terminology.hl7.org/CodeSystem/contract-content-derivative"
   },
   {
     "uri" : "http://terminology.hl7.org/CodeSystem/contract-data-meaning"
   },
+  {
+    "uri" : "http://terminology.hl7.org/CodeSystem/contract-type"
+  },
+  {
+    "uri" : "http://terminology.hl7.org/CodeSystem/contractaction"
+  },
+  {
+    "uri" : "http://terminology.hl7.org/CodeSystem/contractactorrole"
+  },
   {
     "uri" : "http://terminology.hl7.org/CodeSystem/contractsignertypecodes"
   },
@@ -1090,9 +1096,6 @@
   {
     "uri" : "http://terminology.hl7.org/CodeSystem/contracttermtypecodes"
   },
-  {
-    "uri" : "http://terminology.hl7.org/CodeSystem/contract-type"
-  },
   {
     "uri" : "http://terminology.hl7.org/CodeSystem/copy-number-event"
   },
@@ -1103,10 +1106,10 @@
     "uri" : "http://terminology.hl7.org/CodeSystem/coverage-copay-type"
   },
   {
-    "uri" : "http://terminology.hl7.org/CodeSystem/coverageeligibilityresponse-ex-auth-support"
+    "uri" : "http://terminology.hl7.org/CodeSystem/coverage-selfpay"
   },
   {
-    "uri" : "http://terminology.hl7.org/CodeSystem/coverage-selfpay"
+    "uri" : "http://terminology.hl7.org/CodeSystem/coverageeligibilityresponse-ex-auth-support"
   },
   {
     "uri" : "http://terminology.hl7.org/CodeSystem/data-absent-reason"
@@ -1189,12 +1192,6 @@
   {
     "uri" : "http://terminology.hl7.org/CodeSystem/ex-diagnosistype"
   },
-  {
-    "uri" : "http://terminology.hl7.org/CodeSystem/expansion-parameter-source"
-  },
-  {
-    "uri" : "http://terminology.hl7.org/CodeSystem/expansion-processing-rule"
-  },
   {
     "uri" : "http://terminology.hl7.org/CodeSystem/ex-payee-resource-type"
   },
@@ -1222,15 +1219,21 @@
   {
     "uri" : "http://terminology.hl7.org/CodeSystem/ex-tooth"
   },
-  {
-    "uri" : "http://terminology.hl7.org/CodeSystem/extra-security-role-type"
-  },
   {
     "uri" : "http://terminology.hl7.org/CodeSystem/ex-USCLS"
   },
   {
     "uri" : "http://terminology.hl7.org/CodeSystem/ex-visionprescriptionproduct"
   },
+  {
+    "uri" : "http://terminology.hl7.org/CodeSystem/expansion-parameter-source"
+  },
+  {
+    "uri" : "http://terminology.hl7.org/CodeSystem/expansion-processing-rule"
+  },
+  {
+    "uri" : "http://terminology.hl7.org/CodeSystem/extra-security-role-type"
+  },
   {
     "uri" : "http://terminology.hl7.org/CodeSystem/failure-action"
   },
@@ -1280,10 +1283,10 @@
     "uri" : "http://terminology.hl7.org/CodeSystem/hl7-document-format-codes"
   },
   {
-    "uri" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra"
+    "uri" : "http://terminology.hl7.org/CodeSystem/hl7-work-group"
   },
   {
-    "uri" : "http://terminology.hl7.org/CodeSystem/hl7-work-group"
+    "uri" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra"
   },
   {
     "uri" : "http://terminology.hl7.org/CodeSystem/immunization-evaluation-dose-status"
@@ -1369,6 +1372,12 @@
   {
     "uri" : "http://terminology.hl7.org/CodeSystem/medication-admin-status"
   },
+  {
+    "uri" : "http://terminology.hl7.org/CodeSystem/medication-statement-category"
+  },
+  {
+    "uri" : "http://terminology.hl7.org/CodeSystem/medication-usage-admin-location"
+  },
   {
     "uri" : "http://terminology.hl7.org/CodeSystem/medicationdispense-performer-function"
   },
@@ -1396,12 +1405,6 @@
   {
     "uri" : "http://terminology.hl7.org/CodeSystem/medicationrequest-status-reason"
   },
-  {
-    "uri" : "http://terminology.hl7.org/CodeSystem/medication-statement-category"
-  },
-  {
-    "uri" : "http://terminology.hl7.org/CodeSystem/medication-usage-admin-location"
-  },
   {
     "uri" : "http://terminology.hl7.org/CodeSystem/message-reasons-encounter"
   },
@@ -1451,10 +1454,10 @@
     "uri" : "http://terminology.hl7.org/CodeSystem/payment-adjustment-reason"
   },
   {
-    "uri" : "http://terminology.hl7.org/CodeSystem/paymentstatus"
+    "uri" : "http://terminology.hl7.org/CodeSystem/payment-type"
   },
   {
-    "uri" : "http://terminology.hl7.org/CodeSystem/payment-type"
+    "uri" : "http://terminology.hl7.org/CodeSystem/paymentstatus"
   },
   {
     "uri" : "http://terminology.hl7.org/CodeSystem/plan-definition-type"
@@ -3544,6 +3547,9 @@
   {
     "uri" : "http://www.ada.org/snodent"
   },
+  {
+    "uri" : "http://www.ama-assn.org/go/cpt"
+  },
   {
     "uri" : "http://www.nlm.nih.gov/research/umls/rxnorm"
   },
@@ -3571,6 +3577,9 @@
   {
     "uri" : "urn:ietf:rfc:3986"
   },
+  {
+    "uri" : "urn:iso-astm:E1762-95:2013"
+  },
   {
     "uri" : "urn:iso:std:iso:11073:10101"
   },
@@ -3583,9 +3592,6 @@
   {
     "uri" : "urn:iso:std:iso:4217"
   },
-  {
-    "uri" : "urn:iso-astm:E1762-95:2013"
-  },
   {
     "uri" : "urn:oid:1.2.36.1.2001.1001.101.104.16592"
   },
@@ -3601,11 +3607,85 @@
   "expansion" : {
     "parameter" : [{
       "name" : "cache-id",
-      "documentation" : "This server supports caching terminology resources between calls. Clients only need to send value sets and codesystems once; there after tehy are automatically in scope for calls with the same cache-id. The cache is retained for 30 min from last call"
+      "documentation" : "This server supports caching terminology resources between calls. Clients only need to send value sets and codesystems once; there after they are automatically in scope for calls with the same cache-id. The cache is retained for 30 min from last call"
     },
     {
       "name" : "tx-resource",
       "documentation" : "Additional valuesets needed for evaluation e.g. value sets referred to from the import statement of the value set being expanded"
+    },
+    {
+      "name" : "_incomplete"
+    },
+    {
+      "name" : "abstract"
+    },
+    {
+      "name" : "activeOnly"
+    },
+    {
+      "name" : "check-system-version"
+    },
+    {
+      "name" : "count"
+    },
+    {
+      "name" : "default-to-latest-version"
+    },
+    {
+      "name" : "displayLanguage"
+    },
+    {
+      "name" : "excludeNested"
+    },
+    {
+      "name" : "excludeNotForUI"
+    },
+    {
+      "name" : "excludePostCoordinated"
+    },
+    {
+      "name" : "force-system-version"
+    },
+    {
+      "name" : "inactive"
+    },
+    {
+      "name" : "includeAlternateCodes"
+    },
+    {
+      "name" : "includeDefinition"
+    },
+    {
+      "name" : "includeDesignations"
+    },
+    {
+      "name" : "incomplete-ok"
+    },
+    {
+      "name" : "limitedExpansion"
+    },
+    {
+      "name" : "mode",
+      "documentation" : "=lenient-display-validation"
+    },
+    {
+      "name" : "no-cache"
+    },
+    {
+      "name" : "offset"
+    },
+    {
+      "name" : "profile"
+    },
+    {
+      "name" : "property"
+    },
+    {
+      "name" : "system-version"
+    },
+    {
+      "name" : "valueSetMode",
+      "documentation" : "= CHECK_MEMBERSHIP_ONLY | NO_MEMBERSHIP_CHECK"
     }]
   }
 }

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

@@ -2,7 +2,7 @@
 {"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]", "useServer":"true", "useClient":"false", "guessSystem":"false", "valueSetMode":"CHECK_MEMERSHIP_ONLY", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "url": "http://hl7.org/fhir/ValueSet/condition-clinical--0", "version": "4.0.1", "langs":"", "useServer":"true", "useClient":"false", "guessSystem":"false", "valueSetMode":"CHECK_MEMERSHIP_ONLY", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -13,7 +13,12 @@ v: {
   "display" : "Active",
   "code" : "active",
   "system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
-  "version" : "2.0.0"
+  "version" : "2.0.0",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
@@ -21,7 +26,7 @@ v: {
   "version" : "0.5.0",
   "code" : "active",
   "display" : "Active"
-}, "url": "http://hl7.org/fhir/ValueSet/condition-clinical", "version": "4.0.1", "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"NO_MEMBERSHIP_CHECK", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "url": "http://hl7.org/fhir/ValueSet/condition-clinical", "version": "4.0.1", "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"NO_MEMBERSHIP_CHECK", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -30,15 +35,20 @@ v: {
 }}####
 v: {
   "severity" : "error",
-  "error" : "The CodeSystem http://terminology.hl7.org/CodeSystem/condition-clinical version 0.5.0 is unknown. Valid versions: [2.0.0]; The provided code http://terminology.hl7.org/CodeSystem/condition-clinical|0.5.0#active is not in the value set 'http://hl7.org/fhir/ValueSet/condition-clinical' (from Tx-Server)",
-  "class" : "UNKNOWN"
+  "error" : "Unable to check whether the code is in the value set http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1 (from Tx-Server)",
+  "class" : "CODESYSTEM_UNSUPPORTED",
+  "unknown-systems" : "http://terminology.hl7.org/CodeSystem/condition-clinical|0.5.0",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
   "version" : "0.5.0",
   "code" : "active"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -47,7 +57,12 @@ v: {
 }}####
 v: {
   "severity" : "error",
-  "error" : "The CodeSystem http://terminology.hl7.org/CodeSystem/condition-clinical version 0.5.0 is unknown. Valid versions: [2.0.0]; The provided code http://terminology.hl7.org/CodeSystem/condition-clinical|0.5.0#active is not in the value set 'http://hl7.org/fhir/ValueSet/@all' (from Tx-Server)",
-  "class" : "UNKNOWN"
+  "error" : "The CodeSystem http://terminology.hl7.org/CodeSystem/condition-clinical version 0.5.0 is unknown. Valid versions: [2.0.0] (from Tx-Server)",
+  "class" : "CODESYSTEM_UNSUPPORTED",
+  "unknown-systems" : "http://terminology.hl7.org/CodeSystem/condition-clinical|0.5.0",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------

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

@@ -3,7 +3,7 @@
   "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]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -14,14 +14,19 @@ v: {
   "display" : "SARS-COV-2 (COVID-19) vaccine, mRNA, spike protein, LNP, preservative free, 100 mcg/0.5mL dose",
   "code" : "207",
   "system" : "http://hl7.org/fhir/sid/cvx",
-  "version" : "20210406"
+  "version" : "20210406",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"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]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -30,14 +35,19 @@ v: {
 }}####
 v: {
   "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 - should be one of 2 choices: 'SARS-COV-2 (COVID-19) vaccine, mRNA, spike protein, LNP, preservative free, 100 mcg/0.5mL dose, \"COVID-19, mRNA, LNP-S, PF, 100 mcg/0.5 mL dose\" (en/SNOMED CT#900000000000013009 \"Synonym\")' for the language(s) '--' (from Tx-Server)",
-  "class" : "UNKNOWN"
+  "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 - should be 'SARS-COV-2 (COVID-19) vaccine, mRNA, spike protein, LNP, preservative free, 100 mcg/0.5mL dose' (for the language(s) '--') (from Tx-Server)",
+  "class" : "UNKNOWN",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://hl7.org/fhir/sid/cvx",
   "code" : "208"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -48,13 +58,18 @@ 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" : "20210406"
+  "version" : "20210406",
+  "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]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"CHECK_MEMERSHIP_ONLY", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "url": "http://hl7.org/fhir/uv/shc-vaccination/ValueSet/vaccine-cvx", "version": "0.6.2", "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"CHECK_MEMERSHIP_ONLY", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -65,13 +80,18 @@ 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" : "20210406"
+  "version" : "20210406",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://hl7.org/fhir/sid/cvx",
   "code" : "209"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -80,7 +100,12 @@ v: {
 }}####
 v: {
   "severity" : "error",
-  "error" : "Unknown Code '209' in the system 'http://hl7.org/fhir/sid/cvx'; The provided code http://hl7.org/fhir/sid/cvx#209 is not in the value set 'http://hl7.org/fhir/ValueSet/@all' (from Tx-Server)",
-  "class" : "UNKNOWN"
+  "error" : "Unknown Code '209' in the system 'http://hl7.org/fhir/sid/cvx'; The provided code 'http://hl7.org/fhir/sid/cvx#209' is not in the value set 'http://hl7.org/fhir/ValueSet/@all' (from Tx-Server)",
+  "class" : "UNKNOWN",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------

org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/4.0.1/http___ihe.net_fhir_ihe.formatcode.fhir_CodeSystem_formatcode.cache

@@ -3,7 +3,7 @@
   "system" : "http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode",
   "code" : "urn:ihe:iti:xds:2017:mimeTypeSufficient",
   "display" : "MimeType sufficient"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -14,6 +14,11 @@ v: {
   "display" : "mimeType Sufficient",
   "code" : "urn:ihe:iti:xds:2017:mimeTypeSufficient",
   "system" : "http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode",
-  "version" : "1.1.0"
+  "version" : "1.1.0",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------

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

@@ -3,7 +3,7 @@
   "system" : "http://nucc.org/provider-taxonomy",
   "code" : "208D00000X",
   "display" : "General Practice"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -13,13 +13,18 @@
 v: {
   "severity" : "error",
   "error" : "Wrong Display Name 'General Practice' for http://nucc.org/provider-taxonomy#208D00000X - should be 'General Practice Physician' (for the language(s) '--') (from Tx-Server)",
-  "class" : "UNKNOWN"
+  "class" : "UNKNOWN",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"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]", "useServer":"true", "useClient":"false", "guessSystem":"false", "valueSetMode":"CHECK_MEMERSHIP_ONLY", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "url": "http://hl7.org/fhir/us/core/ValueSet/us-core-provider-role--0", "version": "4.0.0", "langs":"", "useServer":"true", "useClient":"false", "guessSystem":"false", "valueSetMode":"CHECK_MEMERSHIP_ONLY", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -30,14 +35,19 @@ v: {
   "display" : "General Practice Physician",
   "code" : "208D00000X",
   "system" : "http://nucc.org/provider-taxonomy",
-  "version" : "22.0"
+  "version" : "22.0",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://nucc.org/provider-taxonomy",
   "code" : "208D00000X",
   "display" : "General Practice"
-}, "url": "http://hl7.org/fhir/us/core/ValueSet/us-core-provider-role", "version": "4.0.0", "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"NO_MEMBERSHIP_CHECK", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "url": "http://hl7.org/fhir/us/core/ValueSet/us-core-provider-role", "version": "4.0.0", "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"NO_MEMBERSHIP_CHECK", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -47,13 +57,18 @@ v: {
 v: {
   "severity" : "error",
   "error" : "Wrong Display Name 'General Practice' for http://nucc.org/provider-taxonomy#208D00000X - should be 'General Practice Physician' (for the language(s) '--') (from Tx-Server)",
-  "class" : "UNKNOWN"
+  "class" : "UNKNOWN",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://nucc.org/provider-taxonomy",
   "code" : "208D00000X"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -64,6 +79,11 @@ v: {
   "display" : "General Practice Physician",
   "code" : "208D00000X",
   "system" : "http://nucc.org/provider-taxonomy",
-  "version" : "22.0"
+  "version" : "22.0",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------

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

@@ -2,7 +2,7 @@
 {"code" : {
   "system" : "http://something/something",
   "code" : "something"
-}, "valueSet" :null, "langs":"[en-US, en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"true", "profile": {
+}, "valueSet" :null, "langs":"en, en-US", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"true", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -11,7 +11,12 @@
 }}####
 v: {
   "severity" : "error",
-  "error" : "The CodeSystem http://something/something is unknown; The provided code http://something/something#something is not in the value set 'http://hl7.org/fhir/ValueSet/@all' (from Tx-Server)",
-  "class" : "UNKNOWN"
+  "error" : "The CodeSystem http://something/something is unknown (from Tx-Server)",
+  "class" : "CODESYSTEM_UNSUPPORTED",
+  "unknown-systems" : "http://something/something",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------

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

@@ -3,7 +3,7 @@
   "system" : "http://standardterms.edqm.eu",
   "code" : "20049000",
   "display" : "Nasal use"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -14,6 +14,11 @@ v: {
   "display" : "Nasal use",
   "code" : "20049000",
   "system" : "http://standardterms.edqm.eu",
-  "version" : "5 March 2019"
+  "version" : "5 March 2019",
+  "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

@@ -2,7 +2,7 @@
 {"code" : {
   "system" : "http://varnomen.hgvs.org",
   "code" : "NC_000019.8:g.1171707G>A"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -11,14 +11,18 @@
 }}####
 v: {
   "severity" : "error",
-  "error" : "Error from server: Error parsing HGVS response: Error parsing JSON source: Unexpected char \"<\" in json stream at Line 0 (path=[])",
-  "class" : "SERVER_ERROR"
+  "error" : "Error from server: HGVS is not supported at this time",
+  "class" : "SERVER_ERROR",
+  "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]", "useServer":"true", "useClient":"false", "guessSystem":"false", "valueSetMode":"CHECK_MEMERSHIP_ONLY", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "url": "http://hl7.org/fhir/us/mcode/ValueSet/mcode-hgvs-vs--0", "version": "1.0.0", "langs":"", "useServer":"true", "useClient":"false", "guessSystem":"false", "valueSetMode":"CHECK_MEMERSHIP_ONLY", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -27,14 +31,18 @@ v: {
 }}####
 v: {
   "severity" : "error",
-  "error" : "Error from server: Error parsing HGVS response: Error parsing JSON source: Unexpected char \"<\" in json stream at Line 0 (path=[])",
-  "class" : "SERVER_ERROR"
+  "error" : "Error from server: HGVS is not supported at this time",
+  "class" : "SERVER_ERROR",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://varnomen.hgvs.org",
   "code" : "NC_000019.8:g.1171707G>AXXX"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -43,14 +51,18 @@ v: {
 }}####
 v: {
   "severity" : "error",
-  "error" : "Error from server: Error parsing HGVS response: Error parsing JSON source: Unexpected char \"<\" in json stream at Line 0 (path=[])",
-  "class" : "SERVER_ERROR"
+  "error" : "Error from server: HGVS is not supported at this time",
+  "class" : "SERVER_ERROR",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"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]", "useServer":"true", "useClient":"false", "guessSystem":"false", "valueSetMode":"CHECK_MEMERSHIP_ONLY", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "url": "http://hl7.org/fhir/us/mcode/ValueSet/mcode-hgvs-vs--0", "version": "1.0.0", "langs":"", "useServer":"true", "useClient":"false", "guessSystem":"false", "valueSetMode":"CHECK_MEMERSHIP_ONLY", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -59,39 +71,11 @@ v: {
 }}####
 v: {
   "severity" : "error",
-  "error" : "Error from server: Error parsing HGVS response: Error parsing JSON source: Unexpected char \"<\" in json stream at Line 0 (path=[])",
-  "class" : "SERVER_ERROR"
-}
--------------------------------------------------------------------------------------
-{"code" : {
-  "system" : "http://varnomen.hgvs.org",
-  "code" : "NC_000019.8:g.1171707G>A"
-}, "url": "http://hl7.org/fhir/us/mcode/ValueSet/mcode-hgvs-vs", "version": "1.0.0", "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"NO_MEMBERSHIP_CHECK", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
-  "resourceType" : "Parameters",
-  "parameter" : [{
-    "name" : "profile-url",
-    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
-  }]
-}}####
-v: {
-  "severity" : "error",
-  "error" : "Error from server: Error parsing HGVS response: Error parsing JSON source: Unexpected char \"<\" in json stream at Line 0 (path=[])",
-  "class" : "SERVER_ERROR"
-}
--------------------------------------------------------------------------------------
-{"code" : {
-  "system" : "http://varnomen.hgvs.org",
-  "code" : "NC_000019.8:g.1171707G>AXXX"
-}, "url": "http://hl7.org/fhir/us/mcode/ValueSet/mcode-hgvs-vs", "version": "1.0.0", "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"NO_MEMBERSHIP_CHECK", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
-  "resourceType" : "Parameters",
-  "parameter" : [{
-    "name" : "profile-url",
-    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
-  }]
-}}####
-v: {
-  "severity" : "error",
-  "error" : "Error from server: Error parsing HGVS response: Error parsing JSON source: Unexpected char \"<\" in json stream at Line 0 (path=[])",
-  "class" : "SERVER_ERROR"
+  "error" : "Error from server: HGVS is not supported at this time",
+  "class" : "SERVER_ERROR",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------

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

@@ -0,0 +1,23 @@
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://www.ama-assn.org/go/cpt",
+  "code" : "99234"
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "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",
+  "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

@@ -2,7 +2,7 @@
 {"code" : {
   "system" : "http://www.genenames.org/geneId",
   "code" : "HGNC:11389"
-}, "url": "http://hl7.org/fhir/us/mcode/ValueSet/mcode-hgnc-vs--0", "version": "1.0.0", "langs":"[en]", "useServer":"true", "useClient":"false", "guessSystem":"false", "valueSetMode":"CHECK_MEMERSHIP_ONLY", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "url": "http://hl7.org/fhir/us/mcode/ValueSet/mcode-hgnc-vs--0", "version": "1.0.0", "langs":"", "useServer":"true", "useClient":"false", "guessSystem":"false", "valueSetMode":"CHECK_MEMERSHIP_ONLY", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -11,7 +11,12 @@
 }}####
 v: {
   "severity" : "error",
-  "error" : "The CodeSystem http://www.genenames.org/geneId is unknown; The provided code http://www.genenames.org/geneId#HGNC:11389 is not in the value set 'http://hl7.org/fhir/us/mcode/ValueSet/mcode-hgnc-vs--0' (from Tx-Server)",
-  "class" : "UNKNOWN"
+  "error" : "The CodeSystem http://www.genenames.org/geneId is unknown; Unable to check whether the code is in the value set http://hl7.org/fhir/us/mcode/ValueSet/mcode-hgnc-vs--0|1.0.0 (from Tx-Server)",
+  "class" : "CODESYSTEM_UNSUPPORTED",
+  "unknown-systems" : "http://www.genenames.org/geneId",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------

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

@@ -2,7 +2,7 @@
 {"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]", "useServer":"true", "useClient":"false", "guessSystem":"false", "valueSetMode":"CHECK_MEMERSHIP_ONLY", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "url": "http://hl7.org/fhir/us/mcode/ValueSet/mcode-clinvar-vs--0", "version": "1.0.0", "langs":"", "useServer":"true", "useClient":"false", "guessSystem":"false", "valueSetMode":"CHECK_MEMERSHIP_ONLY", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -11,7 +11,12 @@
 }}####
 v: {
   "severity" : "error",
-  "error" : "The CodeSystem http://www.ncbi.nlm.nih.gov/clinvar is unknown; The provided code http://www.ncbi.nlm.nih.gov/clinvar#619728 is not in the value set 'http://hl7.org/fhir/us/mcode/ValueSet/mcode-clinvar-vs--0' (from Tx-Server)",
-  "class" : "UNKNOWN"
+  "error" : "The CodeSystem http://www.ncbi.nlm.nih.gov/clinvar is unknown; 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 (from Tx-Server)",
+  "class" : "CODESYSTEM_UNSUPPORTED",
+  "unknown-systems" : "http://www.ncbi.nlm.nih.gov/clinvar",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------

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

@@ -2,7 +2,7 @@
 {"code" : {
   "system" : "https://www.humanservices.gov.au/organisations/health-professionals/enablers/air-vaccine-code-formats",
   "code" : "COVAST"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -13,6 +13,11 @@ v: {
   "display" : "COVID-19 Vaccine AstraZeneca",
   "code" : "COVAST",
   "system" : "https://www.humanservices.gov.au/organisations/health-professionals/enablers/air-vaccine-code-formats",
-  "version" : "20210222"
+  "version" : "20210222",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------

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

@@ -2,7 +2,7 @@
 {"code" : {
   "system" : "http://hl7.org/fhir/sid/icd-10-cm",
   "code" : "E10.3211+TT1.2"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -11,7 +11,12 @@
 }}####
 v: {
   "severity" : "error",
-  "error" : "Unknown Code 'E10.3211+TT1.2' in the system 'http://hl7.org/fhir/sid/icd-10-cm'; The provided code http://hl7.org/fhir/sid/icd-10-cm#E10.3211+TT1.2 is not in the value set 'http://hl7.org/fhir/ValueSet/@all' (from Tx-Server)",
-  "class" : "UNKNOWN"
+  "error" : "Unknown Code 'E10.3211+TT1.2' in the system 'http://hl7.org/fhir/sid/icd-10-cm'; The provided code 'http://hl7.org/fhir/sid/icd-10-cm#E10.3211+TT1.2' is not in the value set 'http://hl7.org/fhir/ValueSet/@all' (from Tx-Server)",
+  "class" : "UNKNOWN",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------

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

@@ -3,7 +3,7 @@
   "system" : "http://hl7.org/fhir/sid/icd-10",
   "code" : "C18.0",
   "display" : "Malignant neoplasm: Caecum"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -14,14 +14,19 @@ v: {
   "display" : "Caecum",
   "code" : "C18.0",
   "system" : "http://hl7.org/fhir/sid/icd-10",
-  "version" : "2019-covid-expanded"
+  "version" : "2019-covid-expanded",
+  "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]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -31,6 +36,11 @@ v: {
 v: {
   "severity" : "error",
   "error" : "Wrong Display Name 'Malignant neoplasm of pyriform sinus' for http://hl7.org/fhir/sid/icd-10#C12 - should be 'Malignant neoplasm of piriform sinus' (for the language(s) '--') (from Tx-Server)",
-  "class" : "UNKNOWN"
+  "class" : "UNKNOWN",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------

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

@@ -2,7 +2,7 @@
 {"code" : {
   "system" : "http://hl7.org/fhir/sid/icd-9-cm",
   "code" : "99.00"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -13,6 +13,11 @@ 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"
+  "version" : "2015",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------

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

@@ -3,7 +3,7 @@
   "system" : "urn:iso:std:iso:3166",
   "code" : "NO",
   "display" : "Norway"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -14,13 +14,18 @@ v: {
   "display" : "Norway",
   "code" : "NO",
   "system" : "urn:iso:std:iso:3166",
-  "version" : "2018"
+  "version" : "2018",
+  "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]", "useServer":"true", "useClient":"false", "guessSystem":"false", "valueSetMode":"CHECK_MEMERSHIP_ONLY", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "url": "http://hl7.org/fhir/ValueSet/jurisdiction--0", "version": "4.0.1", "langs":"", "useServer":"true", "useClient":"false", "guessSystem":"false", "valueSetMode":"CHECK_MEMERSHIP_ONLY", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -31,13 +36,18 @@ v: {
   "display" : "United States of America",
   "code" : "US",
   "system" : "urn:iso:std:iso:3166",
-  "version" : "2018"
+  "version" : "2018",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "urn:iso:std:iso:3166",
   "code" : "US"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -48,13 +58,18 @@ v: {
   "display" : "United States of America",
   "code" : "US",
   "system" : "urn:iso:std:iso:3166",
-  "version" : "2018"
+  "version" : "2018",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "urn:iso:std:iso:3166",
   "code" : "NO"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -65,6 +80,11 @@ v: {
   "display" : "Norway",
   "code" : "NO",
   "system" : "urn:iso:std:iso:3166",
-  "version" : "2018"
+  "version" : "2018",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------

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

@@ -2,7 +2,7 @@
 {"code" : {
   "system" : "urn:ietf:bcp:47",
   "code" : "de-CH"
-}, "url": "http://hl7.org/fhir/ValueSet/languages--0", "version": "4.0.1", "langs":"[en]", "useServer":"true", "useClient":"false", "guessSystem":"false", "valueSetMode":"CHECK_MEMERSHIP_ONLY", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "url": "http://hl7.org/fhir/ValueSet/languages--0", "version": "4.0.1", "langs":"", "useServer":"true", "useClient":"false", "guessSystem":"false", "valueSetMode":"CHECK_MEMERSHIP_ONLY", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -12,14 +12,19 @@
 v: {
   "display" : "German (Switzerland)",
   "code" : "de-CH",
-  "system" : "urn:ietf:bcp:47"
+  "system" : "urn:ietf:bcp:47",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "urn:ietf:bcp:47",
   "code" : "de-CH",
   "display" : "German (Region=Switzerland)"
-}, "url": "http://hl7.org/fhir/ValueSet/languages", "version": "4.0.1", "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"NO_MEMBERSHIP_CHECK", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "url": "http://hl7.org/fhir/ValueSet/languages", "version": "4.0.1", "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"NO_MEMBERSHIP_CHECK", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -29,13 +34,18 @@ v: {
 v: {
   "display" : "German (Region=Switzerland)",
   "code" : "de-CH",
-  "system" : "urn:ietf:bcp:47"
+  "system" : "urn:ietf:bcp:47",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "urn:ietf:bcp:47",
   "code" : "de-CH"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -45,13 +55,18 @@ v: {
 v: {
   "display" : "German (Region=Switzerland)",
   "code" : "de-CH",
-  "system" : "urn:ietf:bcp:47"
+  "system" : "urn:ietf:bcp:47",
+  "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]", "useServer":"true", "useClient":"false", "guessSystem":"false", "valueSetMode":"CHECK_MEMERSHIP_ONLY", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "url": "http://hl7.org/fhir/ValueSet/languages--0", "version": "4.0.1", "langs":"", "useServer":"true", "useClient":"false", "guessSystem":"false", "valueSetMode":"CHECK_MEMERSHIP_ONLY", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -61,14 +76,19 @@ v: {
 v: {
   "display" : "French",
   "code" : "fr",
-  "system" : "urn:ietf:bcp:47"
+  "system" : "urn:ietf:bcp:47",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "urn:ietf:bcp:47",
   "code" : "fr",
   "display" : "French"
-}, "url": "http://hl7.org/fhir/ValueSet/languages", "version": "4.0.1", "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"NO_MEMBERSHIP_CHECK", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "url": "http://hl7.org/fhir/ValueSet/languages", "version": "4.0.1", "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"NO_MEMBERSHIP_CHECK", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -78,13 +98,18 @@ v: {
 v: {
   "display" : "French",
   "code" : "fr",
-  "system" : "urn:ietf:bcp:47"
+  "system" : "urn:ietf:bcp:47",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "urn:ietf:bcp:47",
   "code" : "fr"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -94,13 +119,18 @@ v: {
 v: {
   "display" : "French",
   "code" : "fr",
-  "system" : "urn:ietf:bcp:47"
+  "system" : "urn:ietf:bcp:47",
+  "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]", "useServer":"true", "useClient":"false", "guessSystem":"false", "valueSetMode":"CHECK_MEMERSHIP_ONLY", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "url": "http://hl7.org/fhir/ValueSet/languages--0", "version": "4.0.1", "langs":"", "useServer":"true", "useClient":"false", "guessSystem":"false", "valueSetMode":"CHECK_MEMERSHIP_ONLY", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -110,14 +140,19 @@ v: {
 v: {
   "display" : "English",
   "code" : "en",
-  "system" : "urn:ietf:bcp:47"
+  "system" : "urn:ietf:bcp:47",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "urn:ietf:bcp:47",
   "code" : "en",
   "display" : "English"
-}, "url": "http://hl7.org/fhir/ValueSet/languages", "version": "4.0.1", "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"NO_MEMBERSHIP_CHECK", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "url": "http://hl7.org/fhir/ValueSet/languages", "version": "4.0.1", "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"NO_MEMBERSHIP_CHECK", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -127,13 +162,18 @@ v: {
 v: {
   "display" : "English",
   "code" : "en",
-  "system" : "urn:ietf:bcp:47"
+  "system" : "urn:ietf:bcp:47",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "urn:ietf:bcp:47",
   "code" : "en"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -143,6 +183,11 @@ v: {
 v: {
   "display" : "English",
   "code" : "en",
-  "system" : "urn:ietf:bcp:47"
+  "system" : "urn:ietf:bcp:47",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------

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

@@ -3,7 +3,7 @@
   "system" : "http://www.nlm.nih.gov/research/umls/rxnorm",
   "code" : "1000990",
   "display" : "oxymetazoline hydrochloride 0.5 MG/ML Nasal Spray"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -14,14 +14,19 @@ v: {
   "display" : "oxymetazoline hydrochloride 0.5 MG/ML Nasal Spray",
   "code" : "1000990",
   "system" : "http://www.nlm.nih.gov/research/umls/rxnorm",
-  "version" : "??"
+  "version" : "??",
+  "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]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -32,14 +37,19 @@ v: {
   "display" : "buprenorphine 2 MG / naloxone 0.5 MG Sublingual Film [Suboxone]",
   "code" : "1010603",
   "system" : "http://www.nlm.nih.gov/research/umls/rxnorm",
-  "version" : "??"
+  "version" : "??",
+  "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]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -50,14 +60,19 @@ v: {
   "display" : "flurazepam hydrochloride 15 MG Oral Capsule",
   "code" : "1298088",
   "system" : "http://www.nlm.nih.gov/research/umls/rxnorm",
-  "version" : "??"
+  "version" : "??",
+  "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]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -68,13 +83,18 @@ v: {
   "display" : "buprenorphine 2 MG / naloxone 0.5 MG Sublingual Film",
   "code" : "1010600",
   "system" : "http://www.nlm.nih.gov/research/umls/rxnorm",
-  "version" : "??"
+  "version" : "??",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://www.nlm.nih.gov/research/umls/rxnorm",
   "code" : "1591957"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -85,6 +105,11 @@ v: {
   "display" : "Mircera",
   "code" : "1591957",
   "system" : "http://www.nlm.nih.gov/research/umls/rxnorm",
-  "version" : "??"
+  "version" : "??",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------

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

@@ -2,7 +2,7 @@
 {"code" : {
   "system" : "http://unitsofmeasure.org",
   "code" : "%"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -13,13 +13,18 @@ v: {
   "display" : "%",
   "code" : "%",
   "system" : "http://unitsofmeasure.org",
-  "version" : "2.0.1"
+  "version" : "2.0.1",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://unitsofmeasure.org",
   "code" : "L/min"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -30,13 +35,18 @@ v: {
   "display" : "L/min",
   "code" : "L/min",
   "system" : "http://unitsofmeasure.org",
-  "version" : "2.0.1"
+  "version" : "2.0.1",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://unitsofmeasure.org",
   "code" : "%"
-}, "url": "http://hl7.org/fhir/ValueSet/ucum-vitals-common--0", "version": "4.0.1", "langs":"[en]", "useServer":"true", "useClient":"false", "guessSystem":"false", "valueSetMode":"CHECK_MEMERSHIP_ONLY", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "url": "http://hl7.org/fhir/ValueSet/ucum-vitals-common--0", "version": "4.0.1", "langs":"", "useServer":"true", "useClient":"false", "guessSystem":"false", "valueSetMode":"CHECK_MEMERSHIP_ONLY", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -47,13 +57,18 @@ v: {
   "display" : "percent",
   "code" : "%",
   "system" : "http://unitsofmeasure.org",
-  "version" : "2.0.1"
+  "version" : "2.0.1",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://unitsofmeasure.org",
   "code" : "L/min"
-}, "url": "http://hl7.org/fhir/ValueSet/ucum-vitals-common--0", "version": "4.0.1", "langs":"[en]", "useServer":"true", "useClient":"false", "guessSystem":"false", "valueSetMode":"CHECK_MEMERSHIP_ONLY", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "url": "http://hl7.org/fhir/ValueSet/ucum-vitals-common--0", "version": "4.0.1", "langs":"", "useServer":"true", "useClient":"false", "guessSystem":"false", "valueSetMode":"CHECK_MEMERSHIP_ONLY", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -62,14 +77,19 @@ v: {
 }}####
 v: {
   "severity" : "error",
-  "error" : "The provided code http://unitsofmeasure.org#L/min is not in the value set 'http://hl7.org/fhir/ValueSet/ucum-vitals-common--0' (from Tx-Server)",
-  "class" : "UNKNOWN"
+  "error" : "The provided code 'http://unitsofmeasure.org#L/min' is not in the value set 'http://hl7.org/fhir/ValueSet/ucum-vitals-common--0|4.0.1' (from Tx-Server)",
+  "class" : "UNKNOWN",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://unitsofmeasure.org",
   "code" : "cm"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -80,13 +100,18 @@ v: {
   "display" : "cm",
   "code" : "cm",
   "system" : "http://unitsofmeasure.org",
-  "version" : "2.0.1"
+  "version" : "2.0.1",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://unitsofmeasure.org",
   "code" : "cm"
-}, "url": "https://bb/ValueSet/BBDemographicAgeUnit--0", "version": "20190731", "langs":"[en]", "useServer":"true", "useClient":"false", "guessSystem":"false", "valueSetMode":"CHECK_MEMERSHIP_ONLY", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "url": "https://bb/ValueSet/BBDemographicAgeUnit--0", "version": "20190731", "langs":"", "useServer":"true", "useClient":"false", "guessSystem":"false", "valueSetMode":"CHECK_MEMERSHIP_ONLY", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -95,14 +120,19 @@ v: {
 }}####
 v: {
   "severity" : "error",
-  "error" : "The provided code http://unitsofmeasure.org#cm is not in the value set 'https://bb/ValueSet/BBDemographicAgeUnit--0' (from Tx-Server)",
-  "class" : "UNKNOWN"
+  "error" : "The provided code 'http://unitsofmeasure.org#cm' is not in the value set 'https://bb/ValueSet/BBDemographicAgeUnit--0|20190731' (from Tx-Server)",
+  "class" : "UNKNOWN",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://unitsofmeasure.org",
   "code" : "min"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -113,13 +143,18 @@ v: {
   "display" : "min",
   "code" : "min",
   "system" : "http://unitsofmeasure.org",
-  "version" : "2.0.1"
+  "version" : "2.0.1",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://unitsofmeasure.org",
   "code" : "mmol/L"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -130,13 +165,18 @@ v: {
   "display" : "mmol/L",
   "code" : "mmol/L",
   "system" : "http://unitsofmeasure.org",
-  "version" : "2.0.1"
+  "version" : "2.0.1",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://unitsofmeasure.org",
   "code" : "kg"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -147,13 +187,18 @@ v: {
   "display" : "kg",
   "code" : "kg",
   "system" : "http://unitsofmeasure.org",
-  "version" : "2.0.1"
+  "version" : "2.0.1",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://unitsofmeasure.org",
   "code" : "kg/m2"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -164,13 +209,18 @@ v: {
   "display" : "kg/m2",
   "code" : "kg/m2",
   "system" : "http://unitsofmeasure.org",
-  "version" : "2.0.1"
+  "version" : "2.0.1",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://unitsofmeasure.org",
   "code" : "mm[Hg]"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -181,13 +231,18 @@ v: {
   "display" : "mm[Hg]",
   "code" : "mm[Hg]",
   "system" : "http://unitsofmeasure.org",
-  "version" : "2.0.1"
+  "version" : "2.0.1",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://unitsofmeasure.org",
   "code" : "wk"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -198,13 +253,18 @@ v: {
   "display" : "wk",
   "code" : "wk",
   "system" : "http://unitsofmeasure.org",
-  "version" : "2.0.1"
+  "version" : "2.0.1",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://unitsofmeasure.org",
   "code" : "mm[Hg]"
-}, "url": "http://hl7.org/fhir/ValueSet/ucum-vitals-common--0", "version": "4.0.1", "langs":"[en]", "useServer":"true", "useClient":"false", "guessSystem":"false", "valueSetMode":"CHECK_MEMERSHIP_ONLY", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "url": "http://hl7.org/fhir/ValueSet/ucum-vitals-common--0", "version": "4.0.1", "langs":"", "useServer":"true", "useClient":"false", "guessSystem":"false", "valueSetMode":"CHECK_MEMERSHIP_ONLY", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -215,13 +275,18 @@ v: {
   "display" : "millimeter of mercury",
   "code" : "mm[Hg]",
   "system" : "http://unitsofmeasure.org",
-  "version" : "2.0.1"
+  "version" : "2.0.1",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://unitsofmeasure.org",
   "code" : "{capsule}"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -232,13 +297,18 @@ v: {
   "display" : "{capsule}",
   "code" : "{capsule}",
   "system" : "http://unitsofmeasure.org",
-  "version" : "2.0.1"
+  "version" : "2.0.1",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://unitsofmeasure.org",
   "code" : "{patch}"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -249,13 +319,18 @@ v: {
   "display" : "{patch}",
   "code" : "{patch}",
   "system" : "http://unitsofmeasure.org",
-  "version" : "2.0.1"
+  "version" : "2.0.1",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://unitsofmeasure.org",
   "code" : "m"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -266,13 +341,18 @@ v: {
   "display" : "m",
   "code" : "m",
   "system" : "http://unitsofmeasure.org",
-  "version" : "2.0.1"
+  "version" : "2.0.1",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://unitsofmeasure.org",
   "code" : "m"
-}, "url": "http://hl7.org/fhir/ValueSet/age-units--0", "version": "4.0.1", "langs":"[en]", "useServer":"true", "useClient":"false", "guessSystem":"false", "valueSetMode":"CHECK_MEMERSHIP_ONLY", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "url": "http://hl7.org/fhir/ValueSet/age-units--0", "version": "4.0.1", "langs":"", "useServer":"true", "useClient":"false", "guessSystem":"false", "valueSetMode":"CHECK_MEMERSHIP_ONLY", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -281,14 +361,19 @@ v: {
 }}####
 v: {
   "severity" : "error",
-  "error" : "The provided code http://unitsofmeasure.org#m is not in the value set 'http://hl7.org/fhir/ValueSet/age-units--0' (from Tx-Server)",
-  "class" : "UNKNOWN"
+  "error" : "The provided code 'http://unitsofmeasure.org#m' is not in the value set 'http://hl7.org/fhir/ValueSet/age-units--0|4.0.1' (from Tx-Server)",
+  "class" : "UNKNOWN",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://unitsofmeasure.org",
   "code" : "/min"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -299,13 +384,18 @@ v: {
   "display" : "/min",
   "code" : "/min",
   "system" : "http://unitsofmeasure.org",
-  "version" : "2.0.1"
+  "version" : "2.0.1",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://unitsofmeasure.org",
   "code" : "mg"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -316,13 +406,18 @@ v: {
   "display" : "mg",
   "code" : "mg",
   "system" : "http://unitsofmeasure.org",
-  "version" : "2.0.1"
+  "version" : "2.0.1",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://unitsofmeasure.org",
   "code" : "mm"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -333,113 +428,18 @@ v: {
   "display" : "mm",
   "code" : "mm",
   "system" : "http://unitsofmeasure.org",
-  "version" : "2.0.1"
+  "version" : "2.0.1",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
 }
--------------------------------------------------------------------------------------
-{"code" : {
-  "system" : "http://unitsofmeasure.org",
-  "code" : "Cel"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
-  "resourceType" : "Parameters",
-  "parameter" : [{
-    "name" : "profile-url",
-    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
-  }]
-}}####
-v: {
-  "display" : "Cel",
-  "code" : "Cel",
-  "system" : "http://unitsofmeasure.org",
-  "version" : "2.0.1"
-}
--------------------------------------------------------------------------------------
-{"code" : {
-  "system" : "http://unitsofmeasure.org",
-  "code" : "g"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
-  "resourceType" : "Parameters",
-  "parameter" : [{
-    "name" : "profile-url",
-    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
-  }]
-}}####
-v: {
-  "display" : "g",
-  "code" : "g",
-  "system" : "http://unitsofmeasure.org",
-  "version" : "2.0.1"
-}
--------------------------------------------------------------------------------------
-{"code" : {
-  "system" : "http://unitsofmeasure.org",
-  "code" : "mm[Hg]{hg}"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
-  "resourceType" : "Parameters",
-  "parameter" : [{
-    "name" : "profile-url",
-    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
-  }]
-}}####
-v: {
-  "display" : "mm[Hg]{hg}",
-  "code" : "mm[Hg]{hg}",
-  "system" : "http://unitsofmeasure.org",
-  "version" : "2.0.1"
-}
--------------------------------------------------------------------------------------
-{"code" : {
-  "system" : "http://unitsofmeasure.org",
-  "code" : "fmm[Hg]"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
-  "resourceType" : "Parameters",
-  "parameter" : [{
-    "name" : "profile-url",
-    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
-  }]
-}}####
-v: {
-  "severity" : "error",
-  "error" : "Error processing Unit: 'fmm[Hg]': The unit \"fmm[Hg]\" is unknown at character 1; Unknown Code 'fmm[Hg]' in the system 'http://unitsofmeasure.org'; The provided code http://unitsofmeasure.org#fmm[Hg] is not in the value set 'http://hl7.org/fhir/ValueSet/@all' (from Tx-Server)",
-  "class" : "UNKNOWN"
-}
--------------------------------------------------------------------------------------
-{"code" : {
-  "system" : "http://unitsofmeasure.org",
-  "code" : "J/C"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
-  "resourceType" : "Parameters",
-  "parameter" : [{
-    "name" : "profile-url",
-    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
-  }]
-}}####
-v: {
-  "display" : "J/C",
-  "code" : "J/C",
-  "system" : "http://unitsofmeasure.org",
-  "version" : "2.0.1"
-}
--------------------------------------------------------------------------------------
-{"code" : {
-  "system" : "http://unitsofmeasure.org",
-  "code" : "KG"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
-  "resourceType" : "Parameters",
-  "parameter" : [{
-    "name" : "profile-url",
-    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
-  }]
-}}####
-v: {
-  "severity" : "error",
-  "error" : "Error processing Unit: 'KG': The unit \"KG\" is unknown at character 1; Unknown Code 'KG' in the system 'http://unitsofmeasure.org'; The provided code http://unitsofmeasure.org#KG is not in the value set 'http://hl7.org/fhir/ValueSet/@all' (from Tx-Server)",
-  "class" : "UNKNOWN"
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://unitsofmeasure.org",
   "code" : "kg"
-}, "url": "http://fhir.de/ValueSet/UcumVitalsCommonDE--0", "version": "0.9.13", "langs":"[en]", "useServer":"true", "useClient":"false", "guessSystem":"false", "valueSetMode":"CHECK_MEMERSHIP_ONLY", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "url": "http://fhir.de/ValueSet/UcumVitalsCommonDE--0", "version": "0.9.13", "langs":"", "useServer":"true", "useClient":"false", "guessSystem":"false", "valueSetMode":"CHECK_MEMERSHIP_ONLY", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -450,6 +450,120 @@ v: {
   "display" : "kilogram",
   "code" : "kg",
   "system" : "http://unitsofmeasure.org",
-  "version" : "2.0.1"
+  "version" : "2.0.1",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://unitsofmeasure.org",
+  "code" : "Cel"
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "display" : "Cel",
+  "code" : "Cel",
+  "system" : "http://unitsofmeasure.org",
+  "version" : "2.0.1",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://unitsofmeasure.org",
+  "code" : "g"
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "display" : "g",
+  "code" : "g",
+  "system" : "http://unitsofmeasure.org",
+  "version" : "2.0.1",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://unitsofmeasure.org",
+  "code" : "mm[Hg]{hg}"
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "display" : "mm[Hg]{hg}",
+  "code" : "mm[Hg]{hg}",
+  "system" : "http://unitsofmeasure.org",
+  "version" : "2.0.1",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://unitsofmeasure.org",
+  "code" : "fmm[Hg]"
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "severity" : "error",
+  "error" : "Error processing Unit: 'fmm[Hg]': The unit \"fmm[Hg]\" is unknown at character 1; Unknown Code 'fmm[Hg]' in the system 'http://unitsofmeasure.org'; The provided code 'http://unitsofmeasure.org#fmm[Hg]' is not in the value set 'http://hl7.org/fhir/ValueSet/@all' (from Tx-Server)",
+  "class" : "UNKNOWN",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://unitsofmeasure.org",
+  "code" : "J/C"
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "display" : "J/C",
+  "code" : "J/C",
+  "system" : "http://unitsofmeasure.org",
+  "version" : "2.0.1",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------

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

@@ -2,7 +2,7 @@
 {"code" : {
   "system" : "http://hl7.org/fhir/uv/sdc/CodeSystem/CSPHQ9",
   "code" : "Not-at-all"
-}, "valueSet" :null, "langs":"[en-US, en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"true", "profile": {
+}, "valueSet" :null, "langs":"en, en-US", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"true", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -10,16 +10,20 @@
   }]
 }}####
 v: {
-  "display" : "Not at all",
   "code" : "Not-at-all",
   "system" : "http://hl7.org/fhir/uv/sdc/CodeSystem/CSPHQ9",
-  "version" : "3.0.0"
+  "version" : "3.0.0",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://hl7.org/fhir/uv/sdc/CodeSystem/CSPHQ9",
   "code" : "Several-days"
-}, "valueSet" :null, "langs":"[en-US, en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"true", "profile": {
+}, "valueSet" :null, "langs":"en, en-US", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"true", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -27,16 +31,20 @@ v: {
   }]
 }}####
 v: {
-  "display" : "Several days",
   "code" : "Several-days",
   "system" : "http://hl7.org/fhir/uv/sdc/CodeSystem/CSPHQ9",
-  "version" : "3.0.0"
+  "version" : "3.0.0",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://hl7.org/fhir/uv/sdc/CodeSystem/CSPHQ9",
   "code" : "More than half the days"
-}, "valueSet" :null, "langs":"[en-US, en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"true", "profile": {
+}, "valueSet" :null, "langs":"en, en-US", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"true", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -44,16 +52,20 @@ v: {
   }]
 }}####
 v: {
-  "display" : "More than half the days",
   "code" : "More than half the days",
   "system" : "http://hl7.org/fhir/uv/sdc/CodeSystem/CSPHQ9",
-  "version" : "3.0.0"
+  "version" : "3.0.0",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://hl7.org/fhir/uv/sdc/CodeSystem/CSPHQ9",
   "code" : "Nearly every day"
-}, "valueSet" :null, "langs":"[en-US, en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"true", "profile": {
+}, "valueSet" :null, "langs":"en, en-US", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"true", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -61,9 +73,13 @@ v: {
   }]
 }}####
 v: {
-  "display" : "Nearly every day",
   "code" : "Nearly every day",
   "system" : "http://hl7.org/fhir/uv/sdc/CodeSystem/CSPHQ9",
-  "version" : "3.0.0"
+  "version" : "3.0.0",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------

org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/4.3.0/.capabilityStatement.cache

@@ -8,11 +8,11 @@
       "display" : "Subsetted"
     }]
   },
-  "url" : "http://tx.fhir.org/r4/metadata",
-  "version" : "4.0.1-2.1.0",
+  "url" : "http://localhost/r4/metadata",
+  "version" : "4.0.1-3.0.0",
   "name" : "FHIR Reference Server Conformance Statement",
   "status" : "active",
-  "date" : "2023-05-17T01:02:12.154Z",
+  "date" : "2023-08-28T13:43:36.972Z",
   "contact" : [{
     "telecom" : [{
       "system" : "other",
@@ -23,12 +23,12 @@
   "instantiates" : ["http://hl7.org/fhir/CapabilityStatement/terminology-server"],
   "software" : {
     "name" : "Reference Server",
-    "version" : "2.1.0",
-    "releaseDate" : "2022-05-13T19:50:55.040Z"
+    "version" : "3.0.0",
+    "releaseDate" : "2023-06-19T19:50:55.040Z"
   },
   "implementation" : {
-    "description" : "FHIR Server running at http://tx.fhir.org/r4",
-    "url" : "http://tx.fhir.org/r4"
+    "description" : "FHIR Server running at http://localhost/r4",
+    "url" : "http://localhost/r4"
   },
   "fhirVersion" : "4.0.1",
   "format" : ["application/fhir+xml",
@@ -60,7 +60,7 @@
     },
     {
       "name" : "versions",
-      "definition" : "http://tx.fhir.org/r4/OperationDefinition/fso-versions"
+      "definition" : "http://localhost/r4/OperationDefinition/fso-versions"
     }]
   }]
 }

org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/4.3.0/.terminologyCapabilities.cache

@@ -1,11 +1,11 @@
 {
   "resourceType" : "TerminologyCapabilities",
   "id" : "FhirServer",
-  "url" : "http://tx.fhir.org/r4/metadata",
+  "url" : "http://localhost/r4/metadata",
   "version" : "2.0.0",
   "name" : "FHIR Reference Server Teminology Capability Statement",
   "status" : "active",
-  "date" : "2023-05-17T01:02:12.967Z",
+  "date" : "2023-08-28T13:43:36.986Z",
   "contact" : [{
     "telecom" : [{
       "system" : "other",
@@ -28,6 +28,9 @@
   {
     "uri" : "http://fdasis.nlm.nih.gov"
   },
+  {
+    "uri" : "http://fhir.ohdsi.org/CodeSystem/concepts"
+  },
   {
     "uri" : "http://healthit.gov/nhin/purposeofuse"
   },
@@ -133,21 +136,27 @@
   {
     "uri" : "http://hl7.org/fhir/code-search-support"
   },
+  {
+    "uri" : "http://hl7.org/fhir/codesystem-content-mode"
+  },
+  {
+    "uri" : "http://hl7.org/fhir/codesystem-hierarchy-meaning"
+  },
   {
     "uri" : "http://hl7.org/fhir/CodeSystem/example"
   },
-  {
-    "uri" : "http://hl7.org/fhir/CodeSystem/medicationrequest-intent"
-  },
-  {
-    "uri" : "http://hl7.org/fhir/CodeSystem/medicationrequest-status"
-  },
   {
     "uri" : "http://hl7.org/fhir/CodeSystem/medication-statement-status"
   },
   {
     "uri" : "http://hl7.org/fhir/CodeSystem/medication-status"
   },
+  {
+    "uri" : "http://hl7.org/fhir/CodeSystem/medicationrequest-intent"
+  },
+  {
+    "uri" : "http://hl7.org/fhir/CodeSystem/medicationrequest-status"
+  },
   {
     "uri" : "http://hl7.org/fhir/CodeSystem/status"
   },
@@ -157,12 +166,6 @@
   {
     "uri" : "http://hl7.org/fhir/CodeSystem/task-code"
   },
-  {
-    "uri" : "http://hl7.org/fhir/codesystem-content-mode"
-  },
-  {
-    "uri" : "http://hl7.org/fhir/codesystem-hierarchy-meaning"
-  },
   {
     "uri" : "http://hl7.org/fhir/compartment-type"
   },
@@ -175,9 +178,6 @@
   {
     "uri" : "http://hl7.org/fhir/concept-map-equivalence"
   },
-  {
-    "uri" : "http://hl7.org/fhir/conceptmap-unmapped-mode"
-  },
   {
     "uri" : "http://hl7.org/fhir/concept-properties"
   },
@@ -187,6 +187,9 @@
   {
     "uri" : "http://hl7.org/fhir/concept-subsumption-outcome"
   },
+  {
+    "uri" : "http://hl7.org/fhir/conceptmap-unmapped-mode"
+  },
   {
     "uri" : "http://hl7.org/fhir/conditional-delete-status"
   },
@@ -196,15 +199,15 @@
   {
     "uri" : "http://hl7.org/fhir/consent-data-meaning"
   },
-  {
-    "uri" : "http://hl7.org/fhir/consentperformer"
-  },
   {
     "uri" : "http://hl7.org/fhir/consent-provision-type"
   },
   {
     "uri" : "http://hl7.org/fhir/consent-state-codes"
   },
+  {
+    "uri" : "http://hl7.org/fhir/consentperformer"
+  },
   {
     "uri" : "http://hl7.org/fhir/constraint-severity"
   },
@@ -340,9 +343,6 @@
   {
     "uri" : "http://hl7.org/fhir/event-timing"
   },
-  {
-    "uri" : "http://hl7.org/fhir/examplescenario-actor-type"
-  },
   {
     "uri" : "http://hl7.org/fhir/ex-claimitemtype"
   },
@@ -358,6 +358,18 @@
   {
     "uri" : "http://hl7.org/fhir/ex-pharmaservice"
   },
+  {
+    "uri" : "http://hl7.org/fhir/ex-servicemodifier"
+  },
+  {
+    "uri" : "http://hl7.org/fhir/ex-serviceproduct"
+  },
+  {
+    "uri" : "http://hl7.org/fhir/ex-udi"
+  },
+  {
+    "uri" : "http://hl7.org/fhir/examplescenario-actor-type"
+  },
   {
     "uri" : "http://hl7.org/fhir/explanationofbenefit-status"
   },
@@ -367,21 +379,12 @@
   {
     "uri" : "http://hl7.org/fhir/expression-language"
   },
-  {
-    "uri" : "http://hl7.org/fhir/ex-servicemodifier"
-  },
-  {
-    "uri" : "http://hl7.org/fhir/ex-serviceproduct"
-  },
   {
     "uri" : "http://hl7.org/fhir/extension-context-type"
   },
   {
     "uri" : "http://hl7.org/fhir/extra-activity-type"
   },
-  {
-    "uri" : "http://hl7.org/fhir/ex-udi"
-  },
   {
     "uri" : "http://hl7.org/fhir/feeding-device"
   },
@@ -473,10 +476,10 @@
     "uri" : "http://hl7.org/fhir/language-preference-type"
   },
   {
-    "uri" : "http://hl7.org/fhir/linkage-type"
+    "uri" : "http://hl7.org/fhir/link-type"
   },
   {
-    "uri" : "http://hl7.org/fhir/link-type"
+    "uri" : "http://hl7.org/fhir/linkage-type"
   },
   {
     "uri" : "http://hl7.org/fhir/list-mode"
@@ -521,10 +524,10 @@
     "uri" : "http://hl7.org/fhir/message-events"
   },
   {
-    "uri" : "http://hl7.org/fhir/messageheader-response-request"
+    "uri" : "http://hl7.org/fhir/message-significance-category"
   },
   {
-    "uri" : "http://hl7.org/fhir/message-significance-category"
+    "uri" : "http://hl7.org/fhir/messageheader-response-request"
   },
   {
     "uri" : "http://hl7.org/fhir/metric-calibration-state"
@@ -650,10 +653,10 @@
     "uri" : "http://hl7.org/fhir/related-artifact-type"
   },
   {
-    "uri" : "http://hl7.org/fhir/relationship"
+    "uri" : "http://hl7.org/fhir/relation-type"
   },
   {
-    "uri" : "http://hl7.org/fhir/relation-type"
+    "uri" : "http://hl7.org/fhir/relationship"
   },
   {
     "uri" : "http://hl7.org/fhir/remittance-outcome"
@@ -997,17 +1000,17 @@
   {
     "uri" : "http://terminology.hl7.org/CodeSystem/chromosome-human"
   },
-  {
-    "uri" : "http://terminology.hl7.org/CodeSystem/claimcareteamrole"
-  },
   {
     "uri" : "http://terminology.hl7.org/CodeSystem/claim-exception"
   },
   {
-    "uri" : "http://terminology.hl7.org/CodeSystem/claiminformationcategory"
+    "uri" : "http://terminology.hl7.org/CodeSystem/claim-type"
   },
   {
-    "uri" : "http://terminology.hl7.org/CodeSystem/claim-type"
+    "uri" : "http://terminology.hl7.org/CodeSystem/claimcareteamrole"
+  },
+  {
+    "uri" : "http://terminology.hl7.org/CodeSystem/claiminformationcategory"
   },
   {
     "uri" : "http://terminology.hl7.org/CodeSystem/codesystem-altcode-kind"
@@ -1066,18 +1069,21 @@
   {
     "uri" : "http://terminology.hl7.org/CodeSystem/container-cap"
   },
-  {
-    "uri" : "http://terminology.hl7.org/CodeSystem/contractaction"
-  },
-  {
-    "uri" : "http://terminology.hl7.org/CodeSystem/contractactorrole"
-  },
   {
     "uri" : "http://terminology.hl7.org/CodeSystem/contract-content-derivative"
   },
   {
     "uri" : "http://terminology.hl7.org/CodeSystem/contract-data-meaning"
   },
+  {
+    "uri" : "http://terminology.hl7.org/CodeSystem/contract-type"
+  },
+  {
+    "uri" : "http://terminology.hl7.org/CodeSystem/contractaction"
+  },
+  {
+    "uri" : "http://terminology.hl7.org/CodeSystem/contractactorrole"
+  },
   {
     "uri" : "http://terminology.hl7.org/CodeSystem/contractsignertypecodes"
   },
@@ -1090,9 +1096,6 @@
   {
     "uri" : "http://terminology.hl7.org/CodeSystem/contracttermtypecodes"
   },
-  {
-    "uri" : "http://terminology.hl7.org/CodeSystem/contract-type"
-  },
   {
     "uri" : "http://terminology.hl7.org/CodeSystem/copy-number-event"
   },
@@ -1103,10 +1106,10 @@
     "uri" : "http://terminology.hl7.org/CodeSystem/coverage-copay-type"
   },
   {
-    "uri" : "http://terminology.hl7.org/CodeSystem/coverageeligibilityresponse-ex-auth-support"
+    "uri" : "http://terminology.hl7.org/CodeSystem/coverage-selfpay"
   },
   {
-    "uri" : "http://terminology.hl7.org/CodeSystem/coverage-selfpay"
+    "uri" : "http://terminology.hl7.org/CodeSystem/coverageeligibilityresponse-ex-auth-support"
   },
   {
     "uri" : "http://terminology.hl7.org/CodeSystem/data-absent-reason"
@@ -1189,12 +1192,6 @@
   {
     "uri" : "http://terminology.hl7.org/CodeSystem/ex-diagnosistype"
   },
-  {
-    "uri" : "http://terminology.hl7.org/CodeSystem/expansion-parameter-source"
-  },
-  {
-    "uri" : "http://terminology.hl7.org/CodeSystem/expansion-processing-rule"
-  },
   {
     "uri" : "http://terminology.hl7.org/CodeSystem/ex-payee-resource-type"
   },
@@ -1222,15 +1219,21 @@
   {
     "uri" : "http://terminology.hl7.org/CodeSystem/ex-tooth"
   },
-  {
-    "uri" : "http://terminology.hl7.org/CodeSystem/extra-security-role-type"
-  },
   {
     "uri" : "http://terminology.hl7.org/CodeSystem/ex-USCLS"
   },
   {
     "uri" : "http://terminology.hl7.org/CodeSystem/ex-visionprescriptionproduct"
   },
+  {
+    "uri" : "http://terminology.hl7.org/CodeSystem/expansion-parameter-source"
+  },
+  {
+    "uri" : "http://terminology.hl7.org/CodeSystem/expansion-processing-rule"
+  },
+  {
+    "uri" : "http://terminology.hl7.org/CodeSystem/extra-security-role-type"
+  },
   {
     "uri" : "http://terminology.hl7.org/CodeSystem/failure-action"
   },
@@ -1280,10 +1283,10 @@
     "uri" : "http://terminology.hl7.org/CodeSystem/hl7-document-format-codes"
   },
   {
-    "uri" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra"
+    "uri" : "http://terminology.hl7.org/CodeSystem/hl7-work-group"
   },
   {
-    "uri" : "http://terminology.hl7.org/CodeSystem/hl7-work-group"
+    "uri" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra"
   },
   {
     "uri" : "http://terminology.hl7.org/CodeSystem/immunization-evaluation-dose-status"
@@ -1369,6 +1372,12 @@
   {
     "uri" : "http://terminology.hl7.org/CodeSystem/medication-admin-status"
   },
+  {
+    "uri" : "http://terminology.hl7.org/CodeSystem/medication-statement-category"
+  },
+  {
+    "uri" : "http://terminology.hl7.org/CodeSystem/medication-usage-admin-location"
+  },
   {
     "uri" : "http://terminology.hl7.org/CodeSystem/medicationdispense-performer-function"
   },
@@ -1396,12 +1405,6 @@
   {
     "uri" : "http://terminology.hl7.org/CodeSystem/medicationrequest-status-reason"
   },
-  {
-    "uri" : "http://terminology.hl7.org/CodeSystem/medication-statement-category"
-  },
-  {
-    "uri" : "http://terminology.hl7.org/CodeSystem/medication-usage-admin-location"
-  },
   {
     "uri" : "http://terminology.hl7.org/CodeSystem/message-reasons-encounter"
   },
@@ -1451,10 +1454,10 @@
     "uri" : "http://terminology.hl7.org/CodeSystem/payment-adjustment-reason"
   },
   {
-    "uri" : "http://terminology.hl7.org/CodeSystem/paymentstatus"
+    "uri" : "http://terminology.hl7.org/CodeSystem/payment-type"
   },
   {
-    "uri" : "http://terminology.hl7.org/CodeSystem/payment-type"
+    "uri" : "http://terminology.hl7.org/CodeSystem/paymentstatus"
   },
   {
     "uri" : "http://terminology.hl7.org/CodeSystem/plan-definition-type"
@@ -3544,6 +3547,9 @@
   {
     "uri" : "http://www.ada.org/snodent"
   },
+  {
+    "uri" : "http://www.ama-assn.org/go/cpt"
+  },
   {
     "uri" : "http://www.nlm.nih.gov/research/umls/rxnorm"
   },
@@ -3571,6 +3577,9 @@
   {
     "uri" : "urn:ietf:rfc:3986"
   },
+  {
+    "uri" : "urn:iso-astm:E1762-95:2013"
+  },
   {
     "uri" : "urn:iso:std:iso:11073:10101"
   },
@@ -3583,9 +3592,6 @@
   {
     "uri" : "urn:iso:std:iso:4217"
   },
-  {
-    "uri" : "urn:iso-astm:E1762-95:2013"
-  },
   {
     "uri" : "urn:oid:1.2.36.1.2001.1001.101.104.16592"
   },
@@ -3601,11 +3607,85 @@
   "expansion" : {
     "parameter" : [{
       "name" : "cache-id",
-      "documentation" : "This server supports caching terminology resources between calls. Clients only need to send value sets and codesystems once; there after tehy are automatically in scope for calls with the same cache-id. The cache is retained for 30 min from last call"
+      "documentation" : "This server supports caching terminology resources between calls. Clients only need to send value sets and codesystems once; there after they are automatically in scope for calls with the same cache-id. The cache is retained for 30 min from last call"
     },
     {
       "name" : "tx-resource",
       "documentation" : "Additional valuesets needed for evaluation e.g. value sets referred to from the import statement of the value set being expanded"
+    },
+    {
+      "name" : "_incomplete"
+    },
+    {
+      "name" : "abstract"
+    },
+    {
+      "name" : "activeOnly"
+    },
+    {
+      "name" : "check-system-version"
+    },
+    {
+      "name" : "count"
+    },
+    {
+      "name" : "default-to-latest-version"
+    },
+    {
+      "name" : "displayLanguage"
+    },
+    {
+      "name" : "excludeNested"
+    },
+    {
+      "name" : "excludeNotForUI"
+    },
+    {
+      "name" : "excludePostCoordinated"
+    },
+    {
+      "name" : "force-system-version"
+    },
+    {
+      "name" : "inactive"
+    },
+    {
+      "name" : "includeAlternateCodes"
+    },
+    {
+      "name" : "includeDefinition"
+    },
+    {
+      "name" : "includeDesignations"
+    },
+    {
+      "name" : "incomplete-ok"
+    },
+    {
+      "name" : "limitedExpansion"
+    },
+    {
+      "name" : "mode",
+      "documentation" : "=lenient-display-validation"
+    },
+    {
+      "name" : "no-cache"
+    },
+    {
+      "name" : "offset"
+    },
+    {
+      "name" : "profile"
+    },
+    {
+      "name" : "property"
+    },
+    {
+      "name" : "system-version"
+    },
+    {
+      "name" : "valueSetMode",
+      "documentation" : "= CHECK_MEMBERSHIP_ONLY | NO_MEMBERSHIP_CHECK"
     }]
   }
 }

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

@@ -8,11 +8,11 @@
       "display" : "Subsetted"
     }]
   },
-  "url" : "http://tx.fhir.org/r4/metadata",
-  "version" : "4.0.1-2.1.0",
+  "url" : "http://tx-dev.fhir.org/r4/metadata",
+  "version" : "4.0.1-3.0.0",
   "name" : "FHIR Reference Server Conformance Statement",
   "status" : "active",
-  "date" : "2023-05-17T01:01:47.498Z",
+  "date" : "2023-08-28T13:43:12.104Z",
   "contact" : [{
     "telecom" : [{
       "system" : "other",
@@ -23,12 +23,12 @@
   "instantiates" : ["http://hl7.org/fhir/CapabilityStatement/terminology-server"],
   "software" : {
     "name" : "Reference Server",
-    "version" : "2.1.0",
-    "releaseDate" : "2022-05-13T19:50:55.040Z"
+    "version" : "3.0.0",
+    "releaseDate" : "2023-06-19T19:50:55.040Z"
   },
   "implementation" : {
-    "description" : "FHIR Server running at http://tx.fhir.org/r4",
-    "url" : "http://tx.fhir.org/r4"
+    "description" : "FHIR Server running at http://tx-dev.fhir.org/r4",
+    "url" : "http://tx-dev.fhir.org/r4"
   },
   "fhirVersion" : "4.0.1",
   "format" : ["application/fhir+xml",
@@ -60,7 +60,7 @@
     },
     {
       "name" : "versions",
-      "definition" : "http://tx.fhir.org/r4/OperationDefinition/fso-versions"
+      "definition" : "http://tx-dev.fhir.org/r4/OperationDefinition/fso-versions"
     }]
   }]
 }

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

@@ -1,11 +1,11 @@
 {
   "resourceType" : "TerminologyCapabilities",
   "id" : "FhirServer",
-  "url" : "http://tx.fhir.org/r4/metadata",
+  "url" : "http://tx-dev.fhir.org/r4/metadata",
   "version" : "2.0.0",
   "name" : "FHIR Reference Server Teminology Capability Statement",
   "status" : "active",
-  "date" : "2023-05-17T01:01:47.732Z",
+  "date" : "2023-08-28T13:43:12.307Z",
   "contact" : [{
     "telecom" : [{
       "system" : "other",
@@ -28,6 +28,9 @@
   {
     "uri" : "http://fdasis.nlm.nih.gov"
   },
+  {
+    "uri" : "http://fhir.ohdsi.org/CodeSystem/concepts"
+  },
   {
     "uri" : "http://healthit.gov/nhin/purposeofuse"
   },
@@ -3544,6 +3547,9 @@
   {
     "uri" : "http://www.ada.org/snodent"
   },
+  {
+    "uri" : "http://www.ama-assn.org/go/cpt"
+  },
   {
     "uri" : "http://www.nlm.nih.gov/research/umls/rxnorm"
   },
@@ -3601,11 +3607,85 @@
   "expansion" : {
     "parameter" : [{
       "name" : "cache-id",
-      "documentation" : "This server supports caching terminology resources between calls. Clients only need to send value sets and codesystems once; there after tehy are automatically in scope for calls with the same cache-id. The cache is retained for 30 min from last call"
+      "documentation" : "This server supports caching terminology resources between calls. Clients only need to send value sets and codesystems once; there after they are automatically in scope for calls with the same cache-id. The cache is retained for 30 min from last call"
     },
     {
       "name" : "tx-resource",
       "documentation" : "Additional valuesets needed for evaluation e.g. value sets referred to from the import statement of the value set being expanded"
+    },
+    {
+      "name" : "_incomplete"
+    },
+    {
+      "name" : "abstract"
+    },
+    {
+      "name" : "activeOnly"
+    },
+    {
+      "name" : "check-system-version"
+    },
+    {
+      "name" : "count"
+    },
+    {
+      "name" : "default-to-latest-version"
+    },
+    {
+      "name" : "displayLanguage"
+    },
+    {
+      "name" : "excludeNested"
+    },
+    {
+      "name" : "excludeNotForUI"
+    },
+    {
+      "name" : "excludePostCoordinated"
+    },
+    {
+      "name" : "force-system-version"
+    },
+    {
+      "name" : "inactive"
+    },
+    {
+      "name" : "includeAlternateCodes"
+    },
+    {
+      "name" : "includeDefinition"
+    },
+    {
+      "name" : "includeDesignations"
+    },
+    {
+      "name" : "incomplete-ok"
+    },
+    {
+      "name" : "limitedExpansion"
+    },
+    {
+      "name" : "mode",
+      "documentation" : "=lenient-display-validation"
+    },
+    {
+      "name" : "no-cache"
+    },
+    {
+      "name" : "offset"
+    },
+    {
+      "name" : "profile"
+    },
+    {
+      "name" : "property"
+    },
+    {
+      "name" : "system-version"
+    },
+    {
+      "name" : "valueSetMode",
+      "documentation" : "= CHECK_MEMBERSHIP_ONLY | NO_MEMBERSHIP_CHECK"
     }]
   }
 }

org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/5.0.0/all-systems.cache

@@ -1,7 +1,7 @@
 -------------------------------------------------------------------------------------
 {"code" : {
   "code" : "fr-CA"
-}, "url": "http://hl7.org/fhir/ValueSet/languages", "version": "5.0.0", "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"true", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"true", "profile": {
+}, "url": "http://hl7.org/fhir/ValueSet/languages", "version": "5.0.0", "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"true", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"true", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -11,14 +11,18 @@
 v: {
   "display" : "French (Canada)",
   "code" : "fr-CA",
-  "system" : "urn:ietf:bcp:47"
+  "system" : "urn:ietf:bcp:47",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://snomed.info/sct",
   "code" : "439401001",
   "display" : "Diagnosis"
-}, "url": "http://hl7.org/fhir/ValueSet/condition-category", "version": "5.0.0", "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"NO_MEMBERSHIP_CHECK", "displayWarningMode":"false", "versionFlexible":"true", "profile": {
+}, "url": "http://hl7.org/fhir/ValueSet/condition-category", "version": "5.0.0", "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"NO_MEMBERSHIP_CHECK", "displayWarningMode":"false", "versionFlexible":"true", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -29,12 +33,16 @@ v: {
   "display" : "Diagnosis (observable entity)",
   "code" : "439401001",
   "system" : "http://snomed.info/sct",
-  "version" : "http://snomed.info/sct/900000000000207008/version/20230131"
+  "version" : "http://snomed.info/sct/900000000000207008/version/20230731",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "code" : "d"
-}, "url": "http://hl7.org/fhir/ValueSet/units-of-time", "version": "5.0.0", "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"true", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"true", "profile": {
+}, "url": "http://hl7.org/fhir/ValueSet/units-of-time", "version": "5.0.0", "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"true", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"true", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -45,12 +53,16 @@ v: {
   "display" : "day",
   "code" : "d",
   "system" : "http://unitsofmeasure.org",
-  "version" : "2.0.1"
+  "version" : "2.0.1",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "code" : "text/plain"
-}, "url": "http://hl7.org/fhir/ValueSet/mimetypes", "version": "5.0.0", "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"true", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "url": "http://hl7.org/fhir/ValueSet/mimetypes", "version": "5.0.0", "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"true", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -60,14 +72,19 @@ v: {
 v: {
   "display" : "text/plain",
   "code" : "text/plain",
-  "system" : "urn:ietf:bcp:13"
+  "system" : "urn:ietf:bcp:13",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://snomed.info/sct",
   "code" : "271649006",
   "display" : "Systolic blood pressure"
-}, "url": "http://hl7.org/fhir/ValueSet/observation-vitalsignresult", "version": "5.0.0", "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"NO_MEMBERSHIP_CHECK", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "url": "http://hl7.org/fhir/ValueSet/observation-vitalsignresult", "version": "5.0.0", "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"NO_MEMBERSHIP_CHECK", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -78,74 +95,17 @@ v: {
   "display" : "Systolic blood pressure",
   "code" : "271649006",
   "system" : "http://snomed.info/sct",
-  "version" : "http://snomed.info/sct/900000000000207008/version/20230131"
+  "version" : "http://snomed.info/sct/900000000000207008/version/20230731",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
 }
--------------------------------------------------------------------------------------
-{"code" : {
-  "code" : "nl-NL"
-}, "url": "http://hl7.org/fhir/ValueSet/all-languages", "version": "5.0.0", "langs":"[nl-NL]", "useServer":"true", "useClient":"true", "guessSystem":"true", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
-  "resourceType" : "Parameters",
-  "parameter" : [{
-    "name" : "profile-url",
-    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
-  }]
-}}####
-v: {
-  "display" : "Dutch (Region=Netherlands)",
-  "code" : "nl-NL",
-  "system" : "urn:ietf:bcp:47"
-}
--------------------------------------------------------------------------------------
-{"code" : {
-  "code" : "en-AU"
-}, "url": "http://hl7.org/fhir/ValueSet/all-languages", "version": "5.0.0", "langs":"[en-AU]", "useServer":"true", "useClient":"true", "guessSystem":"true", "valueSetMode":"ALL_CHECKS", "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 (Region=Australia)",
-  "code" : "en-AU",
-  "system" : "urn:ietf:bcp:47"
-}
--------------------------------------------------------------------------------------
-{"code" : {
-  "code" : "en"
-}, "url": "http://hl7.org/fhir/ValueSet/languages", "version": "5.0.0", "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"true", "valueSetMode":"ALL_CHECKS", "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"
-}
--------------------------------------------------------------------------------------
-{"code" : {
-  "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
-  "code" : "001",
-  "display" : "World"
-}, "url": "http://hl7.org/fhir/ValueSet/jurisdiction", "version": "5.0.0", "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"NO_MEMBERSHIP_CHECK", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
-  "resourceType" : "Parameters",
-  "parameter" : [{
-    "name" : "profile-url",
-    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
-  }]
-}}####
-v: {
-  "display" : "World",
-  "code" : "001",
-  "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm"
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "code" : "json"
-}, "url": "http://hl7.org/fhir/ValueSet/mimetypes", "version": "5.0.0", "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"true", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "url": "http://hl7.org/fhir/ValueSet/mimetypes", "version": "5.0.0", "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"true", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -155,13 +115,18 @@ v: {
 v: {
   "display" : "json",
   "code" : "json",
-  "system" : "urn:ietf:bcp:13"
+  "system" : "urn:ietf:bcp:13",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
   "code" : "001"
-}, "url": "http://hl7.org/fhir/ValueSet/jurisdiction", "version": "5.0.0", "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"NO_MEMBERSHIP_CHECK", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "url": "http://hl7.org/fhir/ValueSet/jurisdiction", "version": "5.0.0", "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"NO_MEMBERSHIP_CHECK", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -171,6 +136,91 @@ v: {
 v: {
   "display" : "World",
   "code" : "001",
-  "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm"
+  "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "code" : "nl-NL"
+}, "url": "http://hl7.org/fhir/ValueSet/all-languages", "version": "5.0.0", "langs":"nl-NL", "useServer":"true", "useClient":"true", "guessSystem":"true", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "code" : "nl-NL",
+  "system" : "urn:ietf:bcp:47",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "code" : "en-AU"
+}, "url": "http://hl7.org/fhir/ValueSet/all-languages", "version": "5.0.0", "langs":"en-AU", "useServer":"true", "useClient":"true", "guessSystem":"true", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "code" : "en-AU",
+  "system" : "urn:ietf:bcp:47",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "code" : "en"
+}, "url": "http://hl7.org/fhir/ValueSet/languages", "version": "5.0.0", "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"true", "valueSetMode":"ALL_CHECKS", "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",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
+  "code" : "001",
+  "display" : "World"
+}, "url": "http://hl7.org/fhir/ValueSet/jurisdiction", "version": "5.0.0", "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"NO_MEMBERSHIP_CHECK", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "display" : "World",
+  "code" : "001",
+  "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------

org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/5.0.0/animal-species.cache

@@ -3,7 +3,7 @@
   "system" : "http://hl7.org/fhir/animal-species",
   "code" : "canislf",
   "display" : "Dog"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -14,6 +14,11 @@ v: {
   "display" : "Dog",
   "code" : "canislf",
   "system" : "http://hl7.org/fhir/animal-species",
-  "version" : "4.0.1"
+  "version" : "4.0.1",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------

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

@@ -3,7 +3,7 @@
   "system" : "http://dicom.nema.org/resources/ontology/DCM",
   "code" : "110122",
   "display" : "Login"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -14,6 +14,11 @@ v: {
   "display" : "Login",
   "code" : "110122",
   "system" : "http://dicom.nema.org/resources/ontology/DCM",
-  "version" : "2023.1.20230123"
+  "version" : "2023.1.20230123",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------

org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/5.0.0/http___unstats.un.org_unsd_methods_m49_m49.htm.cache

@@ -2,7 +2,7 @@
 {"code" : {
   "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
   "code" : "001"
-}, "url": "http://hl7.org/fhir/ValueSet/jurisdiction--2", "version": "5.0.0", "langs":"[en]", "useServer":"true", "useClient":"false", "guessSystem":"false", "valueSetMode":"CHECK_MEMERSHIP_ONLY", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "url": "http://hl7.org/fhir/ValueSet/jurisdiction--2", "version": "5.0.0", "langs":"", "useServer":"true", "useClient":"false", "guessSystem":"false", "valueSetMode":"CHECK_MEMERSHIP_ONLY", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -12,13 +12,18 @@
 v: {
   "display" : "World",
   "code" : "001",
-  "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm"
+  "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
   "code" : "001"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -28,6 +33,11 @@ v: {
 v: {
   "display" : "World",
   "code" : "001",
-  "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm"
+  "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------

org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/5.0.0/http___www.whocc.no_atc.cache

@@ -3,7 +3,7 @@
   "system" : "http://www.whocc.no/atc",
   "code" : "N02AA",
   "display" : "Barbiturates and derivatives"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -13,6 +13,11 @@
 v: {
   "severity" : "error",
   "error" : "Wrong Display Name 'Barbiturates and derivatives' for http://www.whocc.no/atc#N02AA - should be 'Natural opium alkaloids' (for the language(s) '--') (from Tx-Server)",
-  "class" : "UNKNOWN"
+  "class" : "UNKNOWN",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------

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

@@ -2,7 +2,7 @@
 {"code" : {
   "system" : "urn:ietf:bcp:47",
   "code" : "fr-CA"
-}, "url": "http://hl7.org/fhir/ValueSet/all-languages--0", "version": "5.0.0", "langs":"[en]", "useServer":"true", "useClient":"false", "guessSystem":"false", "valueSetMode":"CHECK_MEMERSHIP_ONLY", "displayWarningMode":"false", "versionFlexible":"true", "profile": {
+}, "url": "http://hl7.org/fhir/ValueSet/all-languages--0", "version": "5.0.0", "langs":"", "useServer":"true", "useClient":"false", "guessSystem":"false", "valueSetMode":"CHECK_MEMERSHIP_ONLY", "displayWarningMode":"false", "versionFlexible":"true", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -12,13 +12,18 @@
 v: {
   "display" : "French (Region=Canada)",
   "code" : "fr-CA",
-  "system" : "urn:ietf:bcp:47"
+  "system" : "urn:ietf:bcp:47",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "urn:ietf:bcp:47",
   "code" : "fr-CA"
-}, "url": "http://hl7.org/fhir/ValueSet/all-languages", "version": "5.0.0", "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"NO_MEMBERSHIP_CHECK", "displayWarningMode":"false", "versionFlexible":"true", "profile": {
+}, "url": "http://hl7.org/fhir/ValueSet/all-languages", "version": "5.0.0", "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"NO_MEMBERSHIP_CHECK", "displayWarningMode":"false", "versionFlexible":"true", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -28,13 +33,18 @@ v: {
 v: {
   "display" : "French (Region=Canada)",
   "code" : "fr-CA",
-  "system" : "urn:ietf:bcp:47"
+  "system" : "urn:ietf:bcp:47",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "urn:ietf:bcp:47",
   "code" : "fr-CA"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"true", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"true", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -44,6 +54,11 @@ v: {
 v: {
   "display" : "French (Region=Canada)",
   "code" : "fr-CA",
-  "system" : "urn:ietf:bcp:47"
+  "system" : "urn:ietf:bcp:47",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------

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

@@ -3,7 +3,7 @@
   "system" : "http://loinc.org",
   "code" : "29463-7",
   "display" : "Body Weight"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"true", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"true", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -14,14 +14,18 @@ v: {
   "display" : "Body weight",
   "code" : "29463-7",
   "system" : "http://loinc.org",
-  "version" : "2.74"
+  "version" : "2.74",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://loinc.org",
   "code" : "3141-9",
   "display" : "Body weight Measured"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"true", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"true", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -32,14 +36,18 @@ v: {
   "display" : "Body weight Measured",
   "code" : "3141-9",
   "system" : "http://loinc.org",
-  "version" : "2.74"
+  "version" : "2.74",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://loinc.org",
   "code" : "LA6724-4",
   "display" : "Good color all over"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"true", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"true", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -50,14 +58,18 @@ v: {
   "display" : "Good color all over",
   "code" : "LA6724-4",
   "system" : "http://loinc.org",
-  "version" : "2.74"
+  "version" : "2.74",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://loinc.org",
   "code" : "LA6718-6",
   "display" : "At least 100 beats per minute"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"true", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"true", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -68,14 +80,18 @@ v: {
   "display" : "At least 100 beats per minute",
   "code" : "LA6718-6",
   "system" : "http://loinc.org",
-  "version" : "2.74"
+  "version" : "2.74",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://loinc.org",
   "code" : "LA6721-0",
   "display" : "Grimace and pulling away, cough, or sneeze during suctioning"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"true", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"true", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -86,14 +102,18 @@ v: {
   "display" : "Grimace and pulling away, cough, or sneeze during suctioning",
   "code" : "LA6721-0",
   "system" : "http://loinc.org",
-  "version" : "2.74"
+  "version" : "2.74",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://loinc.org",
   "code" : "LA6715-2",
   "display" : "Active motion "
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"true", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"true", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -102,15 +122,19 @@ v: {
 }}####
 v: {
   "severity" : "error",
-  "error" : "Wrong Display Name 'Active motion ' for http://loinc.org#LA6715-2 - should be 'Active motion' (for the language(s) '--') (from Tx-Server)",
-  "class" : "UNKNOWN"
+  "error" : "Wrong whitespace in Display Name 'Active motion ' for http://loinc.org#LA6715-2 - should be 'Active motion' (for the language(s) '--') (from Tx-Server)",
+  "class" : "UNKNOWN",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://loinc.org",
   "code" : "LA6727-7",
   "display" : "Good, strong cry; normal rate and effort of breathing    "
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"true", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"true", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -119,15 +143,19 @@ v: {
 }}####
 v: {
   "severity" : "error",
-  "error" : "Wrong Display Name 'Good, strong cry; normal rate and effort of breathing    ' for http://loinc.org#LA6727-7 - should be 'Good, strong cry; normal rate and effort of breathing' (for the language(s) '--') (from Tx-Server)",
-  "class" : "UNKNOWN"
+  "error" : "Wrong whitespace in Display Name 'Good, strong cry; normal rate and effort of breathing    ' for http://loinc.org#LA6727-7 - should be 'Good, strong cry; normal rate and effort of breathing' (for the language(s) '--') (from Tx-Server)",
+  "class" : "UNKNOWN",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://loinc.org",
   "code" : "85354-9",
   "display" : "Blood pressure panel with all children optional"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -138,14 +166,19 @@ v: {
   "display" : "Blood pressure panel with all children optional",
   "code" : "85354-9",
   "system" : "http://loinc.org",
-  "version" : "2.74"
+  "version" : "2.74",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://loinc.org",
   "code" : "8480-6",
   "display" : "Systolic blood pressure"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -156,14 +189,19 @@ v: {
   "display" : "Systolic blood pressure",
   "code" : "8480-6",
   "system" : "http://loinc.org",
-  "version" : "2.74"
+  "version" : "2.74",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://loinc.org",
   "code" : "8462-4",
   "display" : "Diastolic blood pressure"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -174,13 +212,18 @@ v: {
   "display" : "Diastolic blood pressure",
   "code" : "8462-4",
   "system" : "http://loinc.org",
-  "version" : "2.74"
+  "version" : "2.74",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://loinc.org",
   "code" : "85354-9"
-}, "url": "http://hl7.org/fhir/ValueSet/observation-vitalsignresult--0", "version": "5.0.0", "langs":"[en]", "useServer":"true", "useClient":"false", "guessSystem":"false", "valueSetMode":"CHECK_MEMERSHIP_ONLY", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "url": "http://hl7.org/fhir/ValueSet/observation-vitalsignresult--0", "version": "5.0.0", "langs":"", "useServer":"true", "useClient":"false", "guessSystem":"false", "valueSetMode":"CHECK_MEMERSHIP_ONLY", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -191,14 +234,19 @@ v: {
   "display" : "Blood pressure panel with all children optional",
   "code" : "85354-9",
   "system" : "http://loinc.org",
-  "version" : "2.74"
+  "version" : "2.74",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://loinc.org",
   "code" : "85354-9",
   "display" : "Blood pressure panel with all children optional"
-}, "url": "http://hl7.org/fhir/ValueSet/observation-vitalsignresult", "version": "5.0.0", "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"NO_MEMBERSHIP_CHECK", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "url": "http://hl7.org/fhir/ValueSet/observation-vitalsignresult", "version": "5.0.0", "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"NO_MEMBERSHIP_CHECK", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -209,13 +257,18 @@ v: {
   "display" : "Blood pressure panel with all children optional",
   "code" : "85354-9",
   "system" : "http://loinc.org",
-  "version" : "2.74"
+  "version" : "2.74",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://loinc.org",
   "code" : "85354-9"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -226,13 +279,18 @@ v: {
   "display" : "Blood pressure panel with all children optional",
   "code" : "85354-9",
   "system" : "http://loinc.org",
-  "version" : "2.74"
+  "version" : "2.74",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://loinc.org",
   "code" : "8480-6"
-}, "url": "http://hl7.org/fhir/ValueSet/observation-vitalsignresult--0", "version": "5.0.0", "langs":"[en]", "useServer":"true", "useClient":"false", "guessSystem":"false", "valueSetMode":"CHECK_MEMERSHIP_ONLY", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "url": "http://hl7.org/fhir/ValueSet/observation-vitalsignresult--0", "version": "5.0.0", "langs":"", "useServer":"true", "useClient":"false", "guessSystem":"false", "valueSetMode":"CHECK_MEMERSHIP_ONLY", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -243,14 +301,19 @@ v: {
   "display" : "Systolic blood pressure",
   "code" : "8480-6",
   "system" : "http://loinc.org",
-  "version" : "2.74"
+  "version" : "2.74",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://loinc.org",
   "code" : "8480-6",
   "display" : "Systolic blood pressure"
-}, "url": "http://hl7.org/fhir/ValueSet/observation-vitalsignresult", "version": "5.0.0", "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"NO_MEMBERSHIP_CHECK", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "url": "http://hl7.org/fhir/ValueSet/observation-vitalsignresult", "version": "5.0.0", "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"NO_MEMBERSHIP_CHECK", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -261,13 +324,18 @@ v: {
   "display" : "Systolic blood pressure",
   "code" : "8480-6",
   "system" : "http://loinc.org",
-  "version" : "2.74"
+  "version" : "2.74",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://loinc.org",
   "code" : "8480-6"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -278,13 +346,18 @@ v: {
   "display" : "Systolic blood pressure",
   "code" : "8480-6",
   "system" : "http://loinc.org",
-  "version" : "2.74"
+  "version" : "2.74",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://loinc.org",
   "code" : "8462-4"
-}, "url": "http://hl7.org/fhir/ValueSet/observation-vitalsignresult--0", "version": "5.0.0", "langs":"[en]", "useServer":"true", "useClient":"false", "guessSystem":"false", "valueSetMode":"CHECK_MEMERSHIP_ONLY", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "url": "http://hl7.org/fhir/ValueSet/observation-vitalsignresult--0", "version": "5.0.0", "langs":"", "useServer":"true", "useClient":"false", "guessSystem":"false", "valueSetMode":"CHECK_MEMERSHIP_ONLY", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -295,14 +368,19 @@ v: {
   "display" : "Diastolic blood pressure",
   "code" : "8462-4",
   "system" : "http://loinc.org",
-  "version" : "2.74"
+  "version" : "2.74",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://loinc.org",
   "code" : "8462-4",
   "display" : "Diastolic blood pressure"
-}, "url": "http://hl7.org/fhir/ValueSet/observation-vitalsignresult", "version": "5.0.0", "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"NO_MEMBERSHIP_CHECK", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "url": "http://hl7.org/fhir/ValueSet/observation-vitalsignresult", "version": "5.0.0", "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"NO_MEMBERSHIP_CHECK", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -313,13 +391,18 @@ v: {
   "display" : "Diastolic blood pressure",
   "code" : "8462-4",
   "system" : "http://loinc.org",
-  "version" : "2.74"
+  "version" : "2.74",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://loinc.org",
   "code" : "8462-4"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -330,13 +413,18 @@ v: {
   "display" : "Diastolic blood pressure",
   "code" : "8462-4",
   "system" : "http://loinc.org",
-  "version" : "2.74"
+  "version" : "2.74",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://loinc.org",
   "code" : "56445-0"
-}, "url": "http://hl7.org/fhir/ValueSet/doc-typecodes--0", "version": "5.0.0", "langs":"[en]", "useServer":"true", "useClient":"false", "guessSystem":"false", "valueSetMode":"CHECK_MEMERSHIP_ONLY", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "url": "http://hl7.org/fhir/ValueSet/doc-typecodes--0", "version": "5.0.0", "langs":"", "useServer":"true", "useClient":"false", "guessSystem":"false", "valueSetMode":"CHECK_MEMERSHIP_ONLY", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -347,7 +435,12 @@ v: {
   "display" : "Medication summary Document",
   "code" : "56445-0",
   "system" : "http://loinc.org",
-  "version" : "2.74"
+  "version" : "2.74",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
@@ -355,7 +448,7 @@ v: {
   "version" : "2.74",
   "code" : "56445-0",
   "display" : "Medication summary Doc"
-}, "url": "http://hl7.org/fhir/ValueSet/doc-typecodes", "version": "5.0.0", "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"NO_MEMBERSHIP_CHECK", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "url": "http://hl7.org/fhir/ValueSet/doc-typecodes", "version": "5.0.0", "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"NO_MEMBERSHIP_CHECK", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -366,14 +459,19 @@ v: {
   "display" : "Medication summary Document",
   "code" : "56445-0",
   "system" : "http://loinc.org",
-  "version" : "2.74"
+  "version" : "2.74",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "code" : "56445-0"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -384,7 +482,12 @@ v: {
   "display" : "Medication summary Document",
   "code" : "56445-0",
   "system" : "http://loinc.org",
-  "version" : "2.74"
+  "version" : "2.74",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
@@ -392,7 +495,7 @@ v: {
   "version" : "2.74",
   "code" : "48765-2",
   "display" : "Allergies and adverse reactions"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -401,14 +504,19 @@ v: {
 }}####
 v: {
   "severity" : "error",
-  "error" : "Wrong Display Name 'Allergies and adverse reactions' for http://loinc.org#48765-2 - should be one of 28 choices: 'Allergies and adverse reactions Document, \"Allergies &or adverse reactions Doc\", \"临床文档型\" (zh-CN), \"临床文档\" (zh-CN), \"文档\" (zh-CN), \"文书\" (zh-CN), \"医疗文书\" (zh-CN), \"临床医疗文书 医疗服务对象\" (zh-CN), \"客户\" (zh-CN), \"病人\" (zh-CN), \"病患\" (zh-CN), \"病号\" (zh-CN), \"超系统 - 病人 发现是一个原子型临床观察指标，并不是作为印象的概括陈述。体格检查、病史、系统检查及其他此类观察指标的属性均为发现。它们的标尺对于编码型发现可能是名义型，而对于叙述型文本之中所报告的发现，则可能是叙述型。\" (zh-CN), \"发现物\" (zh-CN), \"所见\" (zh-CN), \"结果\" (zh-CN), \"结论 变态反应与不良反应 文档.其他\" (zh-CN), \"杂项类文档\" (zh-CN), \"其他文档 时刻\" (zh-CN), \"随机\" (zh-CN), \"随意\" (zh-CN), \"瞬间 杂项\" (zh-CN), \"杂项类\" (zh-CN), \"杂项试验 过敏反应\" (zh-CN), \"过敏\" (zh-CN), \"Allergie e reazioni avverse Documentazione miscellanea Miscellanea Osservazione paziente Punto nel tempo (episodio)\" (it-IT), \"Документ Точка во времени\" (ru-RU), \"Момент\" (ru-RU)' for the language(s) '--' (from Tx-Server)",
-  "class" : "UNKNOWN"
+  "error" : "Wrong Display Name 'Allergies and adverse reactions' for http://loinc.org#48765-2 - should be one of 28 choices: 'Allergies and adverse reactions Document', 'Allergies &or adverse reactions Doc', '临床文档型' (zh-CN), '临床文档' (zh-CN), '文档' (zh-CN), '文书' (zh-CN), '医疗文书' (zh-CN), '临床医疗文书 医疗服务对象' (zh-CN), '客户' (zh-CN), '病人' (zh-CN), '病患' (zh-CN), '病号' (zh-CN), '超系统 - 病人 发现是一个原子型临床观察指标，并不是作为印象的概括陈述。体格检查、病史、系统检查及其他此类观察指标的属性均为发现。它们的标尺对于编码型发现可能是名义型，而对于叙述型文本之中所报告的发现，则可能是叙述型。' (zh-CN), '发现物' (zh-CN), '所见' (zh-CN), '结果' (zh-CN), '结论 变态反应与不良反应 文档.其他' (zh-CN), '杂项类文档' (zh-CN), '其他文档 时刻' (zh-CN), '随机' (zh-CN), '随意' (zh-CN), '瞬间 杂项' (zh-CN), '杂项类' (zh-CN), '杂项试验 过敏反应' (zh-CN), '过敏' (zh-CN), 'Allergie e reazioni avverse Documentazione miscellanea Miscellanea Osservazione paziente Punto nel tempo (episodio)' (it-IT), 'Документ Точка во времени' (ru-RU) or 'Момент' (ru-RU) (for the language(s) '--') (from Tx-Server)",
+  "class" : "UNKNOWN",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://loinc.org",
   "code" : "56445-0"
-}, "url": "http://hl7.org/fhir/ValueSet/doc-typecodes--0", "version": "5.0.0", "langs":"[en]", "useServer":"true", "useClient":"false", "guessSystem":"false", "valueSetMode":"CHECK_MEMERSHIP_ONLY", "displayWarningMode":"false", "versionFlexible":"true", "profile": {
+}, "url": "http://hl7.org/fhir/ValueSet/doc-typecodes--0", "version": "5.0.0", "langs":"", "useServer":"true", "useClient":"false", "guessSystem":"false", "valueSetMode":"CHECK_MEMERSHIP_ONLY", "displayWarningMode":"false", "versionFlexible":"true", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -419,7 +527,12 @@ v: {
   "display" : "Medication summary Document",
   "code" : "56445-0",
   "system" : "http://loinc.org",
-  "version" : "2.74"
+  "version" : "2.74",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
@@ -427,7 +540,7 @@ v: {
   "version" : "current",
   "code" : "56445-0",
   "display" : "Medication summary Doc"
-}, "url": "http://hl7.org/fhir/ValueSet/doc-typecodes", "version": "5.0.0", "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"NO_MEMBERSHIP_CHECK", "displayWarningMode":"false", "versionFlexible":"true", "profile": {
+}, "url": "http://hl7.org/fhir/ValueSet/doc-typecodes", "version": "5.0.0", "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"NO_MEMBERSHIP_CHECK", "displayWarningMode":"false", "versionFlexible":"true", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -438,14 +551,19 @@ v: {
   "display" : "Medication summary Document",
   "code" : "56445-0",
   "system" : "http://loinc.org",
-  "version" : "2.74"
+  "version" : "2.74",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://loinc.org",
   "version" : "current",
   "code" : "56445-0"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"true", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"true", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -456,7 +574,12 @@ v: {
   "display" : "Medication summary Document",
   "code" : "56445-0",
   "system" : "http://loinc.org",
-  "version" : "2.74"
+  "version" : "2.74",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
@@ -464,7 +587,7 @@ v: {
   "version" : "current",
   "code" : "48765-2",
   "display" : "Allergies and adverse reactions"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"true", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"true", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -473,15 +596,20 @@ v: {
 }}####
 v: {
   "severity" : "error",
-  "error" : "Wrong Display Name 'Allergies and adverse reactions' for http://loinc.org#48765-2 - should be one of 28 choices: 'Allergies and adverse reactions Document, \"Allergies &or adverse reactions Doc\", \"临床文档型\" (zh-CN), \"临床文档\" (zh-CN), \"文档\" (zh-CN), \"文书\" (zh-CN), \"医疗文书\" (zh-CN), \"临床医疗文书 医疗服务对象\" (zh-CN), \"客户\" (zh-CN), \"病人\" (zh-CN), \"病患\" (zh-CN), \"病号\" (zh-CN), \"超系统 - 病人 发现是一个原子型临床观察指标，并不是作为印象的概括陈述。体格检查、病史、系统检查及其他此类观察指标的属性均为发现。它们的标尺对于编码型发现可能是名义型，而对于叙述型文本之中所报告的发现，则可能是叙述型。\" (zh-CN), \"发现物\" (zh-CN), \"所见\" (zh-CN), \"结果\" (zh-CN), \"结论 变态反应与不良反应 文档.其他\" (zh-CN), \"杂项类文档\" (zh-CN), \"其他文档 时刻\" (zh-CN), \"随机\" (zh-CN), \"随意\" (zh-CN), \"瞬间 杂项\" (zh-CN), \"杂项类\" (zh-CN), \"杂项试验 过敏反应\" (zh-CN), \"过敏\" (zh-CN), \"Allergie e reazioni avverse Documentazione miscellanea Miscellanea Osservazione paziente Punto nel tempo (episodio)\" (it-IT), \"Документ Точка во времени\" (ru-RU), \"Момент\" (ru-RU)' for the language(s) '--' (from Tx-Server)",
-  "class" : "UNKNOWN"
+  "error" : "Wrong Display Name 'Allergies and adverse reactions' for http://loinc.org#48765-2 - should be one of 28 choices: 'Allergies and adverse reactions Document', 'Allergies &or adverse reactions Doc', '临床文档型' (zh-CN), '临床文档' (zh-CN), '文档' (zh-CN), '文书' (zh-CN), '医疗文书' (zh-CN), '临床医疗文书 医疗服务对象' (zh-CN), '客户' (zh-CN), '病人' (zh-CN), '病患' (zh-CN), '病号' (zh-CN), '超系统 - 病人 发现是一个原子型临床观察指标，并不是作为印象的概括陈述。体格检查、病史、系统检查及其他此类观察指标的属性均为发现。它们的标尺对于编码型发现可能是名义型，而对于叙述型文本之中所报告的发现，则可能是叙述型。' (zh-CN), '发现物' (zh-CN), '所见' (zh-CN), '结果' (zh-CN), '结论 变态反应与不良反应 文档.其他' (zh-CN), '杂项类文档' (zh-CN), '其他文档 时刻' (zh-CN), '随机' (zh-CN), '随意' (zh-CN), '瞬间 杂项' (zh-CN), '杂项类' (zh-CN), '杂项试验 过敏反应' (zh-CN), '过敏' (zh-CN), 'Allergie e reazioni avverse Documentazione miscellanea Miscellanea Osservazione paziente Punto nel tempo (episodio)' (it-IT), 'Документ Точка во времени' (ru-RU) or 'Момент' (ru-RU) (for the language(s) '--') (from Tx-Server)",
+  "class" : "UNKNOWN",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://loinc.org",
   "code" : "3151-8",
   "display" : "ingeademde O2"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "valueSet" :null, "langs":"en", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -489,17 +617,21 @@ v: {
   }]
 }}####
 v: {
-  "display" : "Inhaled oxygen flow rate",
-  "code" : "3151-8",
-  "system" : "http://loinc.org",
-  "version" : "2.74"
+  "severity" : "error",
+  "error" : "Wrong Display Name 'ingeademde O2' for http://loinc.org#3151-8 - should be one of 2 choices: 'Inhaled oxygen flow rate' or 'Inhaled O2 flow rate' (for the language(s) 'en') (from Tx-Server)",
+  "class" : "UNKNOWN",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://loinc.org",
   "code" : "3151-8",
   "display" : "ingeademde O2"
-}, "valueSet" :null, "langs":"[nl-NL]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "valueSet" :null, "langs":"nl-NL", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -507,17 +639,22 @@ v: {
   }]
 }}####
 v: {
-  "display" : "Inhaled oxygen flow rate",
+  "display" : "ingeademde O2",
   "code" : "3151-8",
   "system" : "http://loinc.org",
-  "version" : "2.74"
+  "version" : "2.74",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://loinc.org",
   "code" : "35200-5",
   "display" : "Cholesterol [Moles/​volume] in Serum or Plasma"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -526,15 +663,20 @@ v: {
 }}####
 v: {
   "severity" : "error",
-  "error" : "Wrong Display Name 'Cholesterol [Moles/​volume] in Serum or Plasma' for http://loinc.org#35200-5 - should be one of 50 choices: 'Cholesterol [Mass or Moles/volume] in Serum or Plasma, \"Cholest SerPl-msCnc\", \"化学\" (zh-CN), \"化学检验项目\" (zh-CN), \"化学检验项目类\" (zh-CN), \"化学类\" (zh-CN), \"化学试验\" (zh-CN), \"非刺激耐受型化学检验项目\" (zh-CN), \"非刺激耐受型化学检验项目类\" (zh-CN), \"非刺激耐受型化学试验\" (zh-CN), \"非刺激耐受型化学试验类 可用数量表示的\" (zh-CN), \"定量性\" (zh-CN), \"数值型\" (zh-CN), \"数量型\" (zh-CN), \"连续数值型标尺 总胆固醇\" (zh-CN), \"胆固醇总计\" (zh-CN), \"胆甾醇\" (zh-CN), \"脂类\" (zh-CN), \"脂质 时刻\" (zh-CN), \"随机\" (zh-CN), \"随意\" (zh-CN), \"瞬间 血清或血浆 质量或摩尔浓度\" (zh-CN), \"质量或摩尔浓度(单位体积)\" (zh-CN), \"质量或物质的量浓度(单位体积)\" (zh-CN), \"Juhuslik Kvantitatiivne Plasma Seerum Seerum või plasma\" (et-EE), \"Cholest\" (pt-BR), \"Chol\" (pt-BR), \"Choles\" (pt-BR), \"Lipid\" (pt-BR), \"Cholesterol total\" (pt-BR), \"Cholesterols\" (pt-BR), \"Level\" (pt-BR), \"Point in time\" (pt-BR), \"Random\" (pt-BR), \"SerPl\" (pt-BR), \"SerPlas\" (pt-BR), \"SerP\" (pt-BR), \"Serum\" (pt-BR), \"SR\" (pt-BR), \"Plasma\" (pt-BR), \"Pl\" (pt-BR), \"Plsm\" (pt-BR), \"Quantitative\" (pt-BR), \"QNT\" (pt-BR), \"Quant\" (pt-BR), \"Quan\" (pt-BR), \"Chemistry\" (pt-BR), \"Chimica Concentrazione Sostanza o Massa Plasma Punto nel tempo (episodio) Siero Siero o Plasma\" (it-IT), \"Количественный Массовая или Молярная Концентрация Плазма Сыворотка Сыворотка или Плазма Точка во времени\" (ru-RU), \"Момент Холестерин\" (ru-RU)' for the language(s) '--' (from Tx-Server)",
-  "class" : "UNKNOWN"
+  "error" : "Wrong Display Name 'Cholesterol [Moles/​volume] in Serum or Plasma' for http://loinc.org#35200-5 - should be one of 50 choices: 'Cholesterol [Mass or Moles/volume] in Serum or Plasma', 'Cholest SerPl-msCnc', '化学' (zh-CN), '化学检验项目' (zh-CN), '化学检验项目类' (zh-CN), '化学类' (zh-CN), '化学试验' (zh-CN), '非刺激耐受型化学检验项目' (zh-CN), '非刺激耐受型化学检验项目类' (zh-CN), '非刺激耐受型化学试验' (zh-CN), '非刺激耐受型化学试验类 可用数量表示的' (zh-CN), '定量性' (zh-CN), '数值型' (zh-CN), '数量型' (zh-CN), '连续数值型标尺 总胆固醇' (zh-CN), '胆固醇总计' (zh-CN), '胆甾醇' (zh-CN), '脂类' (zh-CN), '脂质 时刻' (zh-CN), '随机' (zh-CN), '随意' (zh-CN), '瞬间 血清或血浆 质量或摩尔浓度' (zh-CN), '质量或摩尔浓度(单位体积)' (zh-CN), '质量或物质的量浓度(单位体积)' (zh-CN), 'Juhuslik Kvantitatiivne Plasma Seerum Seerum või plasma' (et-EE), 'Cholest' (pt-BR), 'Chol' (pt-BR), 'Choles' (pt-BR), 'Lipid' (pt-BR), 'Cholesterol total' (pt-BR), 'Cholesterols' (pt-BR), 'Level' (pt-BR), 'Point in time' (pt-BR), 'Random' (pt-BR), 'SerPl' (pt-BR), 'SerPlas' (pt-BR), 'SerP' (pt-BR), 'Serum' (pt-BR), 'SR' (pt-BR), 'Plasma' (pt-BR), 'Pl' (pt-BR), 'Plsm' (pt-BR), 'Quantitative' (pt-BR), 'QNT' (pt-BR), 'Quant' (pt-BR), 'Quan' (pt-BR), 'Chemistry' (pt-BR), 'Chimica Concentrazione Sostanza o Massa Plasma Punto nel tempo (episodio) Siero Siero o Plasma' (it-IT), 'Количественный Массовая или Молярная Концентрация Плазма Сыворотка Сыворотка или Плазма Точка во времени' (ru-RU) or 'Момент Холестерин' (ru-RU) (for the language(s) '--') (from Tx-Server)",
+  "class" : "UNKNOWN",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://loinc.org",
   "code" : "13457-7",
   "display" : "Cholesterol in LDL [Mass/volume] in Serum or Plasma by calculation"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -545,14 +687,19 @@ v: {
   "display" : "Cholesterol in LDL [Mass/volume] in Serum or Plasma by calculation",
   "code" : "13457-7",
   "system" : "http://loinc.org",
-  "version" : "2.74"
+  "version" : "2.74",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://loinc.org",
   "code" : "29463-7",
   "display" : "Body Weight"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -563,14 +710,19 @@ v: {
   "display" : "Body weight",
   "code" : "29463-7",
   "system" : "http://loinc.org",
-  "version" : "2.74"
+  "version" : "2.74",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://loinc.org",
   "code" : "29463-7",
   "display" : "Body Weight"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"false", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"false", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -581,14 +733,19 @@ v: {
   "display" : "Body weight",
   "code" : "29463-7",
   "system" : "http://loinc.org",
-  "version" : "2.74"
+  "version" : "2.74",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://loinc.org",
   "code" : "35200-5",
   "display" : "Cholest SerPl-msCnc"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -599,14 +756,19 @@ v: {
   "display" : "Cholesterol [Mass or Moles/volume] in Serum or Plasma",
   "code" : "35200-5",
   "system" : "http://loinc.org",
-  "version" : "2.74"
+  "version" : "2.74",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://loinc.org",
   "code" : "35217-9",
   "display" : "Triglyceride [Moles/​volume] in Serum or Plasma"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -615,7 +777,12 @@ v: {
 }}####
 v: {
   "severity" : "error",
-  "error" : "Wrong Display Name 'Triglyceride [Moles/​volume] in Serum or Plasma' for http://loinc.org#35217-9 - should be one of 50 choices: 'Triglyceride [Mass or Moles/volume] in Serum or Plasma, \"Trigl SerPl-msCnc\", \"TG\" (zh-CN), \"Trigly\" (zh-CN), \"甘油三脂\" (zh-CN), \"甘油三酸酯\" (zh-CN), \"三酸甘油酯\" (zh-CN), \"甘油三酸脂\" (zh-CN), \"三酸甘油脂 化学\" (zh-CN), \"化学检验项目\" (zh-CN), \"化学检验项目类\" (zh-CN), \"化学类\" (zh-CN), \"化学试验\" (zh-CN), \"非刺激耐受型化学检验项目\" (zh-CN), \"非刺激耐受型化学检验项目类\" (zh-CN), \"非刺激耐受型化学试验\" (zh-CN), \"非刺激耐受型化学试验类 可用数量表示的\" (zh-CN), \"定量性\" (zh-CN), \"数值型\" (zh-CN), \"数量型\" (zh-CN), \"连续数值型标尺 时刻\" (zh-CN), \"随机\" (zh-CN), \"随意\" (zh-CN), \"瞬间 血清或血浆 质量或摩尔浓度\" (zh-CN), \"质量或摩尔浓度(单位体积)\" (zh-CN), \"质量或物质的量浓度(单位体积)\" (zh-CN), \"Juhuslik Kvantitatiivne Plasma Seerum Seerum või plasma\" (et-EE), \"Trigl\" (pt-BR), \"Triglycrides\" (pt-BR), \"Trig\" (pt-BR), \"Triglycerides\" (pt-BR), \"Level\" (pt-BR), \"Point in time\" (pt-BR), \"Random\" (pt-BR), \"SerPl\" (pt-BR), \"SerPlas\" (pt-BR), \"SerP\" (pt-BR), \"Serum\" (pt-BR), \"SR\" (pt-BR), \"Plasma\" (pt-BR), \"Pl\" (pt-BR), \"Plsm\" (pt-BR), \"Quantitative\" (pt-BR), \"QNT\" (pt-BR), \"Quant\" (pt-BR), \"Quan\" (pt-BR), \"Chemistry\" (pt-BR), \"Chimica Concentrazione Sostanza o Massa Plasma Punto nel tempo (episodio) Siero Siero o Plasma\" (it-IT), \"Количественный Массовая или Молярная Концентрация Плазма Сыворотка Сыворотка или Плазма Точка во времени\" (ru-RU), \"Момент\" (ru-RU)' for the language(s) '--' (from Tx-Server)",
-  "class" : "UNKNOWN"
+  "error" : "Wrong Display Name 'Triglyceride [Moles/​volume] in Serum or Plasma' for http://loinc.org#35217-9 - should be one of 50 choices: 'Triglyceride [Mass or Moles/volume] in Serum or Plasma', 'Trigl SerPl-msCnc', 'TG' (zh-CN), 'Trigly' (zh-CN), '甘油三脂' (zh-CN), '甘油三酸酯' (zh-CN), '三酸甘油酯' (zh-CN), '甘油三酸脂' (zh-CN), '三酸甘油脂 化学' (zh-CN), '化学检验项目' (zh-CN), '化学检验项目类' (zh-CN), '化学类' (zh-CN), '化学试验' (zh-CN), '非刺激耐受型化学检验项目' (zh-CN), '非刺激耐受型化学检验项目类' (zh-CN), '非刺激耐受型化学试验' (zh-CN), '非刺激耐受型化学试验类 可用数量表示的' (zh-CN), '定量性' (zh-CN), '数值型' (zh-CN), '数量型' (zh-CN), '连续数值型标尺 时刻' (zh-CN), '随机' (zh-CN), '随意' (zh-CN), '瞬间 血清或血浆 质量或摩尔浓度' (zh-CN), '质量或摩尔浓度(单位体积)' (zh-CN), '质量或物质的量浓度(单位体积)' (zh-CN), 'Juhuslik Kvantitatiivne Plasma Seerum Seerum või plasma' (et-EE), 'Trigl' (pt-BR), 'Triglycrides' (pt-BR), 'Trig' (pt-BR), 'Triglycerides' (pt-BR), 'Level' (pt-BR), 'Point in time' (pt-BR), 'Random' (pt-BR), 'SerPl' (pt-BR), 'SerPlas' (pt-BR), 'SerP' (pt-BR), 'Serum' (pt-BR), 'SR' (pt-BR), 'Plasma' (pt-BR), 'Pl' (pt-BR), 'Plsm' (pt-BR), 'Quantitative' (pt-BR), 'QNT' (pt-BR), 'Quant' (pt-BR), 'Quan' (pt-BR), 'Chemistry' (pt-BR), 'Chimica Concentrazione Sostanza o Massa Plasma Punto nel tempo (episodio) Siero Siero o Plasma' (it-IT), 'Количественный Массовая или Молярная Концентрация Плазма Сыворотка Сыворотка или Плазма Точка во времени' (ru-RU) or 'Момент' (ru-RU) (for the language(s) '--') (from Tx-Server)",
+  "class" : "UNKNOWN",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------

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

@@ -3,7 +3,7 @@
   "system" : "http://hl7.org/fhir/sid/ndc",
   "code" : "2501-813-16",
   "display" : "Timoptic 5mg/ml solution"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"true", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"true", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -12,7 +12,12 @@
 }}####
 v: {
   "severity" : "error",
-  "error" : "Code \"2501-813-16\" not found in NDC; Unknown Code '2501-813-16' in the system 'http://hl7.org/fhir/sid/ndc'; The provided code http://hl7.org/fhir/sid/ndc#2501-813-16 is not in the value set 'http://hl7.org/fhir/ValueSet/@all' (from Tx-Server)",
-  "class" : "UNKNOWN"
+  "error" : "Code \"2501-813-16\" not found in NDC; Unknown Code '2501-813-16' in the system 'http://hl7.org/fhir/sid/ndc'; The provided code 'http://hl7.org/fhir/sid/ndc#2501-813-16' is not in the value set 'http://hl7.org/fhir/ValueSet/@all' (from Tx-Server)",
+  "class" : "UNKNOWN",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------

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

@@ -3,7 +3,7 @@
   "system" : "http://www.nlm.nih.gov/research/umls/rxnorm",
   "code" : "1049640",
   "display" : "Acetaminophen 325 MG / Oxycodone Hydrochloride 5 MG Oral Tablet [Percocet]"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -14,6 +14,11 @@ v: {
   "display" : "acetaminophen 325 MG / oxycodone hydrochloride 5 MG Oral Tablet [Percocet]",
   "code" : "1049640",
   "system" : "http://www.nlm.nih.gov/research/umls/rxnorm",
-  "version" : "??"
+  "version" : "??",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------

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

@@ -2,7 +2,7 @@
 {"code" : {
   "system" : "http://unitsofmeasure.org",
   "code" : "[lb_av]"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"true", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"true", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -13,13 +13,17 @@ v: {
   "display" : "[lb_av]",
   "code" : "[lb_av]",
   "system" : "http://unitsofmeasure.org",
-  "version" : "2.0.1"
+  "version" : "2.0.1",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://unitsofmeasure.org",
   "code" : "{score}"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"true", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"true", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -30,13 +34,17 @@ v: {
   "display" : "{score}",
   "code" : "{score}",
   "system" : "http://unitsofmeasure.org",
-  "version" : "2.0.1"
+  "version" : "2.0.1",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://unitsofmeasure.org",
   "code" : "mL"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"true", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"true", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -47,13 +55,17 @@ v: {
   "display" : "mL",
   "code" : "mL",
   "system" : "http://unitsofmeasure.org",
-  "version" : "2.0.1"
+  "version" : "2.0.1",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://unitsofmeasure.org",
   "code" : "d"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"true", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"true", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -64,13 +76,17 @@ v: {
   "display" : "d",
   "code" : "d",
   "system" : "http://unitsofmeasure.org",
-  "version" : "2.0.1"
+  "version" : "2.0.1",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://unitsofmeasure.org",
   "code" : "mm[Hg]"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -81,13 +97,18 @@ v: {
   "display" : "mm[Hg]",
   "code" : "mm[Hg]",
   "system" : "http://unitsofmeasure.org",
-  "version" : "2.0.1"
+  "version" : "2.0.1",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://unitsofmeasure.org",
   "code" : "mm[Hg]"
-}, "url": "http://hl7.org/fhir/ValueSet/ucum-vitals-common--0", "version": "5.0.0", "langs":"[en]", "useServer":"true", "useClient":"false", "guessSystem":"false", "valueSetMode":"CHECK_MEMERSHIP_ONLY", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "url": "http://hl7.org/fhir/ValueSet/ucum-vitals-common--0", "version": "5.0.0", "langs":"", "useServer":"true", "useClient":"false", "guessSystem":"false", "valueSetMode":"CHECK_MEMERSHIP_ONLY", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -98,13 +119,18 @@ v: {
   "display" : "millimeter of mercury",
   "code" : "mm[Hg]",
   "system" : "http://unitsofmeasure.org",
-  "version" : "2.0.1"
+  "version" : "2.0.1",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://unitsofmeasure.org",
   "code" : "cm"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -115,13 +141,18 @@ v: {
   "display" : "cm",
   "code" : "cm",
   "system" : "http://unitsofmeasure.org",
-  "version" : "2.0.1"
+  "version" : "2.0.1",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://unitsofmeasure.org",
   "code" : "mmol/L"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -132,13 +163,18 @@ v: {
   "display" : "mmol/L",
   "code" : "mmol/L",
   "system" : "http://unitsofmeasure.org",
-  "version" : "2.0.1"
+  "version" : "2.0.1",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://unitsofmeasure.org",
   "code" : "mL"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -149,13 +185,18 @@ v: {
   "display" : "mL",
   "code" : "mL",
   "system" : "http://unitsofmeasure.org",
-  "version" : "2.0.1"
+  "version" : "2.0.1",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://unitsofmeasure.org",
   "code" : "Cel"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -166,6 +207,11 @@ v: {
   "display" : "Cel",
   "code" : "Cel",
   "system" : "http://unitsofmeasure.org",
-  "version" : "2.0.1"
+  "version" : "2.0.1",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------

org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/5.0.0/v2-0136.cache

@@ -2,7 +2,7 @@
 {"code" : {
   "system" : "http://terminology.hl7.org/CodeSystem/v2-0136",
   "code" : "Y"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"true", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"true", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -13,6 +13,11 @@ v: {
   "display" : "Yes",
   "code" : "Y",
   "system" : "http://terminology.hl7.org/CodeSystem/v2-0136",
-  "version" : "2.9"
+  "version" : "2.9",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------

org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/5.0.0/v2-0360_2.7.cache

@@ -3,7 +3,7 @@
   "system" : "http://terminology.hl7.org/CodeSystem/v2-0360|2.7",
   "code" : "BS",
   "display" : "Bachelor of Science"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"true", "profile": {
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "displayWarningMode":"false", "versionFlexible":"true", "profile": {
   "resourceType" : "Parameters",
   "parameter" : [{
     "name" : "profile-url",
@@ -14,6 +14,11 @@ v: {
   "display" : "Bachelor of Science",
   "code" : "BS",
   "system" : "http://terminology.hl7.org/CodeSystem/v2-0360|2.7",
-  "version" : "0360"
+  "version" : "0360",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
 }
 -------------------------------------------------------------------------------------

pom.xml

@@ -20,7 +20,7 @@
     <properties>
         <guava_version>32.0.1-jre</guava_version>
         <hapi_fhir_version>6.4.1</hapi_fhir_version>
-        <validator_test_case_version>1.4.0</validator_test_case_version>
+        <validator_test_case_version>1.4.1</validator_test_case_version>
         <jackson_version>2.15.2</jackson_version>
         <junit_jupiter_version>5.9.2</junit_jupiter_version>
         <junit_platform_launcher_version>1.8.2</junit_platform_launcher_version>