diff --git a/org.hl7.fhir.r5/src/main/java/org/hl7/fhir/r5/utils/FHIRPathEngine.java b/org.hl7.fhir.r5/src/main/java/org/hl7/fhir/r5/utils/FHIRPathEngine.java
index c86f2fa98..33bd3bf81 100644
--- a/org.hl7.fhir.r5/src/main/java/org/hl7/fhir/r5/utils/FHIRPathEngine.java
+++ b/org.hl7.fhir.r5/src/main/java/org/hl7/fhir/r5/utils/FHIRPathEngine.java
@@ -4145,10 +4145,12 @@ public class FHIRPathEngine {
         List<ElementDefinition> childDefinitions = ProfileUtilities.getChildMap(sd, element);
         for (ElementDefinition t : childDefinitions) {
           if (t.getPath().endsWith(".extension") && t.hasSliceName()) {
-           sd = worker.fetchResource(StructureDefinition.class, t.getType().get(0).getProfile().get(0).getValue());
-           while (sd!=null && !sd.getBaseDefinition().equals("http://hl7.org/fhir/StructureDefinition/Extension"))
-             sd = worker.fetchResource(StructureDefinition.class, sd.getBaseDefinition());
-           if (sd.getUrl().equals(targetUrl)) {
+           StructureDefinition exsd = worker.fetchResource(StructureDefinition.class, t.getType().get(0).getProfile().get(0).getValue());
+           while (exsd!=null && !exsd.getBaseDefinition().equals("http://hl7.org/fhir/StructureDefinition/Extension"))
+             exsd = worker.fetchResource(StructureDefinition.class, exsd.getBaseDefinition());
+           if (exsd.getUrl().equals(targetUrl)) {
+             if (ProfileUtilities.getChildMap(sd, t).isEmpty())
+               sd = exsd;
              focus = t;
              break;
            }
diff --git a/org.hl7.fhir.validation/src/test/resources/validation-examples/extension-slice-profile.xml b/org.hl7.fhir.validation/src/test/resources/validation-examples/extension-slice-profile.xml
new file mode 100644
index 000000000..613ee17b4
--- /dev/null
+++ b/org.hl7.fhir.validation/src/test/resources/validation-examples/extension-slice-profile.xml
@@ -0,0 +1,47 @@
+<?xml version="1.0" encoding="UTF-8"?>
+<!--<StructureDefinition xmlns="http://hl7.org/fhir" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://hl7.org/fhir ../../../../../../FHIR/schema/fhir-single.xsd">-->
+<StructureDefinition xmlns="http://hl7.org/fhir">
+	<id value="extension-slice-profile"/>
+	<url value="http://hl7.org/fhir/StructureDefinition/extension-slice-profile"/>
+	<name value="ExtensionSliceProfile"/>
+	<status value="draft"/>
+	<description value="Test slicing by extension with fixed value"/>
+	<kind value="resource"/>
+	<abstract value="false"/>
+	<type value="Patient"/>
+	<baseDefinition value="http://hl7.org/fhir/StructureDefinition/Patient"/>
+	<derivation value="constraint"/>
+	<differential>
+		<element id="Patient">
+			<path value="Patient"/>
+		</element>
+		<element id="Patient.name">
+			<path value="Patient.name"/>
+			<slicing>
+        <discriminator>
+          <type value="value"/>
+          <path value="extension(&#39;http://hl7.org/fhir/StructureDefinition/data-absent-reason&#39;).valueCode"/>
+        </discriminator>
+        <rules value="open"/>
+      </slicing>
+		</element>
+		<element id="Patient.name:foo">
+			<path value="Patient.name"/>
+			<sliceName value="foo"/>
+			<min value="1"/>
+		</element>
+		<element id="Patient.name:foo.extension:dar">
+			<path value="Patient.name.extension"/>
+			<sliceName value="dar"/>
+			<min value="1"/>
+			<type>
+        <code value="Extension"/>
+        <profile value="http://hl7.org/fhir/StructureDefinition/data-absent-reason"/>
+      </type>
+		</element>
+		<element id="Patient.name:foo.extension:dar.valueCode">
+			<path value="Patient.name.extension.valueCode"/>
+			<fixedCode value="unknown"/>
+    </element>
+	</differential>
+</StructureDefinition>
diff --git a/org.hl7.fhir.validation/src/test/resources/validation-examples/extension-slice.xml b/org.hl7.fhir.validation/src/test/resources/validation-examples/extension-slice.xml
new file mode 100644
index 000000000..4fa5a6581
--- /dev/null
+++ b/org.hl7.fhir.validation/src/test/resources/validation-examples/extension-slice.xml
@@ -0,0 +1,13 @@
+<Patient xmlns="http://hl7.org/fhir">
+  <id value="extension-slice"/>
+  <text>
+    <status value="generated"/>
+    <div xmlns="http://www.w3.org/1999/xhtml">
+    </div>
+  </text>
+  <name>
+    <extension url="http://hl7.org/fhir/StructureDefinition/data-absent-reason">
+      <valueCode value="unknown"/>
+    </extension>
+  </name>
+</Patient>
diff --git a/org.hl7.fhir.validation/src/test/resources/validation-examples/manifest.json b/org.hl7.fhir.validation/src/test/resources/validation-examples/manifest.json
index 9a560d816..b869d73ae 100644
--- a/org.hl7.fhir.validation/src/test/resources/validation-examples/manifest.json
+++ b/org.hl7.fhir.validation/src/test/resources/validation-examples/manifest.json
@@ -460,6 +460,13 @@
         "version" : "3.0",
         "questionnaire" : "questionnaire-enableWhen-test3.xml",
         "errorCount": 0
+      },
+      "extension-slice.xml" : {
+        "errorCount": 0,
+        "profile" : {
+          "source" : "extension-slice-profile.xml", 
+          "errorCount": 0          
+        }
       }
 		}
 	}