diff --git a/RELEASE_NOTES.md b/RELEASE_NOTES.md
index 418f50c51..b9e7f0298 100644
--- a/RELEASE_NOTES.md
+++ b/RELEASE_NOTES.md
@@ -18,6 +18,7 @@
 * Fix where validator was ignoring minimum cardinality for XML attributes (especially in CDA)
 * Improved ConceptMap validation
 * Updated IG versions used for -cda and -ccda CLI validation options.
+* Change validator so that it marks value properties in primitive data types as illegal
 
 ## Other code changes
 
@@ -32,3 +33,8 @@
 * Fix wrong URLs rendering Profiles and Questionnaires
 * Fix bug using wrong version constant for R3
 * Updates for R5 StructureMap syntax
+* Support for case sensitive Code system tests
+* Add TurtleGeneratorTests for R5
+* Introduce new validator cliContext option disableDefaultResourceFetcher (#1526)
+* Render contained resources when rendering Patient resources 
+* Fix bug in FML Parser 
diff --git a/org.hl7.fhir.convertors/src/test/java/org/hl7/fhir/convertors/Convertor_Factory_40_50Test.java b/org.hl7.fhir.convertors/src/test/java/org/hl7/fhir/convertors/Convertor_Factory_40_50Test.java
index 6695968e6..86ff6a5ad 100644
--- a/org.hl7.fhir.convertors/src/test/java/org/hl7/fhir/convertors/Convertor_Factory_40_50Test.java
+++ b/org.hl7.fhir.convertors/src/test/java/org/hl7/fhir/convertors/Convertor_Factory_40_50Test.java
@@ -66,14 +66,14 @@ class Convertor_Factory_40_50Test  {
     StructureMapUtilities smu5 = new StructureMapUtilities(context, mock(org.hl7.fhir.r5.utils.structuremap.ITransformerServices.class));
     org.hl7.fhir.r5.model.StructureMap mapR5 = smu5.parse(CONTENT, "map");
 
-    assertEquals("tgt", mapR5.getGroup().get(0).getRule().get(0).getTarget().get(0).getParameter().get(0).getValueIdType().getValue());
+    assertEquals("tgt", mapR5.getGroup().get(0).getRule().get(0).getTarget().get(0).getContext());
     assertEquals("item.answer.valueString", mapR5.getGroup().get(1).getRule().get(0).getTarget().get(0).getParameter().get(0).getValueStringType().getValue());
     assertEquals("item", mapR5.getGroup().get(0).getRule().get(0).getDependent().get(0).getParameter().get(0).getValueIdType().getValueAsString());
     assertEquals("patient", mapR5.getGroup().get(0).getRule().get(0).getDependent().get(0).getParameter().get(1).getValueIdType().getValueAsString());
 
 
     org.hl7.fhir.r4.model.StructureMap mapR4 = (org.hl7.fhir.r4.model.StructureMap) VersionConvertorFactory_40_50.convertResource(mapR5);
-    assertEquals("tgt", mapR4.getGroup().get(0).getRule().get(0).getTarget().get(0).getParameter().get(0).getValueIdType().getValue());
+    assertEquals("tgt", mapR4.getGroup().get(0).getRule().get(0).getTarget().get(0).getContext());
     assertEquals("item.answer.valueString", mapR4.getGroup().get(1).getRule().get(0).getTarget().get(0).getParameter().get(0).getValueStringType().getValue());
     assertEquals("item", mapR4.getGroup().get(0).getRule().get(0).getDependent().get(0).getVariable().get(0).getValueAsString());
     assertEquals("patient", mapR4.getGroup().get(0).getRule().get(0).getDependent().get(0).getVariable().get(1).getValueAsString());
@@ -87,7 +87,7 @@ class Convertor_Factory_40_50Test  {
 
 
     StructureMap mapR5Back = (StructureMap) VersionConvertorFactory_40_50.convertResource(mapR4);
-    assertEquals("tgt", mapR5Back.getGroup().get(0).getRule().get(0).getTarget().get(0).getParameter().get(0).getValueIdType().getValue());
+    assertEquals("tgt", mapR5Back.getGroup().get(0).getRule().get(0).getTarget().get(0).getContext());
     assertEquals("item.answer.valueString", mapR5Back.getGroup().get(1).getRule().get(0).getTarget().get(0).getParameter().get(0).getValueStringType().getValue());
     assertEquals("item", mapR5Back.getGroup().get(0).getRule().get(0).getDependent().get(0).getParameter().get(0).getValueIdType().getValueAsString());
     assertEquals("patient", mapR5Back.getGroup().get(0).getRule().get(0).getDependent().get(0).getParameter().get(1).getValueIdType().getValueAsString());
diff --git a/org.hl7.fhir.r5/src/main/java/org/hl7/fhir/r5/renderers/PatientRenderer.java b/org.hl7.fhir.r5/src/main/java/org/hl7/fhir/r5/renderers/PatientRenderer.java
index 4cfe3e914..077d57d8c 100644
--- a/org.hl7.fhir.r5/src/main/java/org/hl7/fhir/r5/renderers/PatientRenderer.java
+++ b/org.hl7.fhir.r5/src/main/java/org/hl7/fhir/r5/renderers/PatientRenderer.java
@@ -32,6 +32,7 @@ import org.hl7.fhir.r5.renderers.utils.BaseWrappers.BaseWrapper;
 import org.hl7.fhir.r5.renderers.utils.BaseWrappers.PropertyWrapper;
 import org.hl7.fhir.r5.renderers.utils.BaseWrappers.ResourceWrapper;
 import org.hl7.fhir.r5.renderers.utils.RenderingContext;
+import org.hl7.fhir.r5.utils.EOperationOutcome;
 import org.hl7.fhir.utilities.TextFile;
 import org.hl7.fhir.utilities.Utilities;
 import org.hl7.fhir.utilities.xhtml.XhtmlNode;
@@ -269,7 +270,7 @@ public class PatientRenderer extends ResourceRenderer {
   }
 
   @Override
-  public boolean render(XhtmlNode x, ResourceWrapper r) throws FHIRFormatError, DefinitionException, IOException {
+  public boolean render(XhtmlNode x, ResourceWrapper r) throws IOException, FHIRException, EOperationOutcome {
     // banner
     describe(makeBanner(x.para()), r);
     x.hr();
@@ -295,9 +296,22 @@ public class PatientRenderer extends ResourceRenderer {
     if (tbl.isEmpty()) {
       x.remove(tbl);
     }
+    if (r.has("contained") && context.isTechnicalMode()) {
+      x.hr();
+      x.para().b().tx("Contained Resources");
+      addContained(x, r.getContained());
+    }
     return false;
   }
 
+  private void addContained(XhtmlNode x, List<ResourceWrapper> list) throws FHIRFormatError, DefinitionException, FHIRException, IOException, EOperationOutcome {
+    for (ResourceWrapper c : list) {
+      x.hr();
+      x.an(c.getId());
+      new RendererFactory().factory(c, context).render(x, c);
+    }
+  }
+
   private void addExtensions(XhtmlNode tbl, ResourceWrapper r) throws UnsupportedEncodingException, FHIRException, IOException {
     Map<String, List<Extension>> extensions = new HashMap<>();
     PropertyWrapper pw = getProperty(r, "extension");
diff --git a/org.hl7.fhir.r5/src/main/java/org/hl7/fhir/r5/utils/structuremap/StructureMapUtilities.java b/org.hl7.fhir.r5/src/main/java/org/hl7/fhir/r5/utils/structuremap/StructureMapUtilities.java
index 0655d61c0..12e5b7eef 100644
--- a/org.hl7.fhir.r5/src/main/java/org/hl7/fhir/r5/utils/structuremap/StructureMapUtilities.java
+++ b/org.hl7.fhir.r5/src/main/java/org/hl7/fhir/r5/utils/structuremap/StructureMapUtilities.java
@@ -1104,7 +1104,7 @@ public class StructureMapUtilities {
       start = null;
       lexer.token(".");
       target.setElement(lexer.take());
-    }
+    } 
     String name;
     boolean isConstant = false;
     if (lexer.hasToken("=")) {
@@ -1141,15 +1141,19 @@ public class StructureMapUtilities {
       }
       lexer.token(")");
     } else if (name != null) {
-      target.setTransform(StructureMapTransform.COPY);
-      if (!isConstant) {
-        String id = name;
-        while (lexer.hasToken(".")) {
-          id = id + lexer.take() + lexer.take();
-        }
-        target.addParameter().setValue(new IdType(id));
-      } else
-        target.addParameter().setValue(readConstant(name, lexer));
+      if (target.getContext() != null) {
+        target.setTransform(StructureMapTransform.COPY);
+        if (!isConstant) {
+          String id = name;
+          while (lexer.hasToken(".")) {
+            id = id + lexer.take() + lexer.take();
+          }
+          target.addParameter().setValue(new IdType(id));
+        } else
+          target.addParameter().setValue(readConstant(name, lexer));
+      } else {
+        target.setContext(name);
+      }
     }
     if (lexer.hasToken("as")) {
       lexer.take();
@@ -1716,10 +1720,9 @@ public class StructureMapUtilities {
     Base dest = null;
     if (tgt.hasContext()) {
       dest = vars.get(VariableMode.OUTPUT, tgt.getContext());
-      if (dest == null)
-        throw new FHIRException("Rule \"" + rulePath + "\": target context not known: " + tgt.getContext());
-      if (!tgt.hasElement())
-        throw new FHIRException("Rule \"" + rulePath + "\": Not supported yet");
+      if (dest == null) {
+        throw new FHIRException("Rul \"" + rulePath + "\": target context not known: " + tgt.getContext());
+      }
     }
     Base v = null;
     if (tgt.hasTransform()) {
@@ -1738,8 +1741,10 @@ public class StructureMapUtilities {
           v = dest.makeProperty(tgt.getElement().hashCode(), tgt.getElement());
           sharedVars.add(VariableMode.SHARED, tgt.getListRuleId(), v);
         }
-      } else {
+      } else if (tgt.hasElement()) {
         v = dest.makeProperty(tgt.getElement().hashCode(), tgt.getElement());
+      } else {
+        v = dest;
       }
     }
     if (tgt.hasVariable() && v != null)
diff --git a/org.hl7.fhir.validation/src/test/java/org/hl7/fhir/r5/test/GeneralTests.java b/org.hl7.fhir.r5/src/test/java/org/hl7/fhir/r5/test/GeneralTests.java
similarity index 100%
rename from org.hl7.fhir.validation/src/test/java/org/hl7/fhir/r5/test/GeneralTests.java
rename to org.hl7.fhir.r5/src/test/java/org/hl7/fhir/r5/test/GeneralTests.java
diff --git a/org.hl7.fhir.utilities/src/main/java/org/hl7/fhir/utilities/VersionUtilities.java b/org.hl7.fhir.utilities/src/main/java/org/hl7/fhir/utilities/VersionUtilities.java
index 07f9ee5e1..70d6a1cf5 100644
--- a/org.hl7.fhir.utilities/src/main/java/org/hl7/fhir/utilities/VersionUtilities.java
+++ b/org.hl7.fhir.utilities/src/main/java/org/hl7/fhir/utilities/VersionUtilities.java
@@ -703,7 +703,11 @@ public class VersionUtilities {
   }
 
   public static String getNameForVersion(String v) {
-    switch (getMajMin(v)) {
+    String mm = getMajMin(v);
+    if (mm == null) {
+      throw new Error("Unable to determine version for '"+v+"'");
+    }
+    switch (mm) {
     case "1.0" : return "R2";
     case "1.4" : return "R2B";
     case "3.0" : return "R3";
diff --git a/org.hl7.fhir.utilities/src/main/java/org/hl7/fhir/utilities/i18n/I18nConstants.java b/org.hl7.fhir.utilities/src/main/java/org/hl7/fhir/utilities/i18n/I18nConstants.java
index 2b70bd3c8..72c273caa 100644
--- a/org.hl7.fhir.utilities/src/main/java/org/hl7/fhir/utilities/i18n/I18nConstants.java
+++ b/org.hl7.fhir.utilities/src/main/java/org/hl7/fhir/utilities/i18n/I18nConstants.java
@@ -1059,6 +1059,7 @@ public class I18nConstants {
   public static final String VALUESET_INCLUDE_CSVER_MULTI_FOUND = "VALUESET_INCLUDE_CSVER_MULTI_FOUND";
   public static final String UNABLE_TO_INFER_CODESYSTEM = "UNABLE_TO_INFER_CODESYSTEM";
   public static final String CODE_CASE_DIFFERENCE = "CODE_CASE_DIFFERENCE";
+  public static final String ILLEGAL_PROPERTY = "ILLEGAL_PROPERTY";
 }
 
 
diff --git a/org.hl7.fhir.utilities/src/main/resources/Messages.properties b/org.hl7.fhir.utilities/src/main/resources/Messages.properties
index 6dd50a982..078c4245e 100644
--- a/org.hl7.fhir.utilities/src/main/resources/Messages.properties
+++ b/org.hl7.fhir.utilities/src/main/resources/Messages.properties
@@ -1117,3 +1117,4 @@ VALUESET_INCLUDE_CS_MULTI_FOUND = Multiple matching contained code systems found
 VALUESET_INCLUDE_CSVER_MULTI_FOUND = Multiple matching contained code systems found for system ''{0}'' version ''{1}''
 CODE_CASE_DIFFERENCE = The code ''{0}'' differs from the correct code ''{1}'' by case. Although the code system ''{2}'' is case insensitive, implementers are strongly encouraged to use the correct case anyway
 SCT_NO_MRCM = Not validated against the Machine Readable Concept Model (MRCM)
+ILLEGAL_PROPERTY = The property ''{0}'' is invalid
diff --git a/org.hl7.fhir.validation/src/main/java/org/hl7/fhir/validation/instance/InstanceValidator.java b/org.hl7.fhir.validation/src/main/java/org/hl7/fhir/validation/instance/InstanceValidator.java
index 974f93f88..43e1c6309 100644
--- a/org.hl7.fhir.validation/src/main/java/org/hl7/fhir/validation/instance/InstanceValidator.java
+++ b/org.hl7.fhir.validation/src/main/java/org/hl7/fhir/validation/instance/InstanceValidator.java
@@ -2627,6 +2627,12 @@ public class InstanceValidator extends BaseValidator implements IResourceValidat
 
   private boolean checkPrimitive(ValidationContext valContext, List<ValidationMessage> errors, String path, String type, ElementDefinition context, Element e, StructureDefinition profile, NodeStack node, NodeStack parentNode, Element resource) throws FHIRException {
     boolean ok = true;
+
+    // sanity check. The only children allowed are id and extension, but value might slip through in some circumstances. 
+    for (Element child : e.getChildren()) {
+      ok = rule(errors, "2024-02-28", IssueType.INVALID, child.line(), child.col(), path, !"value".equals(child.getName()), I18nConstants.ILLEGAL_PROPERTY, "value") && ok;
+    }
+    
     if (isBlank(e.primitiveValue())) {
       if (e.primitiveValue() == null)
         ok = rule(errors, NO_RULE_DATE, IssueType.INVALID, e.line(), e.col(), path, e.hasChildren(), I18nConstants.TYPE_SPECIFIC_CHECKS_DT_PRIMITIVE_VALUEEXT) && ok;
@@ -6116,7 +6122,7 @@ public class InstanceValidator extends BaseValidator implements IResourceValidat
       }
       childDefinitions = getActualTypeChildren(valContext, element, actualType);
     } else if (definition.getType().size() > 1) {
-      // this only happens when the profile constrains the abstract children but leaves th choice open.
+      // this only happens when the profile constrains the abstract children but leaves the choice open.
       if (actualType == null) {
         vi.setValid(false);
         return false; // there'll be an error elsewhere in this case, and we're going to stop.
diff --git a/org.hl7.fhir.validation/src/test/java/org/hl7/fhir/r5/test/StructureMappingTests.java b/org.hl7.fhir.validation/src/test/java/org/hl7/fhir/validation/tests/StructureMappingTests.java
similarity index 99%
rename from org.hl7.fhir.validation/src/test/java/org/hl7/fhir/r5/test/StructureMappingTests.java
rename to org.hl7.fhir.validation/src/test/java/org/hl7/fhir/validation/tests/StructureMappingTests.java
index d7993f563..6eff3a1bd 100644
--- a/org.hl7.fhir.validation/src/test/java/org/hl7/fhir/r5/test/StructureMappingTests.java
+++ b/org.hl7.fhir.validation/src/test/java/org/hl7/fhir/validation/tests/StructureMappingTests.java
@@ -1,4 +1,4 @@
-package org.hl7.fhir.r5.test;
+package org.hl7.fhir.validation.tests;
 
 import static org.junit.Assert.assertTrue;
 import static org.junit.jupiter.api.Assertions.assertThrows;
diff --git a/org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/4.0.1/loinc.cache b/org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/4.0.1/loinc.cache
index 43a5b08af..6046a905b 100644
--- a/org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/4.0.1/loinc.cache
+++ b/org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/4.0.1/loinc.cache
@@ -17,7 +17,6 @@ v: {
   "error" : "Wrong Display Name 'O2 % BldC Oximetry' for http://loinc.org#59408-5. Valid display is one of 26 choices: 'Oxygen saturation in Arterial blood by Pulse oximetry', 'SaO2 % BldA PulseOx' (en-US), 'O2 SaO2' (pl-PL), 'saturacja krwi tlenem' (pl-PL), 'MFr O2' (zh-CN), 'tO2' (zh-CN), '总氧' (zh-CN), '氧气 SaO2 动脉血 动脉血O2饱和度 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 肺部测量指标与呼吸机管理 脉搏血氧测定法' (zh-CN), '脉搏血氧定量' (zh-CN), '脉搏血氧测定' (zh-CN), '脉搏血氧仪 血氧测定法 饱和 饱和状态 饱和程度' (zh-CN), 'O2-Sättigung' (de-DE), 'Frazione di massa Gestione ventilazione polmonare Punto nel tempo (episodio) Sangue arterioso' (it-IT), 'Oksijen doymuşluğu' (tr-TR), 'Количественный Кровь артериальная Массовая доля Насыщение кислородом Оксигемометрия' (ru-RU), 'Гемоксиметрия Точка во времени' (ru-RU), 'Момент' (ru-RU), 'zuurstofsaturatiemeting' (nl-NL) or 'O2 SatO2' (fr-BE) (for the language(s) '--')",
   "class" : "UNKNOWN",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome",
   "issue" : [{
@@ -58,7 +57,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -82,7 +80,6 @@ v: {
   "error" : "The provided code 'http://loinc.org#59408-5' was not found in the value set 'http://hl7.org/fhir/ValueSet/observation-vitalsignresult--0|4.0.1'",
   "class" : "UNKNOWN",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome",
   "issue" : [{
@@ -122,7 +119,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -146,7 +142,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -170,7 +165,6 @@ v: {
   "error" : "The provided code 'http://loinc.org#3150-0' was not found in the value set 'http://hl7.org/fhir/ValueSet/observation-vitalsignresult--0|4.0.1'",
   "class" : "UNKNOWN",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome",
   "issue" : [{
@@ -212,7 +206,6 @@ v: {
   "error" : "Wrong Display Name 'Flow Rate' for http://loinc.org#3151-8. Valid display is one of 37 choices: 'Inhaled oxygen flow rate', 'Inhaled O2 flow rate' (en-US), 'O2' (zh-CN), 'tO2' (zh-CN), '总氧' (zh-CN), '氧气 体积速率(单位时间)' (zh-CN), '单位时间内体积的变化速率' (zh-CN), '流量 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 吸入气' (zh-CN), '吸入气体' (zh-CN), '吸入的空气 所吸入的氧' (zh-CN), '已吸入的氧气 时刻' (zh-CN), '随机' (zh-CN), '随意' (zh-CN), '瞬间 气 气体类 空气' (zh-CN), 'Inhaled O2' (pt-BR), 'vRate' (pt-BR), 'Volume rate' (pt-BR), 'Flow' (pt-BR), 'Point in time' (pt-BR), 'Random' (pt-BR), 'IhG' (pt-BR), 'Inhaled Gas' (pt-BR), 'Inspired' (pt-BR), 'Quantitative' (pt-BR), 'QNT' (pt-BR), 'Quant' (pt-BR), 'Quan' (pt-BR), 'Gases' (pt-BR), 'Clinico Gas inalati Punto nel tempo (episodio) Tasso di Volume' (it-IT), 'Количественный Объемная скорость Точка во времени' (ru-RU), 'Момент' (ru-RU), 'ingeademde O2' (nl-NL) or 'O2-Zufuhr' (de-AT) (for the language(s) '--')",
   "class" : "UNKNOWN",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome",
   "issue" : [{
@@ -253,7 +246,6 @@ v: {
   "error" : "The provided code 'http://loinc.org#3151-8' was not found in the value set 'http://hl7.org/fhir/ValueSet/observation-vitalsignresult--0|4.0.1'",
   "class" : "UNKNOWN",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome",
   "issue" : [{
@@ -293,7 +285,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -317,7 +308,6 @@ v: {
   "error" : "The provided code 'http://loinc.org#2708-6' was not found in the value set 'http://hl7.org/fhir/us/core/ValueSet/us-core-vital-signs--0|4.0.0'",
   "class" : "UNKNOWN",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome",
   "issue" : [{
@@ -357,7 +347,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -381,7 +370,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -404,7 +392,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -429,7 +416,6 @@ v: {
   "error" : "The provided code 'http://loinc.org#5792-7' was not found in the value set 'http://hl7.org/fhir/ValueSet/birthDate'",
   "class" : "UNKNOWN",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome",
   "issue" : [{
@@ -469,7 +455,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -492,7 +477,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -515,7 +499,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -538,7 +521,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -562,7 +544,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -585,7 +566,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -609,7 +589,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -633,7 +612,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -657,7 +635,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -681,7 +658,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -705,7 +681,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -729,7 +704,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -753,7 +727,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -777,7 +750,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
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 }
@@ -801,7 +773,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -825,7 +796,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -849,7 +819,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -873,7 +842,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -897,7 +865,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -921,7 +888,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -945,7 +911,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -968,7 +933,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -992,7 +956,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -1016,7 +979,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -1039,7 +1001,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -1063,7 +1024,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -1087,7 +1047,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -1110,7 +1069,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -1134,7 +1092,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -1158,7 +1115,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -1181,7 +1137,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -1205,7 +1160,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -1229,7 +1183,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -1252,7 +1205,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -1276,7 +1228,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -1300,7 +1251,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -1323,7 +1273,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -1347,7 +1296,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -1371,7 +1319,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -1395,7 +1342,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -1420,7 +1366,6 @@ v: {
   "error" : "Wrong Display Name 'Patient Authorization Signature' for http://loinc.org#59284-0. Valid display is one of 29 choices: 'Consent Document', 'Consent' (en-US), '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 医疗服务对象' (zh-CN), '客户' (zh-CN), '病人' (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 同意书' (zh-CN), '知情同意' (zh-CN), '知情同意书 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' (zh-CN) or 'Documentazione dell'ontologia Osservazione Punto nel tempo (episodio)' (it-IT) (for the language(s) '--')",
   "class" : "UNKNOWN",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome",
   "issue" : [{
@@ -1460,7 +1405,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -1484,7 +1428,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -1507,7 +1450,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -1531,7 +1473,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -1555,7 +1496,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -1579,7 +1519,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -1603,7 +1542,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -1627,7 +1565,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -1651,7 +1588,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -1675,7 +1611,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -1699,7 +1634,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -1723,7 +1657,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -1747,7 +1680,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -1771,7 +1703,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -1795,7 +1726,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -1818,7 +1748,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -1842,7 +1771,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -1866,7 +1794,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -1889,7 +1816,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -1913,7 +1839,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -1937,7 +1862,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -1960,7 +1884,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -1984,7 +1907,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -2008,7 +1930,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -2031,7 +1952,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -2055,7 +1975,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -2079,7 +1998,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -2102,7 +2020,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -2126,7 +2043,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -2150,7 +2066,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -2173,7 +2088,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -2197,7 +2111,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -2221,7 +2134,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -2244,7 +2156,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -2268,7 +2179,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -2292,7 +2202,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -2315,7 +2224,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -2339,7 +2247,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -2363,7 +2270,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -2386,7 +2292,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -2410,7 +2315,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -2434,7 +2338,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -2457,7 +2360,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -2481,7 +2383,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -2505,7 +2406,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -2529,7 +2429,6 @@ v: {
   "error" : "The provided code 'http://loinc.org#883-9' was not found in the value set 'http://hl7.org/fhir/ValueSet/observation-vitalsignresult--0|4.0.1'",
   "class" : "UNKNOWN",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome",
   "issue" : [{
@@ -2570,7 +2469,6 @@ v: {
   "error" : "The provided code 'http://loinc.org#46418-0' was not found in the value set 'http://hl7.org/fhir/ValueSet/observation-vitalsignresult--0|4.0.1'",
   "class" : "UNKNOWN",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome",
   "issue" : [{
@@ -2611,7 +2509,6 @@ v: {
   "error" : "The provided code 'http://loinc.org#77140-2' was not found in the value set 'http://hl7.org/fhir/ValueSet/observation-vitalsignresult--0|4.0.1'",
   "class" : "UNKNOWN",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome",
   "issue" : [{
@@ -2652,7 +2549,6 @@ v: {
   "error" : "The provided code 'http://loinc.org#4535-1' was not found in the value set 'http://hl7.org/fhir/ValueSet/observation-vitalsignresult--0|4.0.1'",
   "class" : "UNKNOWN",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome",
   "issue" : [{
@@ -2693,7 +2589,6 @@ v: {
   "error" : "The provided code 'http://loinc.org#29463-7' was not found in the value set 'https://mednet.swiss/fhir/ValueSet/mni-obs-laboratory--0|0.5.0'",
   "class" : "UNKNOWN",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome",
   "issue" : [{
@@ -2734,7 +2629,6 @@ v: {
   "error" : "The provided code 'http://loinc.org#8302-2' was not found in the value set 'https://mednet.swiss/fhir/ValueSet/mni-obs-laboratory--0|0.5.0'",
   "class" : "UNKNOWN",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome",
   "issue" : [{
@@ -2775,7 +2669,6 @@ v: {
   "error" : "The provided code 'http://loinc.org#39156-5' was not found in the value set 'https://mednet.swiss/fhir/ValueSet/mni-obs-laboratory--0|0.5.0'",
   "class" : "UNKNOWN",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome",
   "issue" : [{
@@ -2816,7 +2709,6 @@ v: {
   "error" : "The provided code 'http://loinc.org#85354-9' was not found in the value set 'https://mednet.swiss/fhir/ValueSet/mni-obs-laboratory--0|0.5.0'",
   "class" : "UNKNOWN",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome",
   "issue" : [{
@@ -2857,7 +2749,6 @@ v: {
   "error" : "The provided code 'http://loinc.org#883-9' was not found in the value set 'https://mednet.swiss/fhir/ValueSet/mni-obs-laboratory--0|0.5.0'",
   "class" : "UNKNOWN",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome",
   "issue" : [{
@@ -2898,7 +2789,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -2921,7 +2811,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -2945,7 +2834,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -2969,7 +2857,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -2993,7 +2880,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -3017,7 +2903,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -3042,7 +2927,6 @@ v: {
   "error" : "Wrong Display Name 'NDC labeler code request' for http://loinc.org#51726-8. Valid display is one of 22 choices: 'FDA product label NDC labeler code request', 'FDA label NDC labeler code request' (en-US), 'FDA 药品标签 National Drug Code' (zh-CN), 'NDC' (zh-CN), '国家药品验证号' (zh-CN), '国家药品代码' (zh-CN), '美国国家药品代码' (zh-CN), '全国药品代码' (zh-CN), 'NDC labeler code' (zh-CN), 'NDC 标识者识别代码' (zh-CN), 'NDC 厂家号' (zh-CN), 'NDC 贴签厂商代码请求' (zh-CN), 'NDC 标签号申请 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 监管类文档' (zh-CN), 'Documentazione normativa Etichetta di prodotto della Food and Drug Administ' (it-IT) or 'Описательный' (ru-RU) (for the language(s) '--')",
   "class" : "UNKNOWN",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome",
   "issue" : [{
@@ -3083,7 +2967,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -3108,7 +2991,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -3131,7 +3013,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -3156,7 +3037,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -3182,7 +3062,6 @@ v: {
   "error" : "Wrong Display Name 'Allergies and adverse reactions' for http://loinc.org#48765-2. Valid display is one of 28 choices: 'Allergies and adverse reactions Document', 'Allergies &or adverse reactions Doc' (en-US), '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) '--')",
   "class" : "UNKNOWN",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome",
   "issue" : [{
@@ -3223,7 +3102,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -3246,7 +3124,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -3270,7 +3147,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -3293,7 +3169,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -3318,7 +3193,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -3342,7 +3216,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -3365,7 +3238,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -3389,7 +3261,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -3413,7 +3284,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -3437,7 +3307,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -3461,7 +3330,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -3485,7 +3353,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -3509,7 +3376,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -3533,7 +3399,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -3557,7 +3422,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -3581,7 +3445,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -3605,7 +3468,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -3629,7 +3491,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -3652,7 +3513,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -3676,7 +3536,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -3700,7 +3559,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -3723,7 +3581,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -3747,7 +3604,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -3771,7 +3627,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -3794,7 +3649,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -3818,7 +3672,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -3842,7 +3695,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -3865,7 +3717,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -3889,7 +3740,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -3913,7 +3763,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -3936,7 +3785,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -3960,7 +3808,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -3984,7 +3831,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -4007,7 +3853,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -4031,7 +3876,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -4055,7 +3899,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -4078,7 +3921,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -4102,7 +3944,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -4126,7 +3967,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -4149,7 +3989,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -4173,7 +4012,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -4197,7 +4035,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -4223,7 +4060,6 @@ v: {
   "severity" : "warning",
   "error" : "Wrong Display Name 'Former smoker' for http://loinc.org#LA15920-4. Valid display is 'Former smoker' (en-US) (for the language(s) 'en-NZ')",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome",
   "issue" : [{
@@ -4264,7 +4100,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -4287,7 +4122,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -4311,7 +4145,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -4335,7 +4168,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -4358,7 +4190,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -4382,7 +4213,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -4406,7 +4236,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -4429,7 +4258,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -4453,7 +4281,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -4477,7 +4304,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -4501,7 +4327,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -4524,7 +4349,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -4548,7 +4372,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -4572,7 +4395,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -4595,7 +4417,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -4619,7 +4440,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -4642,7 +4462,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -4666,7 +4485,6 @@ v: {
   "error" : "Unknown code '�g��' in the CodeSystem 'http://loinc.org' version '2.74'",
   "class" : "UNKNOWN",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome",
   "issue" : [{
@@ -4707,7 +4525,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -4730,7 +4547,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -4754,7 +4570,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -4778,7 +4593,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -4802,7 +4616,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -4827,7 +4640,6 @@ v: {
   "error" : "Wrong Display Name '����' for http://loinc.org#18684-1. Valid display is 'First Blood pressure Set' (for the language(s) 'en')",
   "class" : "UNKNOWN",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome",
   "issue" : [{
@@ -4869,7 +4681,6 @@ v: {
   "error" : "Wrong Display Name '���k������' for http://loinc.org#8480-6. Valid display is one of 2 choices: 'Systolic blood pressure' or 'BP sys' (en-US) (for the language(s) 'en')",
   "class" : "UNKNOWN",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome",
   "issue" : [{
@@ -4911,7 +4722,6 @@ v: {
   "error" : "Wrong Display Name '�g��������' for http://loinc.org#8462-4. Valid display is one of 2 choices: 'Diastolic blood pressure' or 'BP dias' (en-US) (for the language(s) 'en')",
   "class" : "UNKNOWN",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome",
   "issue" : [{
@@ -4952,7 +4762,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -4976,7 +4785,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -5000,7 +4808,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -5024,7 +4831,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -5049,7 +4855,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -5074,7 +4879,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -5099,7 +4903,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -5123,7 +4926,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -5147,7 +4949,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -5171,7 +4972,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -5196,7 +4996,6 @@ v: {
   "error" : "The provided code 'http://loinc.org#59408-5 ('Oxygen saturation in Arterial blood by Pulse oximetry')' was not found in the value set 'http://hl7.org/fhir/ValueSet/observation-vitalsignresult|4.0.1'",
   "class" : "UNKNOWN",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome",
   "issue" : [{
@@ -5236,7 +5035,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -5259,7 +5057,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -5282,7 +5079,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -5305,7 +5101,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -5328,7 +5123,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -5351,7 +5145,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -5374,7 +5167,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -5397,7 +5189,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -5420,7 +5211,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -5443,7 +5233,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -5478,7 +5267,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -5513,7 +5301,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -5548,7 +5335,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -5583,7 +5369,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -5618,7 +5403,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -5653,7 +5437,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -5676,7 +5459,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -5699,7 +5481,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -5723,7 +5504,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -5747,7 +5527,6 @@ v: {
   "error" : "The provided code 'http://loinc.org#76534-7' was not found in the value set 'http://hl7.org/fhir/ValueSet/observation-vitalsignresult--0|4.0.1'",
   "class" : "UNKNOWN",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome",
   "issue" : [{
@@ -5788,7 +5567,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -5812,7 +5590,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -5836,7 +5613,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -5860,7 +5636,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -5884,7 +5659,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -5908,7 +5682,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -5932,7 +5705,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -6083,7 +5855,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -6162,7 +5933,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -6221,7 +5991,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -6312,7 +6081,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -6383,7 +6151,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -6422,7 +6189,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -6461,7 +6227,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -6484,7 +6249,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -6507,7 +6271,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -6543,7 +6306,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -6579,7 +6341,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -6603,7 +6364,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -6627,7 +6387,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -6651,7 +6410,6 @@ v: {
   "error" : "Unknown code 'test' in the CodeSystem 'http://loinc.org' version '2.74'",
   "class" : "UNKNOWN",
   "server" : "http://local.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome",
   "issue" : [{
@@ -6691,6 +6449,29 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.74",
   "server" : "http://local.fhir.org/r4",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://loinc.org",
+  "code" : "72514-3",
+  "display" : "Pain severity - 0-10 verbal numeric rating [Score] - Reported"
+}, "valueSet" :null, "langs":"", "useServer":"true", "useClient":"false", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "display" : "Pain severity - 0-10 verbal numeric rating [Score] - Reported",
+  "code" : "72514-3",
+  "system" : "http://loinc.org",
+  "version" : "2.74",
+  "server" : "http://tx-dev.fhir.org/r4",
   "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
diff --git a/pom.xml b/pom.xml
index 3f074f653..6ef3cadeb 100644
--- a/pom.xml
+++ b/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>1.4.29-SNAPSHOT</validator_test_case_version>
+        <validator_test_case_version>1.5.0-SNAPSHOT</validator_test_case_version>
         <jackson_version>2.16.0</jackson_version>
         <junit_jupiter_version>5.9.2</junit_jupiter_version>
         <junit_platform_launcher_version>1.8.2</junit_platform_launcher_version>