diff --git a/org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/1.0.2/.capabilityStatement.cache b/org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/1.0.2/.capabilityStatement.cache
index 20b657100..26c7e5bd6 100644
--- a/org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/1.0.2/.capabilityStatement.cache
+++ b/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://localhost/r2/metadata",
+  "url" : "http://tx.fhir.org/r2/metadata",
   "version" : "1.0.2-2.0.14",
   "name" : "FHIR Reference Server Conformance Statement",
   "status" : "active",
-  "date" : "2023-04-14T12:38:49.075Z",
+  "date" : "2023-04-18T00:47:26.299Z",
   "contact" : [{
     "telecom" : [{
       "system" : "other",
@@ -31,8 +31,8 @@
     "releaseDate" : "2022-05-13T19:50:55.040Z"
   },
   "implementation" : {
-    "description" : "FHIR Server running at http://localhost/r2",
-    "url" : "http://localhost/r2"
+    "description" : "FHIR Server running at http://tx.fhir.org/r2",
+    "url" : "http://tx.fhir.org/r2"
   },
   "fhirVersion" : "1.0.2",
   "format" : ["application/xml+fhir",
diff --git a/org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/1.0.2/.terminologyCapabilities.cache b/org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/1.0.2/.terminologyCapabilities.cache
index 11e448018..35a19e2e9 100644
--- a/org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/1.0.2/.terminologyCapabilities.cache
+++ b/org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/1.0.2/.terminologyCapabilities.cache
@@ -138,6 +138,9 @@
   {
     "uri" : "http://hl7.org/fhir/concept-map-equivalence"
   },
+  {
+    "uri" : "http://hl7.org/fhir/conditional-delete-status"
+  },
   {
     "uri" : "http://hl7.org/fhir/condition-category"
   },
@@ -150,9 +153,6 @@
   {
     "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 +165,15 @@
   {
     "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 +196,10 @@
     "uri" : "http://hl7.org/fhir/data-absent-reason"
   },
   {
-    "uri" : "http://hl7.org/fhir/data-types"
+    "uri" : "http://hl7.org/fhir/dataelement-stringency"
   },
   {
-    "uri" : "http://hl7.org/fhir/dataelement-stringency"
+    "uri" : "http://hl7.org/fhir/data-types"
   },
   {
     "uri" : "http://hl7.org/fhir/days-of-week"
@@ -210,15 +210,15 @@
   {
     "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"
   },
@@ -270,6 +270,9 @@
   {
     "uri" : "http://hl7.org/fhir/episode-of-care-status"
   },
+  {
+    "uri" : "http://hl7.org/fhir/exception"
+  },
   {
     "uri" : "http://hl7.org/fhir/ex-fdi"
   },
@@ -285,6 +288,9 @@
   {
     "uri" : "http://hl7.org/fhir/ex-surface"
   },
+  {
+    "uri" : "http://hl7.org/fhir/extension-context"
+  },
   {
     "uri" : "http://hl7.org/fhir/ex-udi"
   },
@@ -294,18 +300,15 @@
   {
     "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"
   },
@@ -315,9 +318,6 @@
   {
     "uri" : "http://hl7.org/fhir/flag-status"
   },
-  {
-    "uri" : "http://hl7.org/fhir/flagCategory"
-  },
   {
     "uri" : "http://hl7.org/fhir/fm-conditions"
   },
@@ -504,9 +504,6 @@
   {
     "uri" : "http://hl7.org/fhir/object-type"
   },
-  {
-    "uri" : "http://hl7.org/fhir/obs-kind"
-  },
   {
     "uri" : "http://hl7.org/fhir/observation-category"
   },
@@ -516,6 +513,9 @@
   {
     "uri" : "http://hl7.org/fhir/observation-status"
   },
+  {
+    "uri" : "http://hl7.org/fhir/obs-kind"
+  },
   {
     "uri" : "http://hl7.org/fhir/operation-kind"
   },
@@ -531,15 +531,15 @@
   {
     "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 +553,10 @@
     "uri" : "http://hl7.org/fhir/payeetype"
   },
   {
-    "uri" : "http://hl7.org/fhir/payment-type"
+    "uri" : "http://hl7.org/fhir/paymentstatus"
   },
   {
-    "uri" : "http://hl7.org/fhir/paymentstatus"
+    "uri" : "http://hl7.org/fhir/payment-type"
   },
   {
     "uri" : "http://hl7.org/fhir/practitioner-role"
@@ -735,15 +735,15 @@
   {
     "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"
   },
diff --git a/org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/1.0.2/loinc.cache b/org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/1.0.2/loinc.cache
index 638a95b1e..350001ac4 100644
--- a/org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/1.0.2/loinc.cache
+++ b/org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/1.0.2/loinc.cache
@@ -10,14 +10,3 @@ v: {
   "system" : "http://loinc.org"
 }
 -------------------------------------------------------------------------------------
-{"code" : {
-  "system" : "http://loinc.org",
-  "code" : "3141-9",
-  "display" : "Weight Measured"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "versionFlexible":"false"}####
-v: {
-  "display" : "Body weight Measured",
-  "code" : "3141-9",
-  "system" : "http://loinc.org"
-}
--------------------------------------------------------------------------------------
diff --git a/org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/1.0.2/snomed.cache b/org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/1.0.2/snomed.cache
index b32dead31..cf5333899 100644
--- a/org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/1.0.2/snomed.cache
+++ b/org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/1.0.2/snomed.cache
@@ -10,14 +10,3 @@ v: {
   "system" : "http://snomed.info/sct"
 }
 -------------------------------------------------------------------------------------
-{"code" : {
-  "system" : "http://snomed.info/sct",
-  "code" : "27113001",
-  "display" : "Body weight"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "versionFlexible":"false"}####
-v: {
-  "display" : "Body weight",
-  "code" : "27113001",
-  "system" : "http://snomed.info/sct"
-}
--------------------------------------------------------------------------------------
diff --git a/org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/1.0.2/ucum.cache b/org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/1.0.2/ucum.cache
index 2864a6031..5199f2c21 100644
--- a/org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/1.0.2/ucum.cache
+++ b/org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/1.0.2/ucum.cache
@@ -9,13 +9,3 @@ v: {
   "system" : "http://unitsofmeasure.org"
 }
 -------------------------------------------------------------------------------------
-{"code" : {
-  "system" : "http://unitsofmeasure.org",
-  "code" : "[lb_av]"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "versionFlexible":"false"}####
-v: {
-  "display" : "[lb_av]",
-  "code" : "[lb_av]",
-  "system" : "http://unitsofmeasure.org"
-}
--------------------------------------------------------------------------------------
diff --git a/org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/1.4.0/.capabilityStatement.cache b/org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/1.4.0/.capabilityStatement.cache
index f03ebba32..178a66674 100644
--- a/org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/1.4.0/.capabilityStatement.cache
+++ b/org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/1.4.0/.capabilityStatement.cache
@@ -16,7 +16,7 @@
   "version" : "3.0.2-2.0.14",
   "name" : "FHIR Reference Server Conformance Statement",
   "status" : "active",
-  "date" : "2023-04-14T06:49:59.279Z",
+  "date" : "2023-04-17T22:53:00.924Z",
   "contact" : [{
     "telecom" : [{
       "system" : "other",
diff --git a/org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/3.0.2/.capabilityStatement.cache b/org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/3.0.2/.capabilityStatement.cache
index 81af13c7c..8266efac3 100644
--- a/org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/3.0.2/.capabilityStatement.cache
+++ b/org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/3.0.2/.capabilityStatement.cache
@@ -16,7 +16,7 @@
   "version" : "3.0.2-2.0.14",
   "name" : "FHIR Reference Server Conformance Statement",
   "status" : "active",
-  "date" : "2023-04-14T06:50:01.715Z",
+  "date" : "2023-04-17T22:53:03.430Z",
   "contact" : [{
     "telecom" : [{
       "system" : "other",
diff --git a/org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/3.0.2/loinc.cache b/org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/3.0.2/loinc.cache
index 41288025a..15630bf06 100644
--- a/org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/3.0.2/loinc.cache
+++ b/org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/3.0.2/loinc.cache
@@ -155,7 +155,7 @@ v: {
   "code" : "48765-2",
   "system" : "http://loinc.org",
   "severity" : "warning",
-  "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)' (from Tx-Server)"
+  "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)"
 }
 -------------------------------------------------------------------------------------
 {"code" : {
@@ -245,7 +245,7 @@ v: {
   "code" : "18776-5",
   "system" : "http://loinc.org",
   "severity" : "warning",
-  "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)' (from Tx-Server)"
+  "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)"
 }
 -------------------------------------------------------------------------------------
 {"code" : {
@@ -280,7 +280,7 @@ v: {
   "code" : "10187-3",
   "system" : "http://loinc.org",
   "severity" : "warning",
-  "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)' (from Tx-Server)"
+  "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)"
 }
 -------------------------------------------------------------------------------------
 {"code" : {
@@ -293,7 +293,7 @@ v: {
   "code" : "87504-7",
   "system" : "http://loinc.org",
   "severity" : "warning",
-  "error" : "Wrong Display Name 'Administrative information' for http://loinc.org#87504-7 - should be 'LCDS v4.00 - Administrative information - discharge [CMS Assessment]', (from Tx-Server)"
+  "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)"
 }
 -------------------------------------------------------------------------------------
 {"code" : {
@@ -314,7 +314,7 @@ v: {
 }, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "versionFlexible":"true"}####
 v: {
   "severity" : "error",
-  "error" : "Error parsing response message: only whitespace content allowed before start tag and not D (position: START_DOCUMENT seen D... @1:1)",
+  "error" : "Error performing tx3 operation 'validate-code: Failed to connect to local.fhir.org/127.0.0.1:80' (parameters = \"\")",
   "class" : "SERVER_ERROR"
 }
 -------------------------------------------------------------------------------------
@@ -325,7 +325,7 @@ v: {
 }, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "versionFlexible":"true"}####
 v: {
   "severity" : "error",
-  "error" : "Error parsing response message: only whitespace content allowed before start tag and not D (position: START_DOCUMENT seen D... @1:1)",
+  "error" : "Error performing tx3 operation 'validate-code: Failed to connect to local.fhir.org/127.0.0.1:80' (parameters = \"\")",
   "class" : "SERVER_ERROR"
 }
 -------------------------------------------------------------------------------------
diff --git a/org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/3.0.2/snomed.cache b/org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/3.0.2/snomed.cache
index 7ab490df2..c228398e3 100644
--- a/org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/3.0.2/snomed.cache
+++ b/org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/3.0.2/snomed.cache
@@ -30,7 +30,7 @@ v: {
   "code" : "118246004",
   "system" : "http://snomed.info/sct",
   "severity" : "warning",
-  "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)\"' (from Tx-Server)"
+  "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)"
 }
 -------------------------------------------------------------------------------------
 {"code" : {
@@ -43,7 +43,7 @@ v: {
   "code" : "275711006",
   "system" : "http://snomed.info/sct",
   "severity" : "warning",
-  "error" : "Wrong Display Name 'Chemistry' for http://snomed.info/sct#275711006 - should be one of 2 choices: 'Serum chemistry test, \"Serum chemistry test (procedure)\"' (from Tx-Server)"
+  "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)"
 }
 -------------------------------------------------------------------------------------
 {"code" : {
@@ -130,7 +130,7 @@ v: {
 }, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "versionFlexible":"false"}####
 v: {
   "severity" : "error",
-  "error" : "Unable to find code 823681000000100 in http://snomed.info/sct (version http://snomed.info/sct/900000000000207008/version/20220731); Unknown Code '823681000000100' in the system 'http://snomed.info/sct'; The provided code is not in the value set 'http://hl7.org/fhir/ValueSet/@all' (from Tx-Server)",
+  "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 is not in the value set 'http://hl7.org/fhir/ValueSet/@all' (from Tx-Server)",
   "class" : "UNKNOWN"
 }
 -------------------------------------------------------------------------------------
@@ -141,7 +141,7 @@ v: {
 }, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "versionFlexible":"false"}####
 v: {
   "severity" : "error",
-  "error" : "Unable to find code 886921000000105 in http://snomed.info/sct (version http://snomed.info/sct/900000000000207008/version/20220731); Unknown Code '886921000000105' in the system 'http://snomed.info/sct'; The provided code is not in the value set 'http://hl7.org/fhir/ValueSet/@all' (from Tx-Server)",
+  "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 is not in the value set 'http://hl7.org/fhir/ValueSet/@all' (from Tx-Server)",
   "class" : "UNKNOWN"
 }
 -------------------------------------------------------------------------------------
@@ -152,7 +152,7 @@ v: {
 }, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "versionFlexible":"false"}####
 v: {
   "severity" : "error",
-  "error" : "Unable to find code 1077881000000105 in http://snomed.info/sct (version http://snomed.info/sct/900000000000207008/version/20220731); Unknown Code '1077881000000105' in the system 'http://snomed.info/sct'; The provided code is not in the value set 'http://hl7.org/fhir/ValueSet/@all' (from Tx-Server)",
+  "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 is not in the value set 'http://hl7.org/fhir/ValueSet/@all' (from Tx-Server)",
   "class" : "UNKNOWN"
 }
 -------------------------------------------------------------------------------------
@@ -163,7 +163,7 @@ v: {
 }, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "versionFlexible":"false"}####
 v: {
   "severity" : "error",
-  "error" : "Unable to find code 887181000000106 in http://snomed.info/sct (version http://snomed.info/sct/900000000000207008/version/20220731); Unknown Code '887181000000106' in the system 'http://snomed.info/sct'; The provided code is not in the value set 'http://hl7.org/fhir/ValueSet/@all' (from Tx-Server)",
+  "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 is not in the value set 'http://hl7.org/fhir/ValueSet/@all' (from Tx-Server)",
   "class" : "UNKNOWN"
 }
 -------------------------------------------------------------------------------------
@@ -174,7 +174,7 @@ v: {
 }, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "versionFlexible":"false"}####
 v: {
   "severity" : "error",
-  "error" : "Unable to find code 887161000000102 in http://snomed.info/sct (version http://snomed.info/sct/900000000000207008/version/20220731); Unknown Code '887161000000102' in the system 'http://snomed.info/sct'; The provided code is not in the value set 'http://hl7.org/fhir/ValueSet/@all' (from Tx-Server)",
+  "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 is not in the value set 'http://hl7.org/fhir/ValueSet/@all' (from Tx-Server)",
   "class" : "UNKNOWN"
 }
 -------------------------------------------------------------------------------------
@@ -185,7 +185,7 @@ v: {
 }, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "versionFlexible":"false"}####
 v: {
   "severity" : "error",
-  "error" : "Unable to find code 1052891000000108 in http://snomed.info/sct (version http://snomed.info/sct/900000000000207008/version/20220731); Unknown Code '1052891000000108' in the system 'http://snomed.info/sct'; The provided code is not in the value set 'http://hl7.org/fhir/ValueSet/@all' (from Tx-Server)",
+  "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 is not in the value set 'http://hl7.org/fhir/ValueSet/@all' (from Tx-Server)",
   "class" : "UNKNOWN"
 }
 -------------------------------------------------------------------------------------
@@ -196,7 +196,7 @@ v: {
 }, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "versionFlexible":"false"}####
 v: {
   "severity" : "error",
-  "error" : "Unable to find code 715851000000102 in http://snomed.info/sct (version http://snomed.info/sct/900000000000207008/version/20220731); Unknown Code '715851000000102' in the system 'http://snomed.info/sct'; The provided code is not in the value set 'http://hl7.org/fhir/ValueSet/@all' (from Tx-Server)",
+  "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 is not in the value set 'http://hl7.org/fhir/ValueSet/@all' (from Tx-Server)",
   "class" : "UNKNOWN"
 }
 -------------------------------------------------------------------------------------
@@ -207,7 +207,7 @@ v: {
 }, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "versionFlexible":"false"}####
 v: {
   "severity" : "error",
-  "error" : "Unable to find code 717121000000105 in http://snomed.info/sct (version http://snomed.info/sct/900000000000207008/version/20220731); Unknown Code '717121000000105' in the system 'http://snomed.info/sct'; The provided code is not in the value set 'http://hl7.org/fhir/ValueSet/@all' (from Tx-Server)",
+  "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 is not in the value set 'http://hl7.org/fhir/ValueSet/@all' (from Tx-Server)",
   "class" : "UNKNOWN"
 }
 -------------------------------------------------------------------------------------
@@ -218,7 +218,7 @@ v: {
 }, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "versionFlexible":"false"}####
 v: {
   "severity" : "error",
-  "error" : "Unable to find code 933361000000108 in http://snomed.info/sct (version http://snomed.info/sct/900000000000207008/version/20220731); Unknown Code '933361000000108' in the system 'http://snomed.info/sct'; The provided code is not in the value set 'http://hl7.org/fhir/ValueSet/@all' (from Tx-Server)",
+  "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 is not in the value set 'http://hl7.org/fhir/ValueSet/@all' (from Tx-Server)",
   "class" : "UNKNOWN"
 }
 -------------------------------------------------------------------------------------
@@ -229,7 +229,7 @@ v: {
 }, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "versionFlexible":"false"}####
 v: {
   "severity" : "error",
-  "error" : "Unable to find code 887171000000109 in http://snomed.info/sct (version http://snomed.info/sct/900000000000207008/version/20220731); Unknown Code '887171000000109' in the system 'http://snomed.info/sct'; The provided code is not in the value set 'http://hl7.org/fhir/ValueSet/@all' (from Tx-Server)",
+  "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 is not in the value set 'http://hl7.org/fhir/ValueSet/@all' (from Tx-Server)",
   "class" : "UNKNOWN"
 }
 -------------------------------------------------------------------------------------
@@ -240,7 +240,7 @@ v: {
 }, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "versionFlexible":"false"}####
 v: {
   "severity" : "error",
-  "error" : "Unable to find code 887201000000105 in http://snomed.info/sct (version http://snomed.info/sct/900000000000207008/version/20220731); Unknown Code '887201000000105' in the system 'http://snomed.info/sct'; The provided code is not in the value set 'http://hl7.org/fhir/ValueSet/@all' (from Tx-Server)",
+  "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 is not in the value set 'http://hl7.org/fhir/ValueSet/@all' (from Tx-Server)",
   "class" : "UNKNOWN"
 }
 -------------------------------------------------------------------------------------
@@ -251,7 +251,7 @@ v: {
 }, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "versionFlexible":"false"}####
 v: {
   "severity" : "error",
-  "error" : "Unable to find code 1052951000000105 in http://snomed.info/sct (version http://snomed.info/sct/900000000000207008/version/20220731); Unknown Code '1052951000000105' in the system 'http://snomed.info/sct'; The provided code is not in the value set 'http://hl7.org/fhir/ValueSet/@all' (from Tx-Server)",
+  "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 is not in the value set 'http://hl7.org/fhir/ValueSet/@all' (from Tx-Server)",
   "class" : "UNKNOWN"
 }
 -------------------------------------------------------------------------------------
@@ -262,7 +262,7 @@ v: {
 }, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "versionFlexible":"false"}####
 v: {
   "severity" : "error",
-  "error" : "Unable to find code 886731000000109 in http://snomed.info/sct (version http://snomed.info/sct/900000000000207008/version/20220731); Unknown Code '886731000000109' in the system 'http://snomed.info/sct'; The provided code is not in the value set 'http://hl7.org/fhir/ValueSet/@all' (from Tx-Server)",
+  "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 is not in the value set 'http://hl7.org/fhir/ValueSet/@all' (from Tx-Server)",
   "class" : "UNKNOWN"
 }
 -------------------------------------------------------------------------------------
@@ -273,7 +273,7 @@ v: {
 }, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "versionFlexible":"false"}####
 v: {
   "severity" : "error",
-  "error" : "Unable to find code 887231000000104 in http://snomed.info/sct (version http://snomed.info/sct/900000000000207008/version/20220731); Unknown Code '887231000000104' in the system 'http://snomed.info/sct'; The provided code is not in the value set 'http://hl7.org/fhir/ValueSet/@all' (from Tx-Server)",
+  "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 is not in the value set 'http://hl7.org/fhir/ValueSet/@all' (from Tx-Server)",
   "class" : "UNKNOWN"
 }
 -------------------------------------------------------------------------------------
@@ -284,7 +284,7 @@ v: {
 }, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "versionFlexible":"false"}####
 v: {
   "severity" : "error",
-  "error" : "Unable to find code 9290701000001101 in http://snomed.info/sct (version http://snomed.info/sct/900000000000207008/version/20220731); Unknown Code '9290701000001101' in the system 'http://snomed.info/sct'; The provided code is not in the value set 'http://hl7.org/fhir/ValueSet/@all' (from Tx-Server)",
+  "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 is not in the value set 'http://hl7.org/fhir/ValueSet/@all' (from Tx-Server)",
   "class" : "UNKNOWN"
 }
 -------------------------------------------------------------------------------------
@@ -353,7 +353,7 @@ v: {
 }, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "versionFlexible":"false"}####
 v: {
   "severity" : "error",
-  "error" : "Unable to find code 11181000146103 in http://snomed.info/sct (version http://snomed.info/sct/900000000000207008/version/20220731); Unknown Code '11181000146103' in the system 'http://snomed.info/sct'; The provided code is not in the value set 'http://hl7.org/fhir/ValueSet/@all' (from Tx-Server)",
+  "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 is not in the value set 'http://hl7.org/fhir/ValueSet/@all' (from Tx-Server)",
   "class" : "UNKNOWN"
 }
 -------------------------------------------------------------------------------------
@@ -364,7 +364,7 @@ v: {
 }, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "versionFlexible":"true"}####
 v: {
   "severity" : "error",
-  "error" : "Error parsing response message: only whitespace content allowed before start tag and not D (position: START_DOCUMENT seen D... @1:1)",
+  "error" : "Error performing tx3 operation 'validate-code: Failed to connect to local.fhir.org/127.0.0.1:80' (parameters = \"\")",
   "class" : "SERVER_ERROR"
 }
 -------------------------------------------------------------------------------------
diff --git a/org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/3.0.2/ucum.cache b/org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/3.0.2/ucum.cache
index 9c5efa4d0..c1db7d135 100644
--- a/org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/3.0.2/ucum.cache
+++ b/org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/3.0.2/ucum.cache
@@ -45,7 +45,7 @@ v: {
 }, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "versionFlexible":"true"}####
 v: {
   "severity" : "error",
-  "error" : "Error parsing response message: only whitespace content allowed before start tag and not D (position: START_DOCUMENT seen D... @1:1)",
+  "error" : "Error performing tx3 operation 'validate-code: Failed to connect to local.fhir.org/127.0.0.1:80' (parameters = \"\")",
   "class" : "SERVER_ERROR"
 }
 -------------------------------------------------------------------------------------
diff --git a/org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/4.0.1/.capabilityStatement.cache b/org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/4.0.1/.capabilityStatement.cache
index 3387d9698..3e1ae14fa 100644
--- a/org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/4.0.1/.capabilityStatement.cache
+++ b/org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/4.0.1/.capabilityStatement.cache
@@ -12,7 +12,7 @@
   "version" : "4.0.1-2.0.14",
   "name" : "FHIR Reference Server Conformance Statement",
   "status" : "active",
-  "date" : "2023-04-14T06:50:08.334Z",
+  "date" : "2023-04-17T22:53:10.837Z",
   "contact" : [{
     "telecom" : [{
       "system" : "other",
diff --git a/org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/4.0.1/.terminologyCapabilities.cache b/org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/4.0.1/.terminologyCapabilities.cache
index 088f86a28..4fe88968d 100644
--- a/org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/4.0.1/.terminologyCapabilities.cache
+++ b/org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/4.0.1/.terminologyCapabilities.cache
@@ -5,7 +5,7 @@
   "version" : "1.0.0",
   "name" : "FHIR Reference Server Teminology Capability Statement",
   "status" : "active",
-  "date" : "2023-04-14T06:50:08.361Z",
+  "date" : "2023-04-17T22:53:10.876Z",
   "contact" : [{
     "telecom" : [{
       "system" : "other",
@@ -821,16 +821,16 @@
     "uri" : "http://hl7.org/fhir/us/core/CodeSystem/condition-category"
   },
   {
-    "uri" : "http://hl7.org/fhir/us/core/CodeSystem/us-core-documentreference-category"
+    "uri" : "http://hl7.org/fhir/us/core/CodeSystem/us-core-category"
   },
   {
-    "uri" : "http://hl7.org/fhir/us/core/CodeSystem/us-core-observation-category"
+    "uri" : "http://hl7.org/fhir/us/core/CodeSystem/us-core-documentreference-category"
   },
   {
     "uri" : "http://hl7.org/fhir/us/core/CodeSystem/us-core-provenance-participant-type"
   },
   {
-    "uri" : "http://hl7.org/fhir/us/core/CodeSystem/us-core-tags"
+    "uri" : "http://hl7.org/fhir/us/core/CodeSystem/us-core-sex-for-clinical-use"
   },
   {
     "uri" : "http://hl7.org/fhir/uv/sdc/CodeSystem/assemble-expectation"
@@ -940,6 +940,9 @@
   {
     "uri" : "http://terminology.hl7.org/CodeSystem/appointment-cancellation-reason"
   },
+  {
+    "uri" : "http://terminology.hl7.org/CodeSystem/appropriateness-score"
+  },
   {
     "uri" : "http://terminology.hl7.org/CodeSystem/attribute-estimate-type"
   },
@@ -3274,6 +3277,9 @@
   {
     "uri" : "http://terminology.hl7.org/CodeSystem/v3-ManagedParticipationStatus"
   },
+  {
+    "uri" : "http://terminology.hl7.org/CodeSystem/v3-ManufacturerModelNameExample"
+  },
   {
     "uri" : "http://terminology.hl7.org/CodeSystem/v3-MapRelationship"
   },
@@ -3436,6 +3442,9 @@
   {
     "uri" : "http://terminology.hl7.org/CodeSystem/v3-SetOperator"
   },
+  {
+    "uri" : "http://terminology.hl7.org/CodeSystem/v3-SoftwareNameExample"
+  },
   {
     "uri" : "http://terminology.hl7.org/CodeSystem/v3-SpecimenType"
   },
diff --git a/org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/4.0.1/all-systems.cache b/org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/4.0.1/all-systems.cache
index c3226f77c..bfc6c1c68 100644
--- a/org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/4.0.1/all-systems.cache
+++ b/org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/4.0.1/all-systems.cache
@@ -36,7 +36,7 @@ v: {
   "code" : "59284-0",
   "system" : "http://loinc.org",
   "severity" : "warning",
-  "error" : "Wrong Display Name 'Patient Authorization Signature' for http://loinc.org#59284-0 - should be one of 29 choices: 'Consent Document, \"Consent\", \"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), \"Documentazione dell'ontologia Osservazione Punto nel tempo (episodio)\" (it-IT)' (from null)"
+  "error" : "Wrong Display Name 'Patient Authorization Signature' for http://loinc.org#59284-0 - should be one of 29 choices: 'Consent Document, \"Consent\", \"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), \"Documentazione dell'ontologia Osservazione Punto nel tempo (episodio)\" (it-IT)' for the language(s) '--' (from null)"
 }
 -------------------------------------------------------------------------------------
 {"code" : {
@@ -418,30 +418,6 @@ v: {
   "system" : "urn:ietf:bcp:13"
 }
 -------------------------------------------------------------------------------------
-{"code" : {
-  "system" : "http://snomed.info/sct",
-  "code" : "371532007",
-  "display" : "Progress note"
-}, "url": "http://fhir.ch/ig/ch-epr-term/ValueSet/DocumentEntry.typeCode", "version": "2.0.1", "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"NO_MEMBERSHIP_CHECK", "versionFlexible":"false"}####
-v: {
-  "display" : "Progress report",
-  "code" : "371532007",
-  "system" : "http://snomed.info/sct",
-  "severity" : "warning",
-  "error" : "Wrong Display Name 'Progress note' for http://snomed.info/sct#371532007 - should be one of 3 choices: 'Progress report, \"Report of subsequent visit\", \"Progress report (record artifact)\"' (from null)"
-}
--------------------------------------------------------------------------------------
-{"code" : {
-  "system" : "http://snomed.info/sct",
-  "code" : "371525003",
-  "display" : "Clinical procedure report"
-}, "url": "http://fhir.ch/ig/ch-epr-term/ValueSet/DocumentEntry.classCode", "version": "2.0.4", "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"NO_MEMBERSHIP_CHECK", "versionFlexible":"false"}####
-v: {
-  "display" : "Clinical procedure report",
-  "code" : "371525003",
-  "system" : "http://snomed.info/sct"
-}
--------------------------------------------------------------------------------------
 {"code" : {
   "code" : "text/css"
 }, "url": "http://hl7.org/fhir/ValueSet/mimetypes", "version": "4.0.1", "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"true", "valueSetMode":"ALL_CHECKS", "versionFlexible":"false"}####
@@ -716,3 +692,27 @@ v: {
   "class" : "UNKNOWN"
 }
 -------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://snomed.info/sct",
+  "code" : "371532007",
+  "display" : "Progress note"
+}, "url": "http://fhir.ch/ig/ch-epr-term/ValueSet/DocumentEntry.typeCode", "version": "2.0.1", "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"NO_MEMBERSHIP_CHECK", "versionFlexible":"false"}####
+v: {
+  "display" : "Progress report",
+  "code" : "371532007",
+  "system" : "http://snomed.info/sct",
+  "severity" : "warning",
+  "error" : "Wrong Display Name 'Progress note' for http://snomed.info/sct#371532007 - should be one of 3 choices: 'Progress report, \"Report of subsequent visit\", \"Progress report (record artifact)\"' for the language(s) '--' (from null)"
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://snomed.info/sct",
+  "code" : "371525003",
+  "display" : "Clinical procedure report"
+}, "url": "http://fhir.ch/ig/ch-epr-term/ValueSet/DocumentEntry.classCode", "version": "2.0.4", "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"NO_MEMBERSHIP_CHECK", "versionFlexible":"false"}####
+v: {
+  "display" : "Clinical procedure report",
+  "code" : "371525003",
+  "system" : "http://snomed.info/sct"
+}
+-------------------------------------------------------------------------------------
diff --git a/org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/4.0.1/condition-clinical.cache b/org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/4.0.1/condition-clinical.cache
index 483067dd8..7532bf121 100644
--- a/org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/4.0.1/condition-clinical.cache
+++ b/org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/4.0.1/condition-clinical.cache
@@ -16,9 +16,9 @@ v: {
   "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", "versionFlexible":"false"}####
 v: {
-  "display" : "Active",
-  "code" : "active",
-  "system" : "http://terminology.hl7.org/CodeSystem/condition-clinical"
+  "severity" : "error",
+  "error" : "The CodeSystem http://terminology.hl7.org/CodeSystem/condition-clinical version 0.5.0 is unknown. ValidVersions: [2.0.0]; The provided code is not in the value set 'http://hl7.org/fhir/ValueSet/condition-clinical' (from null)",
+  "class" : "UNKNOWN"
 }
 -------------------------------------------------------------------------------------
 {"code" : {
@@ -27,8 +27,8 @@ v: {
   "code" : "active"
 }, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "versionFlexible":"false"}####
 v: {
-  "display" : "Active",
-  "code" : "active",
-  "system" : "http://terminology.hl7.org/CodeSystem/condition-clinical"
+  "severity" : "error",
+  "error" : "The CodeSystem http://terminology.hl7.org/CodeSystem/condition-clinical version 0.5.0 is unknown. ValidVersions: [2.0.0]; The provided code is not in the value set 'http://hl7.org/fhir/ValueSet/@all' (from null)",
+  "class" : "UNKNOWN"
 }
 -------------------------------------------------------------------------------------
diff --git a/org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/4.0.1/cvx.cache b/org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/4.0.1/cvx.cache
index f9d0f37c6..ecb9d7210 100644
--- a/org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/4.0.1/cvx.cache
+++ b/org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/4.0.1/cvx.cache
@@ -20,7 +20,7 @@ v: {
   "code" : "207",
   "system" : "http://hl7.org/fhir/sid/cvx",
   "severity" : "warning",
-  "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\")' (from null)"
+  "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 null)"
 }
 -------------------------------------------------------------------------------------
 {"code" : {
diff --git a/org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/4.0.1/http___nucc.org_provider-taxonomy.cache b/org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/4.0.1/http___nucc.org_provider-taxonomy.cache
index 6c23ee98c..ed6831a30 100644
--- a/org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/4.0.1/http___nucc.org_provider-taxonomy.cache
+++ b/org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/4.0.1/http___nucc.org_provider-taxonomy.cache
@@ -9,7 +9,7 @@ v: {
   "code" : "208D00000X",
   "system" : "http://nucc.org/provider-taxonomy",
   "severity" : "warning",
-  "error" : "Wrong Display Name 'General Practice' for http://nucc.org/provider-taxonomy#208D00000X - should be 'General Practice Physician', (from null)"
+  "error" : "Wrong Display Name 'General Practice' for http://nucc.org/provider-taxonomy#208D00000X - should be 'General Practice Physician' (for the language(s) '--') (from null)"
 }
 -------------------------------------------------------------------------------------
 {"code" : {
@@ -32,7 +32,7 @@ v: {
   "code" : "208D00000X",
   "system" : "http://nucc.org/provider-taxonomy",
   "severity" : "warning",
-  "error" : "Wrong Display Name 'General Practice' for http://nucc.org/provider-taxonomy#208D00000X - should be 'General Practice Physician', (from null)"
+  "error" : "Wrong Display Name 'General Practice' for http://nucc.org/provider-taxonomy#208D00000X - should be 'General Practice Physician' (for the language(s) '--') (from null)"
 }
 -------------------------------------------------------------------------------------
 {"code" : {
diff --git a/org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/4.0.1/http___something_something.cache b/org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/4.0.1/http___something_something.cache
index e07ef3cd6..f01abe7f3 100644
--- a/org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/4.0.1/http___something_something.cache
+++ b/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, en-US]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "versionFlexible":"true"}####
+}, "valueSet" :null, "langs":"[en-US, en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "versionFlexible":"true"}####
 v: {
   "severity" : "error",
   "error" : "The CodeSystem http://something/something is unknown; The provided code is not in the value set 'http://hl7.org/fhir/ValueSet/@all' (from null)",
diff --git a/org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/4.0.1/icd-10.cache b/org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/4.0.1/icd-10.cache
index 7ef75f30b..18ae0a9dc 100644
--- a/org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/4.0.1/icd-10.cache
+++ b/org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/4.0.1/icd-10.cache
@@ -20,6 +20,6 @@ v: {
   "code" : "C12",
   "system" : "http://hl7.org/fhir/sid/icd-10",
   "severity" : "warning",
-  "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', (from null)"
+  "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 null)"
 }
 -------------------------------------------------------------------------------------
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 1e7a8aee6..c755ffbc0 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
@@ -9,7 +9,7 @@ v: {
   "code" : "59408-5",
   "system" : "http://loinc.org",
   "severity" : "warning",
-  "error" : "Wrong Display Name 'O2 % BldC Oximetry' for http://loinc.org#59408-5 - should be one of 25 choices: 'Oxygen saturation in Arterial blood by Pulse oximetry, \"SaO2 % BldA PulseOx\", \"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), \"O2 SatO2\" (fr-BE)' (from null)"
+  "error" : "Wrong Display Name 'O2 % BldC Oximetry' for http://loinc.org#59408-5 - should be one of 25 choices: 'Oxygen saturation in Arterial blood by Pulse oximetry, \"SaO2 % BldA PulseOx\", \"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), \"O2 SatO2\" (fr-BE)' for the language(s) '--' (from null)"
 }
 -------------------------------------------------------------------------------------
 {"code" : {
@@ -44,145 +44,7 @@ v: {
   "code" : "3151-8",
   "system" : "http://loinc.org",
   "severity" : "warning",
-  "error" : "Wrong Display Name 'Flow Rate' for http://loinc.org#3151-8 - should be one of 37 choices: 'Inhaled oxygen flow rate, \"Inhaled O2 flow rate\", \"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), \"O2-Zufuhr\" (de-AT)' (from null)"
-}
--------------------------------------------------------------------------------------
-{"code" : {
-  "system" : "http://loinc.org",
-  "code" : "59408-5"
-}, "url": "http://hl7.org/fhir/us/core/ValueSet/us-core-vital-signs--0", "version": "4.0.0", "langs":"[en]", "useServer":"true", "useClient":"false", "guessSystem":"false", "valueSetMode":"CHECK_MEMERSHIP_ONLY", "versionFlexible":"false"}####
-v: {
-  "display" : "Oxygen saturation in Arterial blood by Pulse oximetry",
-  "code" : "59408-5",
-  "system" : "http://loinc.org"
-}
--------------------------------------------------------------------------------------
-{"code" : {
-  "system" : "http://loinc.org",
-  "code" : "2708-6"
-}, "url": "http://hl7.org/fhir/us/core/ValueSet/us-core-vital-signs--0", "version": "4.0.0", "langs":"[en]", "useServer":"true", "useClient":"false", "guessSystem":"false", "valueSetMode":"CHECK_MEMERSHIP_ONLY", "versionFlexible":"false"}####
-v: {
-  "severity" : "error",
-  "error" : "The provided code is not in the value set 'http://hl7.org/fhir/us/core/ValueSet/us-core-vital-signs--0' (from null)",
-  "class" : "UNKNOWN"
-}
--------------------------------------------------------------------------------------
-{"code" : {
-  "system" : "http://loinc.org",
-  "code" : "2708-6"
-}, "url": "http://hl7.org/fhir/ValueSet/observation-vitalsignresult--0", "version": "4.0.1", "langs":"[en]", "useServer":"true", "useClient":"false", "guessSystem":"false", "valueSetMode":"CHECK_MEMERSHIP_ONLY", "versionFlexible":"false"}####
-v: {
-  "display" : "Oxygen saturation in Arterial blood",
-  "code" : "2708-6",
-  "system" : "http://loinc.org"
-}
--------------------------------------------------------------------------------------
-{"code" : {
-  "system" : "http://loinc.org",
-  "code" : "59408-5",
-  "display" : "O2 % BldC Oximetry"
-}, "url": "http://hl7.org/fhir/us/core/ValueSet/us-core-vital-signs", "version": "4.0.0", "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"NO_MEMBERSHIP_CHECK", "versionFlexible":"false"}####
-v: {
-  "display" : "Oxygen saturation in Arterial blood by Pulse oximetry",
-  "code" : "59408-5",
-  "system" : "http://loinc.org",
-  "severity" : "warning",
-  "error" : "Wrong Display Name 'O2 % BldC Oximetry' for http://loinc.org#59408-5 - should be one of 25 choices: 'Oxygen saturation in Arterial blood by Pulse oximetry, \"SaO2 % BldA PulseOx\", \"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), \"O2 SatO2\" (fr-BE)' (from null)"
-}
--------------------------------------------------------------------------------------
-{"code" : {
-  "system" : "http://loinc.org",
-  "code" : "2708-6",
-  "display" : "Oxygen saturation in Arterial blood"
-}, "url": "http://hl7.org/fhir/us/core/ValueSet/us-core-vital-signs", "version": "4.0.0", "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"NO_MEMBERSHIP_CHECK", "versionFlexible":"false"}####
-v: {
-  "display" : "Oxygen saturation in Arterial blood",
-  "code" : "2708-6",
-  "system" : "http://loinc.org"
-}
--------------------------------------------------------------------------------------
-{"code" : {
-  "system" : "http://loinc.org",
-  "code" : "59408-5"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "versionFlexible":"false"}####
-v: {
-  "display" : "Oxygen saturation in Arterial blood by Pulse oximetry",
-  "code" : "59408-5",
-  "system" : "http://loinc.org"
-}
--------------------------------------------------------------------------------------
-{"code" : {
-  "system" : "http://loinc.org",
-  "code" : "2708-6"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "versionFlexible":"false"}####
-v: {
-  "display" : "Oxygen saturation in Arterial blood",
-  "code" : "2708-6",
-  "system" : "http://loinc.org"
-}
--------------------------------------------------------------------------------------
-{"code" : {
-  "system" : "http://loinc.org",
-  "code" : "3150-0"
-}, "url": "http://hl7.org/fhir/us/core/ValueSet/us-core-vital-signs--0", "version": "4.0.0", "langs":"[en]", "useServer":"true", "useClient":"false", "guessSystem":"false", "valueSetMode":"CHECK_MEMERSHIP_ONLY", "versionFlexible":"false"}####
-v: {
-  "display" : "Inhaled oxygen concentration",
-  "code" : "3150-0",
-  "system" : "http://loinc.org"
-}
--------------------------------------------------------------------------------------
-{"code" : {
-  "system" : "http://loinc.org",
-  "code" : "3150-0",
-  "display" : "Inhaled Oxygen Concentration"
-}, "url": "http://hl7.org/fhir/us/core/ValueSet/us-core-vital-signs", "version": "4.0.0", "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"NO_MEMBERSHIP_CHECK", "versionFlexible":"false"}####
-v: {
-  "display" : "Inhaled oxygen concentration",
-  "code" : "3150-0",
-  "system" : "http://loinc.org"
-}
--------------------------------------------------------------------------------------
-{"code" : {
-  "system" : "http://loinc.org",
-  "code" : "3150-0"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "versionFlexible":"false"}####
-v: {
-  "display" : "Inhaled oxygen concentration",
-  "code" : "3150-0",
-  "system" : "http://loinc.org"
-}
--------------------------------------------------------------------------------------
-{"code" : {
-  "system" : "http://loinc.org",
-  "code" : "3151-8"
-}, "url": "http://hl7.org/fhir/us/core/ValueSet/us-core-vital-signs--0", "version": "4.0.0", "langs":"[en]", "useServer":"true", "useClient":"false", "guessSystem":"false", "valueSetMode":"CHECK_MEMERSHIP_ONLY", "versionFlexible":"false"}####
-v: {
-  "display" : "Inhaled oxygen flow rate",
-  "code" : "3151-8",
-  "system" : "http://loinc.org"
-}
--------------------------------------------------------------------------------------
-{"code" : {
-  "system" : "http://loinc.org",
-  "code" : "3151-8",
-  "display" : "Flow Rate"
-}, "url": "http://hl7.org/fhir/us/core/ValueSet/us-core-vital-signs", "version": "4.0.0", "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"NO_MEMBERSHIP_CHECK", "versionFlexible":"false"}####
-v: {
-  "display" : "Inhaled oxygen flow rate",
-  "code" : "3151-8",
-  "system" : "http://loinc.org",
-  "severity" : "warning",
-  "error" : "Wrong Display Name 'Flow Rate' for http://loinc.org#3151-8 - should be one of 37 choices: 'Inhaled oxygen flow rate, \"Inhaled O2 flow rate\", \"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), \"O2-Zufuhr\" (de-AT)' (from null)"
-}
--------------------------------------------------------------------------------------
-{"code" : {
-  "system" : "http://loinc.org",
-  "code" : "3151-8"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "versionFlexible":"false"}####
-v: {
-  "display" : "Inhaled oxygen flow rate",
-  "code" : "3151-8",
-  "system" : "http://loinc.org"
+  "error" : "Wrong Display Name 'Flow Rate' for http://loinc.org#3151-8 - should be one of 37 choices: 'Inhaled oxygen flow rate, \"Inhaled O2 flow rate\", \"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), \"O2-Zufuhr\" (de-AT)' for the language(s) '--' (from null)"
 }
 -------------------------------------------------------------------------------------
 {"code" : {
@@ -950,7 +812,7 @@ v: {
   "code" : "51726-8",
   "system" : "http://loinc.org",
   "severity" : "warning",
-  "error" : "Wrong Display Name 'NDC labeler code request' for http://loinc.org#51726-8 - should be one of 22 choices: 'FDA product label NDC labeler code request, \"FDA label NDC labeler code request\", \"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), \"Описательный\" (ru-RU)' (from null)"
+  "error" : "Wrong Display Name 'NDC labeler code request' for http://loinc.org#51726-8 - should be one of 22 choices: 'FDA product label NDC labeler code request, \"FDA label NDC labeler code request\", \"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), \"Описательный\" (ru-RU)' for the language(s) '--' (from null)"
 }
 -------------------------------------------------------------------------------------
 {"code" : {
@@ -1178,7 +1040,7 @@ v: {
   "code" : "18684-1",
   "system" : "http://loinc.org",
   "severity" : "warning",
-  "error" : "Wrong Display Name '����' for http://loinc.org#18684-1 - should be one of 46 choices: 'First Blood pressure Set, \"ED Health Insurance Portability and Accountability Act of 1996\" (zh-CN), \"HIPAA\" (zh-CN), \"健康保險可攜與責任法\" (zh-CN), \"HIPAA法案\" (zh-CN), \"健康保险可移植性和问责法1996年\" (zh-CN), \"美国健康保险携带和责任法案\" (zh-CN), \"医疗保险便携性和责任法案\" (zh-CN), \"医疗保险便携性与责任法案\" (zh-CN), \"醫療保險可攜性與責任法\" (zh-CN), \"HIPAA 信息附件.急诊\" (zh-CN), \"HIPAA 信息附件.急诊科\" (zh-CN), \"HIPAA 信息附件.急诊科就医\" (zh-CN), \"HIPAA 信息附件.急诊科就诊\" (zh-CN), \"健康保险便携与责任法案信息附件.急诊\" (zh-CN), \"健康保险便携与责任法案信息附件.急诊 临床信息附件集\" (zh-CN), \"临床信息附件集合\" (zh-CN), \"集\" (zh-CN), \"集合 信息附件\" (zh-CN), \"健康保险便携与责任法案信息附件\" (zh-CN), \"附件 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 压强 复合属性\" (zh-CN), \"复杂型属性\" (zh-CN), \"复杂属性 就医\" (zh-CN), \"就医过程 急诊科 急诊科（DEEDS）变量\" (zh-CN), \"DEEDS 变量\" (zh-CN), \"急诊\" (zh-CN), \"急诊科\" (zh-CN), \"Emergency Department\" (zh-CN), \"ED\" (zh-CN), \"急诊科（急诊科系统代码之数据元素）变量\" (zh-CN), \"急诊科（急诊科系统代码之数据元素）指标\" (zh-CN), \"急诊科（美国CDC急诊科系统代码之数据元素）指标\" (zh-CN), \"急诊科指标 急诊科（Emergency Department，ED） 急诊部 第一个\" (zh-CN), \"第一次\" (zh-CN), \"首个\" (zh-CN), \"首次 血\" (zh-CN), \"全血\" (zh-CN), \"Allegato Allegato di reparto di emergenza (pronto soccorso) Complesso Emergenza (DEEDS - Data Elements for Emergency Dep Incontro\" (it-IT), \"Appuntamento paziente Stabilito\" (it-IT), \"Fissato\" (it-IT), \"Встреча Комплекс\" (ru-RU)' (from null)"
+  "error" : "Wrong Display Name '����' for http://loinc.org#18684-1 - should be one of 46 choices: 'First Blood pressure Set, \"ED Health Insurance Portability and Accountability Act of 1996\" (zh-CN), \"HIPAA\" (zh-CN), \"健康保險可攜與責任法\" (zh-CN), \"HIPAA法案\" (zh-CN), \"健康保险可移植性和问责法1996年\" (zh-CN), \"美国健康保险携带和责任法案\" (zh-CN), \"医疗保险便携性和责任法案\" (zh-CN), \"医疗保险便携性与责任法案\" (zh-CN), \"醫療保險可攜性與責任法\" (zh-CN), \"HIPAA 信息附件.急诊\" (zh-CN), \"HIPAA 信息附件.急诊科\" (zh-CN), \"HIPAA 信息附件.急诊科就医\" (zh-CN), \"HIPAA 信息附件.急诊科就诊\" (zh-CN), \"健康保险便携与责任法案信息附件.急诊\" (zh-CN), \"健康保险便携与责任法案信息附件.急诊 临床信息附件集\" (zh-CN), \"临床信息附件集合\" (zh-CN), \"集\" (zh-CN), \"集合 信息附件\" (zh-CN), \"健康保险便携与责任法案信息附件\" (zh-CN), \"附件 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 压强 复合属性\" (zh-CN), \"复杂型属性\" (zh-CN), \"复杂属性 就医\" (zh-CN), \"就医过程 急诊科 急诊科（DEEDS）变量\" (zh-CN), \"DEEDS 变量\" (zh-CN), \"急诊\" (zh-CN), \"急诊科\" (zh-CN), \"Emergency Department\" (zh-CN), \"ED\" (zh-CN), \"急诊科（急诊科系统代码之数据元素）变量\" (zh-CN), \"急诊科（急诊科系统代码之数据元素）指标\" (zh-CN), \"急诊科（美国CDC急诊科系统代码之数据元素）指标\" (zh-CN), \"急诊科指标 急诊科（Emergency Department，ED） 急诊部 第一个\" (zh-CN), \"第一次\" (zh-CN), \"首个\" (zh-CN), \"首次 血\" (zh-CN), \"全血\" (zh-CN), \"Allegato Allegato di reparto di emergenza (pronto soccorso) Complesso Emergenza (DEEDS - Data Elements for Emergency Dep Incontro\" (it-IT), \"Appuntamento paziente Stabilito\" (it-IT), \"Fissato\" (it-IT), \"Встреча Комплекс\" (ru-RU)' for the language(s) '--' (from null)"
 }
 -------------------------------------------------------------------------------------
 {"code" : {
@@ -1191,7 +1053,7 @@ v: {
   "code" : "8480-6",
   "system" : "http://loinc.org",
   "severity" : "warning",
-  "error" : "Wrong Display Name '���k������' for http://loinc.org#8480-6 - should be one of 33 choices: 'Systolic blood pressure, \"BP sys\", \"一般血压\" (zh-CN), \"血压.原子型\" (zh-CN), \"血压指标.原子型 压力\" (zh-CN), \"压强 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 血管内收缩期\" (zh-CN), \"血管内心缩期 血管内的\" (zh-CN), \"Pressure\" (pt-BR), \"Point in time\" (pt-BR), \"Random\" (pt-BR), \"Art sys\" (pt-BR), \"Quantitative\" (pt-BR), \"QNT\" (pt-BR), \"Quant\" (pt-BR), \"Quan\" (pt-BR), \"IV\" (pt-BR), \"Intravenous\" (pt-BR), \"BLOOD PRESSURE MEASUREMENTS.ATOM\" (pt-BR), \"BP systolic\" (pt-BR), \"Blood pressure systolic\" (pt-BR), \"Sys BP\" (pt-BR), \"SBP\" (pt-BR), \"Pressione Pressione arteriosa - atomica Punto nel tempo (episodio)\" (it-IT), \"Давление Количественный Точка во времени\" (ru-RU), \"Момент\" (ru-RU), \"Blutdruck systolisch\" (de-AT)' (from null)"
+  "error" : "Wrong Display Name '���k������' for http://loinc.org#8480-6 - should be one of 33 choices: 'Systolic blood pressure, \"BP sys\", \"一般血压\" (zh-CN), \"血压.原子型\" (zh-CN), \"血压指标.原子型 压力\" (zh-CN), \"压强 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 血管内收缩期\" (zh-CN), \"血管内心缩期 血管内的\" (zh-CN), \"Pressure\" (pt-BR), \"Point in time\" (pt-BR), \"Random\" (pt-BR), \"Art sys\" (pt-BR), \"Quantitative\" (pt-BR), \"QNT\" (pt-BR), \"Quant\" (pt-BR), \"Quan\" (pt-BR), \"IV\" (pt-BR), \"Intravenous\" (pt-BR), \"BLOOD PRESSURE MEASUREMENTS.ATOM\" (pt-BR), \"BP systolic\" (pt-BR), \"Blood pressure systolic\" (pt-BR), \"Sys BP\" (pt-BR), \"SBP\" (pt-BR), \"Pressione Pressione arteriosa - atomica Punto nel tempo (episodio)\" (it-IT), \"Давление Количественный Точка во времени\" (ru-RU), \"Момент\" (ru-RU), \"Blutdruck systolisch\" (de-AT)' for the language(s) '--' (from null)"
 }
 -------------------------------------------------------------------------------------
 {"code" : {
@@ -1204,7 +1066,7 @@ v: {
   "code" : "8462-4",
   "system" : "http://loinc.org",
   "severity" : "warning",
-  "error" : "Wrong Display Name '�g��������' for http://loinc.org#8462-4 - should be one of 36 choices: 'Diastolic blood pressure, \"BP dias\", \"一般血压\" (zh-CN), \"血压.原子型\" (zh-CN), \"血压指标.原子型 压力\" (zh-CN), \"压强 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 血管内心舒期\" (zh-CN), \"血管内舒张期 血管内的\" (zh-CN), \"Dias\" (pt-BR), \"Diast\" (pt-BR), \"Pressure\" (pt-BR), \"Point in time\" (pt-BR), \"Random\" (pt-BR), \"Art sys\" (pt-BR), \"Quantitative\" (pt-BR), \"QNT\" (pt-BR), \"Quant\" (pt-BR), \"Quan\" (pt-BR), \"IV\" (pt-BR), \"Intravenous\" (pt-BR), \"Diastoli\" (pt-BR), \"BLOOD PRESSURE MEASUREMENTS.ATOM\" (pt-BR), \"Blood pressure diastolic\" (pt-BR), \"BP diastolic\" (pt-BR), \"Dias BP\" (pt-BR), \"DBP\" (pt-BR), \"Pressione Pressione arteriosa - atomica Punto nel tempo (episodio)\" (it-IT), \"Внутрисосудистый диастолический Давление Количественный Точка во времени\" (ru-RU), \"Момент\" (ru-RU), \"Blutdruck diastolisch\" (de-AT)' (from null)"
+  "error" : "Wrong Display Name '�g��������' for http://loinc.org#8462-4 - should be one of 36 choices: 'Diastolic blood pressure, \"BP dias\", \"一般血压\" (zh-CN), \"血压.原子型\" (zh-CN), \"血压指标.原子型 压力\" (zh-CN), \"压强 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 血管内心舒期\" (zh-CN), \"血管内舒张期 血管内的\" (zh-CN), \"Dias\" (pt-BR), \"Diast\" (pt-BR), \"Pressure\" (pt-BR), \"Point in time\" (pt-BR), \"Random\" (pt-BR), \"Art sys\" (pt-BR), \"Quantitative\" (pt-BR), \"QNT\" (pt-BR), \"Quant\" (pt-BR), \"Quan\" (pt-BR), \"IV\" (pt-BR), \"Intravenous\" (pt-BR), \"Diastoli\" (pt-BR), \"BLOOD PRESSURE MEASUREMENTS.ATOM\" (pt-BR), \"Blood pressure diastolic\" (pt-BR), \"BP diastolic\" (pt-BR), \"Dias BP\" (pt-BR), \"DBP\" (pt-BR), \"Pressione Pressione arteriosa - atomica Punto nel tempo (episodio)\" (it-IT), \"Внутрисосудистый диастолический Давление Количественный Точка во времени\" (ru-RU), \"Момент\" (ru-RU), \"Blutdruck diastolisch\" (de-AT)' for the language(s) '--' (from null)"
 }
 -------------------------------------------------------------------------------------
 {"code" : {
@@ -2117,3 +1979,141 @@ v: {
   "system" : "http://loinc.org"
 }
 -------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://loinc.org",
+  "code" : "59408-5"
+}, "url": "http://hl7.org/fhir/us/core/ValueSet/us-core-vital-signs--0", "version": "4.0.0", "langs":"[en]", "useServer":"true", "useClient":"false", "guessSystem":"false", "valueSetMode":"CHECK_MEMERSHIP_ONLY", "versionFlexible":"false"}####
+v: {
+  "display" : "Oxygen saturation in Arterial blood by Pulse oximetry",
+  "code" : "59408-5",
+  "system" : "http://loinc.org"
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://loinc.org",
+  "code" : "2708-6"
+}, "url": "http://hl7.org/fhir/us/core/ValueSet/us-core-vital-signs--0", "version": "4.0.0", "langs":"[en]", "useServer":"true", "useClient":"false", "guessSystem":"false", "valueSetMode":"CHECK_MEMERSHIP_ONLY", "versionFlexible":"false"}####
+v: {
+  "severity" : "error",
+  "error" : "The provided code is not in the value set 'http://hl7.org/fhir/us/core/ValueSet/us-core-vital-signs--0' (from null)",
+  "class" : "UNKNOWN"
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://loinc.org",
+  "code" : "2708-6"
+}, "url": "http://hl7.org/fhir/ValueSet/observation-vitalsignresult--0", "version": "4.0.1", "langs":"[en]", "useServer":"true", "useClient":"false", "guessSystem":"false", "valueSetMode":"CHECK_MEMERSHIP_ONLY", "versionFlexible":"false"}####
+v: {
+  "display" : "Oxygen saturation in Arterial blood",
+  "code" : "2708-6",
+  "system" : "http://loinc.org"
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://loinc.org",
+  "code" : "59408-5",
+  "display" : "O2 % BldC Oximetry"
+}, "url": "http://hl7.org/fhir/us/core/ValueSet/us-core-vital-signs", "version": "4.0.0", "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"NO_MEMBERSHIP_CHECK", "versionFlexible":"false"}####
+v: {
+  "display" : "Oxygen saturation in Arterial blood by Pulse oximetry",
+  "code" : "59408-5",
+  "system" : "http://loinc.org",
+  "severity" : "warning",
+  "error" : "Wrong Display Name 'O2 % BldC Oximetry' for http://loinc.org#59408-5 - should be one of 25 choices: 'Oxygen saturation in Arterial blood by Pulse oximetry, \"SaO2 % BldA PulseOx\", \"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), \"O2 SatO2\" (fr-BE)' for the language(s) '--' (from null)"
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://loinc.org",
+  "code" : "2708-6",
+  "display" : "Oxygen saturation in Arterial blood"
+}, "url": "http://hl7.org/fhir/us/core/ValueSet/us-core-vital-signs", "version": "4.0.0", "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"NO_MEMBERSHIP_CHECK", "versionFlexible":"false"}####
+v: {
+  "display" : "Oxygen saturation in Arterial blood",
+  "code" : "2708-6",
+  "system" : "http://loinc.org"
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://loinc.org",
+  "code" : "59408-5"
+}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "versionFlexible":"false"}####
+v: {
+  "display" : "Oxygen saturation in Arterial blood by Pulse oximetry",
+  "code" : "59408-5",
+  "system" : "http://loinc.org"
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://loinc.org",
+  "code" : "2708-6"
+}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "versionFlexible":"false"}####
+v: {
+  "display" : "Oxygen saturation in Arterial blood",
+  "code" : "2708-6",
+  "system" : "http://loinc.org"
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://loinc.org",
+  "code" : "3150-0"
+}, "url": "http://hl7.org/fhir/us/core/ValueSet/us-core-vital-signs--0", "version": "4.0.0", "langs":"[en]", "useServer":"true", "useClient":"false", "guessSystem":"false", "valueSetMode":"CHECK_MEMERSHIP_ONLY", "versionFlexible":"false"}####
+v: {
+  "display" : "Inhaled oxygen concentration",
+  "code" : "3150-0",
+  "system" : "http://loinc.org"
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://loinc.org",
+  "code" : "3150-0",
+  "display" : "Inhaled Oxygen Concentration"
+}, "url": "http://hl7.org/fhir/us/core/ValueSet/us-core-vital-signs", "version": "4.0.0", "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"NO_MEMBERSHIP_CHECK", "versionFlexible":"false"}####
+v: {
+  "display" : "Inhaled oxygen concentration",
+  "code" : "3150-0",
+  "system" : "http://loinc.org"
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://loinc.org",
+  "code" : "3150-0"
+}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "versionFlexible":"false"}####
+v: {
+  "display" : "Inhaled oxygen concentration",
+  "code" : "3150-0",
+  "system" : "http://loinc.org"
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://loinc.org",
+  "code" : "3151-8"
+}, "url": "http://hl7.org/fhir/us/core/ValueSet/us-core-vital-signs--0", "version": "4.0.0", "langs":"[en]", "useServer":"true", "useClient":"false", "guessSystem":"false", "valueSetMode":"CHECK_MEMERSHIP_ONLY", "versionFlexible":"false"}####
+v: {
+  "display" : "Inhaled oxygen flow rate",
+  "code" : "3151-8",
+  "system" : "http://loinc.org"
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://loinc.org",
+  "code" : "3151-8",
+  "display" : "Flow Rate"
+}, "url": "http://hl7.org/fhir/us/core/ValueSet/us-core-vital-signs", "version": "4.0.0", "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"NO_MEMBERSHIP_CHECK", "versionFlexible":"false"}####
+v: {
+  "display" : "Inhaled oxygen flow rate",
+  "code" : "3151-8",
+  "system" : "http://loinc.org",
+  "severity" : "warning",
+  "error" : "Wrong Display Name 'Flow Rate' for http://loinc.org#3151-8 - should be one of 37 choices: 'Inhaled oxygen flow rate, \"Inhaled O2 flow rate\", \"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), \"O2-Zufuhr\" (de-AT)' for the language(s) '--' (from null)"
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://loinc.org",
+  "code" : "3151-8"
+}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "versionFlexible":"false"}####
+v: {
+  "display" : "Inhaled oxygen flow rate",
+  "code" : "3151-8",
+  "system" : "http://loinc.org"
+}
+-------------------------------------------------------------------------------------
diff --git a/org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/4.0.1/snomed.cache b/org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/4.0.1/snomed.cache
index 00adde823..ebf536a5f 100644
--- a/org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/4.0.1/snomed.cache
+++ b/org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/4.0.1/snomed.cache
@@ -335,7 +335,7 @@ v: {
   "code" : "11840006",
   "system" : "http://snomed.info/sct",
   "severity" : "warning",
-  "error" : "Wrong Display Name 'Traveller's Diarrhea (disorder)' for http://snomed.info/sct#11840006 - should be one of 4 choices: 'Traveler's diarrhea, \"Turista\", \"Traveler's diarrhoea\", \"Traveler's diarrhea (disorder)\"' (from null)"
+  "error" : "Wrong Display Name 'Traveller's Diarrhea (disorder)' for http://snomed.info/sct#11840006 - should be one of 4 choices: 'Traveler's diarrhea, \"Turista\", \"Traveler's diarrhoea\", \"Traveler's diarrhea (disorder)\"' for the language(s) '--' (from null)"
 }
 -------------------------------------------------------------------------------------
 {"code" : {
@@ -546,7 +546,7 @@ v: {
   "code" : "371532007",
   "system" : "http://snomed.info/sct",
   "severity" : "warning",
-  "error" : "Wrong Display Name 'Progress note' for http://snomed.info/sct#371532007 - should be one of 3 choices: 'Progress report, \"Report of subsequent visit\", \"Progress report (record artifact)\"' (from null)"
+  "error" : "Wrong Display Name 'Progress note' for http://snomed.info/sct#371532007 - should be one of 3 choices: 'Progress report, \"Report of subsequent visit\", \"Progress report (record artifact)\"' for the language(s) '--' (from null)"
 }
 -------------------------------------------------------------------------------------
 {"code" : {
@@ -560,46 +560,6 @@ v: {
   "system" : "http://snomed.info/sct"
 }
 -------------------------------------------------------------------------------------
-{"code" : {
-  "system" : "http://snomed.info/sct",
-  "code" : "371532007"
-}, "url": "http://fhir.ch/ig/ch-epr-term/ValueSet/DocumentEntry.typeCode--0", "version": "2.0.1", "langs":"[en]", "useServer":"true", "useClient":"false", "guessSystem":"false", "valueSetMode":"CHECK_MEMERSHIP_ONLY", "versionFlexible":"false"}####
-v: {
-  "display" : "Progress report (record artifact)",
-  "code" : "371532007",
-  "system" : "http://snomed.info/sct"
-}
--------------------------------------------------------------------------------------
-{"code" : {
-  "system" : "http://snomed.info/sct",
-  "code" : "371532007"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "versionFlexible":"false"}####
-v: {
-  "display" : "Progress report",
-  "code" : "371532007",
-  "system" : "http://snomed.info/sct"
-}
--------------------------------------------------------------------------------------
-{"code" : {
-  "system" : "http://snomed.info/sct",
-  "code" : "371525003"
-}, "url": "http://fhir.ch/ig/ch-epr-term/ValueSet/DocumentEntry.classCode--0", "version": "2.0.4", "langs":"[en]", "useServer":"true", "useClient":"false", "guessSystem":"false", "valueSetMode":"CHECK_MEMERSHIP_ONLY", "versionFlexible":"false"}####
-v: {
-  "display" : "Clinical procedure report (record artifact)",
-  "code" : "371525003",
-  "system" : "http://snomed.info/sct"
-}
--------------------------------------------------------------------------------------
-{"code" : {
-  "system" : "http://snomed.info/sct",
-  "code" : "371525003"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "versionFlexible":"false"}####
-v: {
-  "display" : "Clinical procedure report",
-  "code" : "371525003",
-  "system" : "http://snomed.info/sct"
-}
--------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://snomed.info/sct",
   "code" : "419891008",
@@ -764,7 +724,7 @@ v: {
   "code" : "840535000",
   "system" : "http://snomed.info/sct",
   "severity" : "warning",
-  "error" : "Wrong Display Name 'COVID-19' for http://snomed.info/sct#840535000 - should be one of 7 choices: 'Antibody to 2019 novel coronavirus, \"Antibody to 2019-nCoV\", \"Antibody to severe acute respiratory syndrome coronavirus 2 (substance)\", \"Antibody to severe acute respiratory syndrome coronavirus 2\", \"Antibody to SARS-CoV-2\", \"Severe acute respiratory syndrome coronavirus 2 Ab\", \"Severe acute respiratory syndrome coronavirus 2 antibody\"' (from null)"
+  "error" : "Wrong Display Name 'COVID-19' for http://snomed.info/sct#840535000 - should be one of 7 choices: 'Antibody to 2019 novel coronavirus, \"Antibody to 2019-nCoV\", \"Antibody to severe acute respiratory syndrome coronavirus 2 (substance)\", \"Antibody to severe acute respiratory syndrome coronavirus 2\", \"Antibody to SARS-CoV-2\", \"Severe acute respiratory syndrome coronavirus 2 Ab\", \"Severe acute respiratory syndrome coronavirus 2 antibody\"' for the language(s) '--' (from null)"
 }
 -------------------------------------------------------------------------------------
 {"code" : {
@@ -807,7 +767,7 @@ v: {
 }, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "versionFlexible":"false"}####
 v: {
   "severity" : "error",
-  "error" : "Unable to find code 10821000202101 in http://snomed.info/sct (version http://snomed.info/sct/900000000000207008/version/20220731); Unknown Code '10821000202101' in the system 'http://snomed.info/sct'; The provided code is not in the value set 'http://hl7.org/fhir/ValueSet/@all' (from null)",
+  "error" : "Unable to find code 10821000202101 in http://snomed.info/sct (version http://snomed.info/sct/900000000000207008/version/20230131); Unknown Code '10821000202101' in the system 'http://snomed.info/sct'; The provided code is not in the value set 'http://hl7.org/fhir/ValueSet/@all' (from null)",
   "class" : "UNKNOWN"
 }
 -------------------------------------------------------------------------------------
@@ -821,7 +781,7 @@ v: {
   "code" : "446745002",
   "system" : "http://snomed.info/sct",
   "severity" : "warning",
-  "error" : "Wrong Display Name 'Diagnostisk med biopsi' for http://snomed.info/sct#446745002 - should be one of 2 choices: 'Colonoscopy and biopsy of colon (procedure), \"Colonoscopy and biopsy of colon\"' (from null)"
+  "error" : "Wrong Display Name 'Diagnostisk med biopsi' for http://snomed.info/sct#446745002 - should be one of 2 choices: 'Colonoscopy and biopsy of colon (procedure), \"Colonoscopy and biopsy of colon\"' for the language(s) '--' (from null)"
 }
 -------------------------------------------------------------------------------------
 {"code" : {
@@ -842,7 +802,7 @@ v: {
 }, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "versionFlexible":"false"}####
 v: {
   "severity" : "error",
-  "error" : "Unable to find code 8921000202108 in http://snomed.info/sct (version http://snomed.info/sct/900000000000207008/version/20220731); Unknown Code '8921000202108' in the system 'http://snomed.info/sct'; The provided code is not in the value set 'http://hl7.org/fhir/ValueSet/@all' (from null)",
+  "error" : "Unable to find code 8921000202108 in http://snomed.info/sct (version http://snomed.info/sct/900000000000207008/version/20230131); Unknown Code '8921000202108' in the system 'http://snomed.info/sct'; The provided code is not in the value set 'http://hl7.org/fhir/ValueSet/@all' (from null)",
   "class" : "UNKNOWN"
 }
 -------------------------------------------------------------------------------------
@@ -853,7 +813,7 @@ v: {
 }, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "versionFlexible":"false"}####
 v: {
   "severity" : "error",
-  "error" : "Unable to find code 8951000202101 in http://snomed.info/sct (version http://snomed.info/sct/900000000000207008/version/20220731); Unknown Code '8951000202101' in the system 'http://snomed.info/sct'; The provided code is not in the value set 'http://hl7.org/fhir/ValueSet/@all' (from null)",
+  "error" : "Unable to find code 8951000202101 in http://snomed.info/sct (version http://snomed.info/sct/900000000000207008/version/20230131); Unknown Code '8951000202101' in the system 'http://snomed.info/sct'; The provided code is not in the value set 'http://hl7.org/fhir/ValueSet/@all' (from null)",
   "class" : "UNKNOWN"
 }
 -------------------------------------------------------------------------------------
@@ -875,7 +835,7 @@ v: {
 }, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "versionFlexible":"false"}####
 v: {
   "severity" : "error",
-  "error" : "Unable to find code 10291000202102 in http://snomed.info/sct (version http://snomed.info/sct/900000000000207008/version/20220731); Unknown Code '10291000202102' in the system 'http://snomed.info/sct'; The provided code is not in the value set 'http://hl7.org/fhir/ValueSet/@all' (from null)",
+  "error" : "Unable to find code 10291000202102 in http://snomed.info/sct (version http://snomed.info/sct/900000000000207008/version/20230131); Unknown Code '10291000202102' in the system 'http://snomed.info/sct'; The provided code is not in the value set 'http://hl7.org/fhir/ValueSet/@all' (from null)",
   "class" : "UNKNOWN"
 }
 -------------------------------------------------------------------------------------
@@ -897,7 +857,7 @@ v: {
 }, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "versionFlexible":"false"}####
 v: {
   "severity" : "error",
-  "error" : "Unable to find code 8901000202102 in http://snomed.info/sct (version http://snomed.info/sct/900000000000207008/version/20220731); Unknown Code '8901000202102' in the system 'http://snomed.info/sct'; The provided code is not in the value set 'http://hl7.org/fhir/ValueSet/@all' (from null)",
+  "error" : "Unable to find code 8901000202102 in http://snomed.info/sct (version http://snomed.info/sct/900000000000207008/version/20230131); Unknown Code '8901000202102' in the system 'http://snomed.info/sct'; The provided code is not in the value set 'http://hl7.org/fhir/ValueSet/@all' (from null)",
   "class" : "UNKNOWN"
 }
 -------------------------------------------------------------------------------------
@@ -919,7 +879,7 @@ v: {
 }, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "versionFlexible":"false"}####
 v: {
   "severity" : "error",
-  "error" : "Unable to find code 8911000202100 in http://snomed.info/sct (version http://snomed.info/sct/900000000000207008/version/20220731); Unknown Code '8911000202100' in the system 'http://snomed.info/sct'; The provided code is not in the value set 'http://hl7.org/fhir/ValueSet/@all' (from null)",
+  "error" : "Unable to find code 8911000202100 in http://snomed.info/sct (version http://snomed.info/sct/900000000000207008/version/20230131); Unknown Code '8911000202100' in the system 'http://snomed.info/sct'; The provided code is not in the value set 'http://hl7.org/fhir/ValueSet/@all' (from null)",
   "class" : "UNKNOWN"
 }
 -------------------------------------------------------------------------------------
@@ -941,7 +901,7 @@ v: {
 }, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "versionFlexible":"false"}####
 v: {
   "severity" : "error",
-  "error" : "Unable to find code 8891000202103 in http://snomed.info/sct (version http://snomed.info/sct/900000000000207008/version/20220731); Unknown Code '8891000202103' in the system 'http://snomed.info/sct'; The provided code is not in the value set 'http://hl7.org/fhir/ValueSet/@all' (from null)",
+  "error" : "Unable to find code 8891000202103 in http://snomed.info/sct (version http://snomed.info/sct/900000000000207008/version/20230131); Unknown Code '8891000202103' in the system 'http://snomed.info/sct'; The provided code is not in the value set 'http://hl7.org/fhir/ValueSet/@all' (from null)",
   "class" : "UNKNOWN"
 }
 -------------------------------------------------------------------------------------
@@ -1003,7 +963,7 @@ v: {
 }, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "versionFlexible":"false"}####
 v: {
   "severity" : "error",
-  "error" : "Unable to find code 15991000202102 in http://snomed.info/sct (version http://snomed.info/sct/900000000000207008/version/20220731); Unknown Code '15991000202102' in the system 'http://snomed.info/sct'; The provided code is not in the value set 'http://hl7.org/fhir/ValueSet/@all' (from null)",
+  "error" : "Unable to find code 15991000202102 in http://snomed.info/sct (version http://snomed.info/sct/900000000000207008/version/20230131); Unknown Code '15991000202102' in the system 'http://snomed.info/sct'; The provided code is not in the value set 'http://hl7.org/fhir/ValueSet/@all' (from null)",
   "class" : "UNKNOWN"
 }
 -------------------------------------------------------------------------------------
@@ -1054,7 +1014,7 @@ v: {
 }, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "versionFlexible":"false"}####
 v: {
   "severity" : "error",
-  "error" : "Unable to find code 10821000202101 in http://snomed.info/sct (version http://snomed.info/sct/900000000000207008/version/20220731); Unknown Code '10821000202101' in the system 'http://snomed.info/sct'; The provided code is not in the value set 'http://hl7.org/fhir/ValueSet/@all' (from null)",
+  "error" : "Unable to find code 10821000202101 in http://snomed.info/sct (version http://snomed.info/sct/900000000000207008/version/20230131); Unknown Code '10821000202101' in the system 'http://snomed.info/sct'; The provided code is not in the value set 'http://hl7.org/fhir/ValueSet/@all' (from null)",
   "class" : "UNKNOWN"
 }
 -------------------------------------------------------------------------------------
@@ -1074,7 +1034,7 @@ v: {
 }, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "versionFlexible":"false"}####
 v: {
   "severity" : "error",
-  "error" : "Unable to find code 8921000202108 in http://snomed.info/sct (version http://snomed.info/sct/900000000000207008/version/20220731); Unknown Code '8921000202108' in the system 'http://snomed.info/sct'; The provided code is not in the value set 'http://hl7.org/fhir/ValueSet/@all' (from null)",
+  "error" : "Unable to find code 8921000202108 in http://snomed.info/sct (version http://snomed.info/sct/900000000000207008/version/20230131); Unknown Code '8921000202108' in the system 'http://snomed.info/sct'; The provided code is not in the value set 'http://hl7.org/fhir/ValueSet/@all' (from null)",
   "class" : "UNKNOWN"
 }
 -------------------------------------------------------------------------------------
@@ -1084,7 +1044,7 @@ v: {
 }, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "versionFlexible":"false"}####
 v: {
   "severity" : "error",
-  "error" : "Unable to find code 8951000202101 in http://snomed.info/sct (version http://snomed.info/sct/900000000000207008/version/20220731); Unknown Code '8951000202101' in the system 'http://snomed.info/sct'; The provided code is not in the value set 'http://hl7.org/fhir/ValueSet/@all' (from null)",
+  "error" : "Unable to find code 8951000202101 in http://snomed.info/sct (version http://snomed.info/sct/900000000000207008/version/20230131); Unknown Code '8951000202101' in the system 'http://snomed.info/sct'; The provided code is not in the value set 'http://hl7.org/fhir/ValueSet/@all' (from null)",
   "class" : "UNKNOWN"
 }
 -------------------------------------------------------------------------------------
@@ -1191,7 +1151,7 @@ v: {
 }, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "versionFlexible":"false"}####
 v: {
   "severity" : "error",
-  "error" : "The CodeSystem http://snomed.info/sct version http://snomed.info/sct/900000000000207008/version/20210331 is unknown. ValidVersions: [http://snomed.info/sct/11000146104/version/20220930,http://snomed.info/sct/11000172109/version/20221115,http://snomed.info/sct/20611000087101/version/20220930,http://snomed.info/sct/32506021000036107/version/20220731,http://snomed.info/sct/45991000052106/version/20210531,http://snomed.info/sct/554471000005108/version/20210930,http://snomed.info/sct/731000124108/version/20220901,http://snomed.info/sct/900000000000207008/version/20190731,http://snomed.info/sct/900000000000207008/version/20200731,http://snomed.info/sct/900000000000207008/version/20210731,http://snomed.info/sct/900000000000207008/version/20220731]; The provided code is not in the value set 'http://hl7.org/fhir/ValueSet/@all' (from null)",
+  "error" : "The CodeSystem http://snomed.info/sct version http://snomed.info/sct/900000000000207008/version/20210331 is unknown. ValidVersions: [http://snomed.info/sct/11000146104/version/20220930,http://snomed.info/sct/11000172109/version/20221115,http://snomed.info/sct/20611000087101/version/20220930,http://snomed.info/sct/32506021000036107/version/20220731,http://snomed.info/sct/45991000052106/version/20210531,http://snomed.info/sct/554471000005108/version/20210930,http://snomed.info/sct/731000124108/version/20230301,http://snomed.info/sct/900000000000207008/version/20190731,http://snomed.info/sct/900000000000207008/version/20200731,http://snomed.info/sct/900000000000207008/version/20210731,http://snomed.info/sct/900000000000207008/version/20230131]; The provided code is not in the value set 'http://hl7.org/fhir/ValueSet/@all' (from null)",
   "class" : "UNKNOWN"
 }
 -------------------------------------------------------------------------------------
@@ -1217,7 +1177,7 @@ v: {
   "code" : "322236009",
   "system" : "http://snomed.info/sct",
   "severity" : "warning",
-  "error" : "Wrong Display Name 'Paracetamol 500mg tablets' for http://snomed.info/sct#322236009 - should be one of 3 choices: 'Acetaminophen 500 mg oral tablet, \"Paracetamol 500 mg oral tablet\", \"Product containing precisely paracetamol 500 milligram/1 each conventional release oral tablet (clinical drug)\"' (from null)"
+  "error" : "Wrong Display Name 'Paracetamol 500mg tablets' for http://snomed.info/sct#322236009 - should be one of 3 choices: 'Acetaminophen 500 mg oral tablet, \"Paracetamol 500 mg oral tablet\", \"Product containing precisely paracetamol 500 milligram/1 each conventional release oral tablet (clinical drug)\"' for the language(s) '--' (from null)"
 }
 -------------------------------------------------------------------------------------
 {"code" : {
@@ -1237,7 +1197,7 @@ v: {
 }, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "versionFlexible":"false"}####
 v: {
   "severity" : "error",
-  "error" : "Unable to find code 35901911000001104 in http://snomed.info/sct (version http://snomed.info/sct/900000000000207008/version/20220731); Unknown Code '35901911000001104' in the system 'http://snomed.info/sct'; The provided code is not in the value set 'http://hl7.org/fhir/ValueSet/@all' (from null)",
+  "error" : "Unable to find code 35901911000001104 in http://snomed.info/sct (version http://snomed.info/sct/900000000000207008/version/20230131); Unknown Code '35901911000001104' in the system 'http://snomed.info/sct'; The provided code is not in the value set 'http://hl7.org/fhir/ValueSet/@all' (from null)",
   "class" : "UNKNOWN"
 }
 -------------------------------------------------------------------------------------
@@ -1261,7 +1221,7 @@ v: {
   "code" : "329652003",
   "system" : "http://snomed.info/sct",
   "severity" : "warning",
-  "error" : "Wrong Display Name 'Ibuprofen 200mg tablets' for http://snomed.info/sct#329652003 - should be one of 2 choices: 'Ibuprofen 200 mg oral tablet, \"Product containing precisely ibuprofen 200 milligram/1 each conventional release oral tablet (clinical drug)\"' (from null)"
+  "error" : "Wrong Display Name 'Ibuprofen 200mg tablets' for http://snomed.info/sct#329652003 - should be one of 2 choices: 'Ibuprofen 200 mg oral tablet, \"Product containing precisely ibuprofen 200 milligram/1 each conventional release oral tablet (clinical drug)\"' for the language(s) '--' (from null)"
 }
 -------------------------------------------------------------------------------------
 {"code" : {
@@ -1271,7 +1231,7 @@ v: {
 }, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "versionFlexible":"false"}####
 v: {
   "severity" : "error",
-  "error" : "Unable to find code 39695211000001102 in http://snomed.info/sct (version http://snomed.info/sct/900000000000207008/version/20220731); Unknown Code '39695211000001102' in the system 'http://snomed.info/sct'; The provided code is not in the value set 'http://hl7.org/fhir/ValueSet/@all' (from null)",
+  "error" : "Unable to find code 39695211000001102 in http://snomed.info/sct (version http://snomed.info/sct/900000000000207008/version/20230131); Unknown Code '39695211000001102' in the system 'http://snomed.info/sct'; The provided code is not in the value set 'http://hl7.org/fhir/ValueSet/@all' (from null)",
   "class" : "UNKNOWN"
 }
 -------------------------------------------------------------------------------------
@@ -1282,27 +1242,67 @@ v: {
 }, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "versionFlexible":"false"}####
 v: {
   "severity" : "error",
-  "error" : "Unable to find code 56248011000036107 in http://snomed.info/sct (version http://snomed.info/sct/900000000000207008/version/20220731); Unknown Code '56248011000036107' in the system 'http://snomed.info/sct'; The provided code is not in the value set 'http://hl7.org/fhir/ValueSet/@all' (from null)",
+  "error" : "Unable to find code 56248011000036107 in http://snomed.info/sct (version http://snomed.info/sct/900000000000207008/version/20230131); Unknown Code '56248011000036107' in the system 'http://snomed.info/sct'; The provided code is not in the value set 'http://hl7.org/fhir/ValueSet/@all' (from null)",
   "class" : "UNKNOWN"
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://snomed.info/sct",
   "code" : "1"
-}, "valueSet" :null, "langs":"[en, en-US]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "versionFlexible":"true"}####
+}, "valueSet" :null, "langs":"[en-US, en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "versionFlexible":"true"}####
 v: {
   "severity" : "error",
-  "error" : "Unable to find code 1 in http://snomed.info/sct (version http://snomed.info/sct/900000000000207008/version/20220731); Unknown Code '1' in the system 'http://snomed.info/sct'; The provided code is not in the value set 'http://hl7.org/fhir/ValueSet/@all' (from null)",
+  "error" : "Unable to find code 1 in http://snomed.info/sct (version http://snomed.info/sct/900000000000207008/version/20230131); Unknown Code '1' in the system 'http://snomed.info/sct'; The provided code is not in the value set 'http://hl7.org/fhir/ValueSet/@all' (from null)",
   "class" : "UNKNOWN"
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://snomed.info/sct",
   "code" : "2"
-}, "valueSet" :null, "langs":"[en, en-US]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "versionFlexible":"true"}####
+}, "valueSet" :null, "langs":"[en-US, en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "versionFlexible":"true"}####
 v: {
   "severity" : "error",
-  "error" : "Unable to find code 2 in http://snomed.info/sct (version http://snomed.info/sct/900000000000207008/version/20220731); Unknown Code '2' in the system 'http://snomed.info/sct'; The provided code is not in the value set 'http://hl7.org/fhir/ValueSet/@all' (from null)",
+  "error" : "Unable to find code 2 in http://snomed.info/sct (version http://snomed.info/sct/900000000000207008/version/20230131); Unknown Code '2' in the system 'http://snomed.info/sct'; The provided code is not in the value set 'http://hl7.org/fhir/ValueSet/@all' (from null)",
   "class" : "UNKNOWN"
 }
 -------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://snomed.info/sct",
+  "code" : "371532007"
+}, "url": "http://fhir.ch/ig/ch-epr-term/ValueSet/DocumentEntry.typeCode--0", "version": "2.0.1", "langs":"[en]", "useServer":"true", "useClient":"false", "guessSystem":"false", "valueSetMode":"CHECK_MEMERSHIP_ONLY", "versionFlexible":"false"}####
+v: {
+  "display" : "Progress report (record artifact)",
+  "code" : "371532007",
+  "system" : "http://snomed.info/sct"
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://snomed.info/sct",
+  "code" : "371532007"
+}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "versionFlexible":"false"}####
+v: {
+  "display" : "Progress report",
+  "code" : "371532007",
+  "system" : "http://snomed.info/sct"
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://snomed.info/sct",
+  "code" : "371525003"
+}, "url": "http://fhir.ch/ig/ch-epr-term/ValueSet/DocumentEntry.classCode--0", "version": "2.0.4", "langs":"[en]", "useServer":"true", "useClient":"false", "guessSystem":"false", "valueSetMode":"CHECK_MEMERSHIP_ONLY", "versionFlexible":"false"}####
+v: {
+  "display" : "Clinical procedure report (record artifact)",
+  "code" : "371525003",
+  "system" : "http://snomed.info/sct"
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://snomed.info/sct",
+  "code" : "371525003"
+}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "versionFlexible":"false"}####
+v: {
+  "display" : "Clinical procedure report",
+  "code" : "371525003",
+  "system" : "http://snomed.info/sct"
+}
+-------------------------------------------------------------------------------------
diff --git a/org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/4.0.1/ucum.cache b/org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/4.0.1/ucum.cache
index c7eb4b637..b44c5e173 100644
--- a/org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/4.0.1/ucum.cache
+++ b/org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/4.0.1/ucum.cache
@@ -19,26 +19,6 @@ v: {
   "system" : "http://unitsofmeasure.org"
 }
 -------------------------------------------------------------------------------------
-{"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", "versionFlexible":"false"}####
-v: {
-  "display" : "percent",
-  "code" : "%",
-  "system" : "http://unitsofmeasure.org"
-}
--------------------------------------------------------------------------------------
-{"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", "versionFlexible":"false"}####
-v: {
-  "severity" : "error",
-  "error" : "The provided code is not in the value set 'http://hl7.org/fhir/ValueSet/ucum-vitals-common--0' (from null)",
-  "class" : "UNKNOWN"
-}
--------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://unitsofmeasure.org",
   "code" : "cm"
@@ -249,3 +229,23 @@ v: {
   "system" : "http://unitsofmeasure.org"
 }
 -------------------------------------------------------------------------------------
+{"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", "versionFlexible":"false"}####
+v: {
+  "display" : "percent",
+  "code" : "%",
+  "system" : "http://unitsofmeasure.org"
+}
+-------------------------------------------------------------------------------------
+{"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", "versionFlexible":"false"}####
+v: {
+  "severity" : "error",
+  "error" : "The provided code is not in the value set 'http://hl7.org/fhir/ValueSet/ucum-vitals-common--0' (from null)",
+  "class" : "UNKNOWN"
+}
+-------------------------------------------------------------------------------------
diff --git a/org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/4.0.1/uvsdcCodeSystemCSPHQ9.cache b/org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/4.0.1/uvsdcCodeSystemCSPHQ9.cache
index e690d7c16..f206e9ad8 100644
--- a/org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/4.0.1/uvsdcCodeSystemCSPHQ9.cache
+++ b/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, en-US]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "versionFlexible":"true"}####
+}, "valueSet" :null, "langs":"[en-US, en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "versionFlexible":"true"}####
 v: {
   "display" : "Not at all",
   "code" : "Not-at-all",
@@ -12,7 +12,7 @@ v: {
 {"code" : {
   "system" : "http://hl7.org/fhir/uv/sdc/CodeSystem/CSPHQ9",
   "code" : "Several-days"
-}, "valueSet" :null, "langs":"[en, en-US]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "versionFlexible":"true"}####
+}, "valueSet" :null, "langs":"[en-US, en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "versionFlexible":"true"}####
 v: {
   "display" : "Several days",
   "code" : "Several-days",
@@ -22,7 +22,7 @@ v: {
 {"code" : {
   "system" : "http://hl7.org/fhir/uv/sdc/CodeSystem/CSPHQ9",
   "code" : "More than half the days"
-}, "valueSet" :null, "langs":"[en, en-US]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "versionFlexible":"true"}####
+}, "valueSet" :null, "langs":"[en-US, en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "versionFlexible":"true"}####
 v: {
   "display" : "More than half the days",
   "code" : "More than half the days",
@@ -32,7 +32,7 @@ v: {
 {"code" : {
   "system" : "http://hl7.org/fhir/uv/sdc/CodeSystem/CSPHQ9",
   "code" : "Nearly every day"
-}, "valueSet" :null, "langs":"[en, en-US]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "versionFlexible":"true"}####
+}, "valueSet" :null, "langs":"[en-US, en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "versionFlexible":"true"}####
 v: {
   "display" : "Nearly every day",
   "code" : "Nearly every day",
diff --git a/org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/4.3.0/.capabilityStatement.cache b/org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/4.3.0/.capabilityStatement.cache
index 3afbb2c8b..51a54c0d7 100644
--- a/org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/4.3.0/.capabilityStatement.cache
+++ b/org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/4.3.0/.capabilityStatement.cache
@@ -12,7 +12,7 @@
   "version" : "4.0.1-2.0.14",
   "name" : "FHIR Reference Server Conformance Statement",
   "status" : "active",
-  "date" : "2023-04-14T06:53:16.794Z",
+  "date" : "2023-04-17T22:56:51.081Z",
   "contact" : [{
     "telecom" : [{
       "system" : "other",
diff --git a/org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/4.3.0/.terminologyCapabilities.cache b/org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/4.3.0/.terminologyCapabilities.cache
index 1772b0486..206021708 100644
--- a/org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/4.3.0/.terminologyCapabilities.cache
+++ b/org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/4.3.0/.terminologyCapabilities.cache
@@ -5,7 +5,7 @@
   "version" : "1.0.0",
   "name" : "FHIR Reference Server Teminology Capability Statement",
   "status" : "active",
-  "date" : "2023-04-14T06:53:16.803Z",
+  "date" : "2023-04-17T22:56:51.098Z",
   "contact" : [{
     "telecom" : [{
       "system" : "other",
@@ -821,16 +821,16 @@
     "uri" : "http://hl7.org/fhir/us/core/CodeSystem/condition-category"
   },
   {
-    "uri" : "http://hl7.org/fhir/us/core/CodeSystem/us-core-documentreference-category"
+    "uri" : "http://hl7.org/fhir/us/core/CodeSystem/us-core-category"
   },
   {
-    "uri" : "http://hl7.org/fhir/us/core/CodeSystem/us-core-observation-category"
+    "uri" : "http://hl7.org/fhir/us/core/CodeSystem/us-core-documentreference-category"
   },
   {
     "uri" : "http://hl7.org/fhir/us/core/CodeSystem/us-core-provenance-participant-type"
   },
   {
-    "uri" : "http://hl7.org/fhir/us/core/CodeSystem/us-core-tags"
+    "uri" : "http://hl7.org/fhir/us/core/CodeSystem/us-core-sex-for-clinical-use"
   },
   {
     "uri" : "http://hl7.org/fhir/uv/sdc/CodeSystem/assemble-expectation"
@@ -940,6 +940,9 @@
   {
     "uri" : "http://terminology.hl7.org/CodeSystem/appointment-cancellation-reason"
   },
+  {
+    "uri" : "http://terminology.hl7.org/CodeSystem/appropriateness-score"
+  },
   {
     "uri" : "http://terminology.hl7.org/CodeSystem/attribute-estimate-type"
   },
@@ -3274,6 +3277,9 @@
   {
     "uri" : "http://terminology.hl7.org/CodeSystem/v3-ManagedParticipationStatus"
   },
+  {
+    "uri" : "http://terminology.hl7.org/CodeSystem/v3-ManufacturerModelNameExample"
+  },
   {
     "uri" : "http://terminology.hl7.org/CodeSystem/v3-MapRelationship"
   },
@@ -3436,6 +3442,9 @@
   {
     "uri" : "http://terminology.hl7.org/CodeSystem/v3-SetOperator"
   },
+  {
+    "uri" : "http://terminology.hl7.org/CodeSystem/v3-SoftwareNameExample"
+  },
   {
     "uri" : "http://terminology.hl7.org/CodeSystem/v3-SpecimenType"
   },
diff --git a/org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/5.0.0/.capabilityStatement.cache b/org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/5.0.0/.capabilityStatement.cache
index 884e0de3a..a6b65e505 100644
--- a/org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/5.0.0/.capabilityStatement.cache
+++ b/org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/5.0.0/.capabilityStatement.cache
@@ -12,7 +12,7 @@
   "version" : "4.0.1-2.0.14",
   "name" : "FHIR Reference Server Conformance Statement",
   "status" : "active",
-  "date" : "2023-04-14T06:53:21.010Z",
+  "date" : "2023-04-17T22:56:55.380Z",
   "contact" : [{
     "telecom" : [{
       "system" : "other",
diff --git a/org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/5.0.0/.terminologyCapabilities.cache b/org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/5.0.0/.terminologyCapabilities.cache
index 3a5348c6a..b83926ca9 100644
--- a/org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/5.0.0/.terminologyCapabilities.cache
+++ b/org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/5.0.0/.terminologyCapabilities.cache
@@ -5,7 +5,7 @@
   "version" : "1.0.0",
   "name" : "FHIR Reference Server Teminology Capability Statement",
   "status" : "active",
-  "date" : "2023-04-14T06:53:21.026Z",
+  "date" : "2023-04-17T22:56:55.394Z",
   "contact" : [{
     "telecom" : [{
       "system" : "other",
@@ -821,16 +821,16 @@
     "uri" : "http://hl7.org/fhir/us/core/CodeSystem/condition-category"
   },
   {
-    "uri" : "http://hl7.org/fhir/us/core/CodeSystem/us-core-documentreference-category"
+    "uri" : "http://hl7.org/fhir/us/core/CodeSystem/us-core-category"
   },
   {
-    "uri" : "http://hl7.org/fhir/us/core/CodeSystem/us-core-observation-category"
+    "uri" : "http://hl7.org/fhir/us/core/CodeSystem/us-core-documentreference-category"
   },
   {
     "uri" : "http://hl7.org/fhir/us/core/CodeSystem/us-core-provenance-participant-type"
   },
   {
-    "uri" : "http://hl7.org/fhir/us/core/CodeSystem/us-core-tags"
+    "uri" : "http://hl7.org/fhir/us/core/CodeSystem/us-core-sex-for-clinical-use"
   },
   {
     "uri" : "http://hl7.org/fhir/uv/sdc/CodeSystem/assemble-expectation"
@@ -940,6 +940,9 @@
   {
     "uri" : "http://terminology.hl7.org/CodeSystem/appointment-cancellation-reason"
   },
+  {
+    "uri" : "http://terminology.hl7.org/CodeSystem/appropriateness-score"
+  },
   {
     "uri" : "http://terminology.hl7.org/CodeSystem/attribute-estimate-type"
   },
@@ -3274,6 +3277,9 @@
   {
     "uri" : "http://terminology.hl7.org/CodeSystem/v3-ManagedParticipationStatus"
   },
+  {
+    "uri" : "http://terminology.hl7.org/CodeSystem/v3-ManufacturerModelNameExample"
+  },
   {
     "uri" : "http://terminology.hl7.org/CodeSystem/v3-MapRelationship"
   },
@@ -3436,6 +3442,9 @@
   {
     "uri" : "http://terminology.hl7.org/CodeSystem/v3-SetOperator"
   },
+  {
+    "uri" : "http://terminology.hl7.org/CodeSystem/v3-SoftwareNameExample"
+  },
   {
     "uri" : "http://terminology.hl7.org/CodeSystem/v3-SpecimenType"
   },
diff --git a/org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/5.0.0/all-systems.cache b/org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/5.0.0/all-systems.cache
index 1203e6f7b..dd3c5ddd4 100644
--- a/org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/5.0.0/all-systems.cache
+++ b/org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/5.0.0/all-systems.cache
@@ -50,9 +50,9 @@ v: {
   "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", "versionFlexible":"true"}####
 v: {
-  "severity" : "error",
-  "error" : "Error parsing response message: com.google.gson.stream.MalformedJsonException: Use JsonReader.setLenient(true) to accept malformed JSON at line 1 column 11 path $",
-  "class" : "SERVER_ERROR"
+  "display" : "French (Canada)",
+  "code" : "fr-CA",
+  "system" : "urn:ietf:bcp:47"
 }
 -------------------------------------------------------------------------------------
 {"code" : {
@@ -61,17 +61,17 @@ v: {
   "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", "versionFlexible":"true"}####
 v: {
-  "severity" : "error",
-  "error" : "Error parsing response message: com.google.gson.stream.MalformedJsonException: Use JsonReader.setLenient(true) to accept malformed JSON at line 1 column 11 path $",
-  "class" : "SERVER_ERROR"
+  "display" : "Diagnosis (observable entity)",
+  "code" : "439401001",
+  "system" : "http://snomed.info/sct"
 }
 -------------------------------------------------------------------------------------
 {"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", "versionFlexible":"true"}####
 v: {
-  "severity" : "error",
-  "error" : "Error parsing response message: com.google.gson.stream.MalformedJsonException: Use JsonReader.setLenient(true) to accept malformed JSON at line 1 column 11 path $",
-  "class" : "SERVER_ERROR"
+  "display" : "day",
+  "code" : "d",
+  "system" : "http://unitsofmeasure.org"
 }
 -------------------------------------------------------------------------------------
diff --git a/org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/5.0.0/http___www.whocc.no_atc.cache b/org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/5.0.0/http___www.whocc.no_atc.cache
index 463881e38..c21446ec1 100644
--- a/org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/5.0.0/http___www.whocc.no_atc.cache
+++ b/org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/5.0.0/http___www.whocc.no_atc.cache
@@ -9,6 +9,6 @@ v: {
   "code" : "N02AA",
   "system" : "http://www.whocc.no/atc",
   "severity" : "warning",
-  "error" : "Wrong Display Name 'Barbiturates and derivatives' for http://www.whocc.no/atc#N02AA - should be 'Natural opium alkaloids', (from Tx-Server)"
+  "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)"
 }
 -------------------------------------------------------------------------------------
diff --git a/org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/5.0.0/lang.cache b/org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/5.0.0/lang.cache
index 290c3664d..21d5f7e38 100644
--- a/org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/5.0.0/lang.cache
+++ b/org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/5.0.0/lang.cache
@@ -4,9 +4,19 @@
   "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", "versionFlexible":"true"}####
 v: {
-  "severity" : "error",
-  "error" : "Error parsing response message: com.google.gson.stream.MalformedJsonException: Use JsonReader.setLenient(true) to accept malformed JSON at line 1 column 11 path $",
-  "class" : "SERVER_ERROR"
+  "display" : "French (Region=Canada)",
+  "code" : "fr-CA",
+  "system" : "urn:ietf:bcp:47"
+}
+-------------------------------------------------------------------------------------
+{"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", "versionFlexible":"true"}####
+v: {
+  "display" : "French (Region=Canada)",
+  "code" : "fr-CA",
+  "system" : "urn:ietf:bcp:47"
 }
 -------------------------------------------------------------------------------------
 {"code" : {
@@ -14,8 +24,8 @@ v: {
   "code" : "fr-CA"
 }, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "versionFlexible":"true"}####
 v: {
-  "severity" : "error",
-  "error" : "Error parsing response message: com.google.gson.stream.MalformedJsonException: Use JsonReader.setLenient(true) to accept malformed JSON at line 1 column 11 path $",
-  "class" : "SERVER_ERROR"
+  "display" : "French (Region=Canada)",
+  "code" : "fr-CA",
+  "system" : "urn:ietf:bcp:47"
 }
 -------------------------------------------------------------------------------------
diff --git a/org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/5.0.0/loinc.cache b/org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/5.0.0/loinc.cache
index d5517830b..8361a91b5 100644
--- a/org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/5.0.0/loinc.cache
+++ b/org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/5.0.0/loinc.cache
@@ -169,7 +169,7 @@ v: {
   "code" : "48765-2",
   "system" : "http://loinc.org",
   "severity" : "warning",
-  "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)' (from Tx-Server)"
+  "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)"
 }
 -------------------------------------------------------------------------------------
 {"code" : {
@@ -216,7 +216,7 @@ v: {
   "code" : "48765-2",
   "system" : "http://loinc.org",
   "severity" : "warning",
-  "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)' (from Tx-Server)"
+  "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)"
 }
 -------------------------------------------------------------------------------------
 {"code" : {
@@ -251,7 +251,7 @@ v: {
   "code" : "35200-5",
   "system" : "http://loinc.org",
   "severity" : "warning",
-  "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)' (from Tx-Server)"
+  "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)"
 }
 -------------------------------------------------------------------------------------
 {"code" : {
@@ -308,7 +308,7 @@ v: {
   "code" : "35217-9",
   "system" : "http://loinc.org",
   "severity" : "warning",
-  "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)' (from Tx-Server)"
+  "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)"
 }
 -------------------------------------------------------------------------------------
 {"code" : {
@@ -318,8 +318,8 @@ v: {
 }, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "versionFlexible":"true"}####
 v: {
   "severity" : "error",
-  "error" : "Error parsing response message: com.google.gson.stream.MalformedJsonException: Use JsonReader.setLenient(true) to accept malformed JSON at line 1 column 11 path $",
-  "class" : "SERVER_ERROR"
+  "error" : "The provided code is not in the value set 'http://hl7.org/fhir/ValueSet/@all' (from Tx-Server)",
+  "class" : "UNKNOWN"
 }
 -------------------------------------------------------------------------------------
 {"code" : {
@@ -329,8 +329,8 @@ v: {
 }, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "versionFlexible":"true"}####
 v: {
   "severity" : "error",
-  "error" : "Error parsing response message: com.google.gson.stream.MalformedJsonException: Use JsonReader.setLenient(true) to accept malformed JSON at line 1 column 11 path $",
-  "class" : "SERVER_ERROR"
+  "error" : "The provided code is not in the value set 'http://hl7.org/fhir/ValueSet/@all' (from Tx-Server)",
+  "class" : "UNKNOWN"
 }
 -------------------------------------------------------------------------------------
 {"code" : {
@@ -339,9 +339,9 @@ v: {
   "display" : "Good color all over"
 }, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "versionFlexible":"true"}####
 v: {
-  "severity" : "error",
-  "error" : "Error parsing response message: com.google.gson.stream.MalformedJsonException: Use JsonReader.setLenient(true) to accept malformed JSON at line 1 column 11 path $",
-  "class" : "SERVER_ERROR"
+  "display" : "Good color all over",
+  "code" : "LA6724-4",
+  "system" : "http://loinc.org"
 }
 -------------------------------------------------------------------------------------
 {"code" : {
@@ -350,9 +350,9 @@ v: {
   "display" : "At least 100 beats per minute"
 }, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "versionFlexible":"true"}####
 v: {
-  "severity" : "error",
-  "error" : "Error parsing response message: com.google.gson.stream.MalformedJsonException: Use JsonReader.setLenient(true) to accept malformed JSON at line 1 column 11 path $",
-  "class" : "SERVER_ERROR"
+  "display" : "At least 100 beats per minute",
+  "code" : "LA6718-6",
+  "system" : "http://loinc.org"
 }
 -------------------------------------------------------------------------------------
 {"code" : {
@@ -361,9 +361,9 @@ v: {
   "display" : "Grimace and pulling away, cough, or sneeze during suctioning"
 }, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "versionFlexible":"true"}####
 v: {
-  "severity" : "error",
-  "error" : "Error parsing response message: com.google.gson.stream.MalformedJsonException: Use JsonReader.setLenient(true) to accept malformed JSON at line 1 column 11 path $",
-  "class" : "SERVER_ERROR"
+  "display" : "Grimace and pulling away, cough, or sneeze during suctioning",
+  "code" : "LA6721-0",
+  "system" : "http://loinc.org"
 }
 -------------------------------------------------------------------------------------
 {"code" : {
@@ -372,9 +372,11 @@ v: {
   "display" : "Active motion "
 }, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "versionFlexible":"true"}####
 v: {
-  "severity" : "error",
-  "error" : "Error parsing response message: com.google.gson.stream.MalformedJsonException: Use JsonReader.setLenient(true) to accept malformed JSON at line 1 column 11 path $",
-  "class" : "SERVER_ERROR"
+  "display" : "Active motion",
+  "code" : "LA6715-2",
+  "system" : "http://loinc.org",
+  "severity" : "warning",
+  "error" : "Wrong Display Name 'Active motion ' for http://loinc.org#LA6715-2 - should be 'Active motion', (from Tx-Server)"
 }
 -------------------------------------------------------------------------------------
 {"code" : {
@@ -383,8 +385,10 @@ v: {
   "display" : "Good, strong cry; normal rate and effort of breathing    "
 }, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "versionFlexible":"true"}####
 v: {
-  "severity" : "error",
-  "error" : "Error parsing response message: com.google.gson.stream.MalformedJsonException: Use JsonReader.setLenient(true) to accept malformed JSON at line 1 column 11 path $",
-  "class" : "SERVER_ERROR"
+  "display" : "Good, strong cry; normal rate and effort of breathing",
+  "code" : "LA6727-7",
+  "system" : "http://loinc.org",
+  "severity" : "warning",
+  "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', (from Tx-Server)"
 }
 -------------------------------------------------------------------------------------
diff --git a/org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/5.0.0/ndc.cache b/org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/5.0.0/ndc.cache
index 2973cbbe4..07a05599d 100644
--- a/org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/5.0.0/ndc.cache
+++ b/org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/5.0.0/ndc.cache
@@ -6,7 +6,7 @@
 }, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "versionFlexible":"true"}####
 v: {
   "severity" : "error",
-  "error" : "Error parsing response message: com.google.gson.stream.MalformedJsonException: Use JsonReader.setLenient(true) to accept malformed JSON at line 1 column 11 path $",
-  "class" : "SERVER_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 is not in the value set 'http://hl7.org/fhir/ValueSet/@all' (from Tx-Server)",
+  "class" : "UNKNOWN"
 }
 -------------------------------------------------------------------------------------
diff --git a/org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/5.0.0/snomed.cache b/org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/5.0.0/snomed.cache
index 98513da97..7fcfa75f2 100644
--- a/org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/5.0.0/snomed.cache
+++ b/org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/5.0.0/snomed.cache
@@ -39,7 +39,7 @@ v: {
 }, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "versionFlexible":"false"}####
 v: {
   "severity" : "error",
-  "error" : "The CodeSystem http://snomed.info/sct version http://snomed.info/sct/731000124108/version/20210201 is unknown. ValidVersions: [http://snomed.info/sct/11000146104/version/20220930,http://snomed.info/sct/11000172109/version/20221115,http://snomed.info/sct/20611000087101/version/20220930,http://snomed.info/sct/32506021000036107/version/20220731,http://snomed.info/sct/45991000052106/version/20210531,http://snomed.info/sct/554471000005108/version/20210930,http://snomed.info/sct/731000124108/version/20220901,http://snomed.info/sct/900000000000207008/version/20190731,http://snomed.info/sct/900000000000207008/version/20200731,http://snomed.info/sct/900000000000207008/version/20210731,http://snomed.info/sct/900000000000207008/version/20220731]; The provided code is not in the value set 'http://hl7.org/fhir/ValueSet/@all' (from Tx-Server)",
+  "error" : "The CodeSystem http://snomed.info/sct version http://snomed.info/sct/731000124108/version/20210201 is unknown. ValidVersions: [http://snomed.info/sct/11000146104/version/20220930,http://snomed.info/sct/11000172109/version/20221115,http://snomed.info/sct/20611000087101/version/20220930,http://snomed.info/sct/32506021000036107/version/20220731,http://snomed.info/sct/45991000052106/version/20210531,http://snomed.info/sct/554471000005108/version/20210930,http://snomed.info/sct/731000124108/version/20230301,http://snomed.info/sct/900000000000207008/version/20190731,http://snomed.info/sct/900000000000207008/version/20200731,http://snomed.info/sct/900000000000207008/version/20210731,http://snomed.info/sct/900000000000207008/version/20230131]; The provided code is not in the value set 'http://hl7.org/fhir/ValueSet/@all' (from Tx-Server)",
   "class" : "UNKNOWN"
 }
 -------------------------------------------------------------------------------------
@@ -66,7 +66,7 @@ v: {
   "code" : "132037003",
   "system" : "http://snomed.info/sct",
   "severity" : "warning",
-  "error" : "Wrong Display Name 'Pineywoods pig breed. Not.' for http://snomed.info/sct#132037003 - should be one of 3 choices: 'Pineywoods pig, \"Pineywoods pig breed (organism)\", \"Pineywoods pig breed\"' (from Tx-Server)"
+  "error" : "Wrong Display Name 'Pineywoods pig breed. Not.' for http://snomed.info/sct#132037003 - should be one of 3 choices: 'Pineywoods pig, \"Pineywoods pig breed (organism)\", \"Pineywoods pig breed\"' for the language(s) '--' (from Tx-Server)"
 }
 -------------------------------------------------------------------------------------
 {"code" : {
@@ -111,6 +111,55 @@ v: {
   "system" : "http://snomed.info/sct"
 }
 -------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://snomed.info/sct",
+  "code" : "106004",
+  "display" : "Posterior carpal region"
+}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "versionFlexible":"false"}####
+v: {
+  "display" : "Posterior carpal region",
+  "code" : "106004",
+  "system" : "http://snomed.info/sct"
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://snomed.info/sct",
+  "code" : "106004"
+}, "url": "http://hl7.org/fhir/ValueSet/clinical-findings--0", "version": "5.0.0", "langs":"[en]", "useServer":"true", "useClient":"false", "guessSystem":"false", "valueSetMode":"CHECK_MEMERSHIP_ONLY", "versionFlexible":"false"}####
+v: {
+  "severity" : "error",
+  "error" : "The provided code is not in the value set 'http://hl7.org/fhir/ValueSet/clinical-findings--0' (from Tx-Server)",
+  "class" : "UNKNOWN"
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://snomed.info/sct",
+  "code" : "106004",
+  "display" : "Posterior carpal region"
+}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"false", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "versionFlexible":"false"}####
+v: {
+  "display" : "Posterior carpal region",
+  "code" : "106004",
+  "system" : "http://snomed.info/sct"
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://snomed.info/sct",
+  "code" : "106004"
+}, "valueSet" :{
+  "resourceType" : "ValueSet",
+  "compose" : {
+    "include" : [{
+      "system" : "http://snomed.info/sct"
+    }]
+  }
+}, "langs":"[en]", "useServer":"true", "useClient":"false", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "versionFlexible":"false"}####
+v: {
+  "display" : "Posterior carpal region",
+  "code" : "106004",
+  "system" : "http://snomed.info/sct"
+}
+-------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://snomed.info/sct",
   "code" : "85600001",
@@ -210,55 +259,6 @@ v: {
   "system" : "http://snomed.info/sct"
 }
 -------------------------------------------------------------------------------------
-{"code" : {
-  "system" : "http://snomed.info/sct",
-  "code" : "106004",
-  "display" : "Posterior carpal region"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "versionFlexible":"false"}####
-v: {
-  "display" : "Posterior carpal region",
-  "code" : "106004",
-  "system" : "http://snomed.info/sct"
-}
--------------------------------------------------------------------------------------
-{"code" : {
-  "system" : "http://snomed.info/sct",
-  "code" : "106004"
-}, "url": "http://hl7.org/fhir/ValueSet/clinical-findings--0", "version": "5.0.0", "langs":"[en]", "useServer":"true", "useClient":"false", "guessSystem":"false", "valueSetMode":"CHECK_MEMERSHIP_ONLY", "versionFlexible":"false"}####
-v: {
-  "severity" : "error",
-  "error" : "The provided code is not in the value set 'http://hl7.org/fhir/ValueSet/clinical-findings--0' (from Tx-Server)",
-  "class" : "UNKNOWN"
-}
--------------------------------------------------------------------------------------
-{"code" : {
-  "system" : "http://snomed.info/sct",
-  "code" : "106004",
-  "display" : "Posterior carpal region"
-}, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"false", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "versionFlexible":"false"}####
-v: {
-  "display" : "Posterior carpal region",
-  "code" : "106004",
-  "system" : "http://snomed.info/sct"
-}
--------------------------------------------------------------------------------------
-{"code" : {
-  "system" : "http://snomed.info/sct",
-  "code" : "106004"
-}, "valueSet" :{
-  "resourceType" : "ValueSet",
-  "compose" : {
-    "include" : [{
-      "system" : "http://snomed.info/sct"
-    }]
-  }
-}, "langs":"[en]", "useServer":"true", "useClient":"false", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "versionFlexible":"false"}####
-v: {
-  "display" : "Posterior carpal region",
-  "code" : "106004",
-  "system" : "http://snomed.info/sct"
-}
--------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://snomed.info/sct",
   "code" : "27113001",
@@ -266,8 +266,8 @@ v: {
 }, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "versionFlexible":"true"}####
 v: {
   "severity" : "error",
-  "error" : "Error parsing response message: com.google.gson.stream.MalformedJsonException: Use JsonReader.setLenient(true) to accept malformed JSON at line 1 column 11 path $",
-  "class" : "SERVER_ERROR"
+  "error" : "The provided code is not in the value set 'http://hl7.org/fhir/ValueSet/@all' (from Tx-Server)",
+  "class" : "UNKNOWN"
 }
 -------------------------------------------------------------------------------------
 {"code" : {
@@ -276,8 +276,8 @@ v: {
 }, "url": "http://hl7.org/fhir/ValueSet/c80-practice-codes--0", "version": "5.0.0", "langs":"[en]", "useServer":"true", "useClient":"false", "guessSystem":"false", "valueSetMode":"CHECK_MEMERSHIP_ONLY", "versionFlexible":"true"}####
 v: {
   "severity" : "error",
-  "error" : "Error parsing response message: com.google.gson.stream.MalformedJsonException: Use JsonReader.setLenient(true) to accept malformed JSON at line 1 column 11 path $",
-  "class" : "SERVER_ERROR"
+  "error" : "The provided code is not in the value set 'http://hl7.org/fhir/ValueSet/c80-practice-codes--0' (from Tx-Server)",
+  "class" : "UNKNOWN"
 }
 -------------------------------------------------------------------------------------
 {"code" : {
@@ -286,9 +286,9 @@ v: {
   "display" : "Geriatrics specialist"
 }, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "versionFlexible":"true"}####
 v: {
-  "severity" : "error",
-  "error" : "Error parsing response message: com.google.gson.stream.MalformedJsonException: Use JsonReader.setLenient(true) to accept malformed JSON at line 1 column 11 path $",
-  "class" : "SERVER_ERROR"
+  "display" : "Geriatrics specialist",
+  "code" : "90655003",
+  "system" : "http://snomed.info/sct"
 }
 -------------------------------------------------------------------------------------
 {"code" : {
@@ -296,9 +296,9 @@ v: {
   "code" : "439401001"
 }, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "versionFlexible":"true"}####
 v: {
-  "severity" : "error",
-  "error" : "Error parsing response message: com.google.gson.stream.MalformedJsonException: Use JsonReader.setLenient(true) to accept malformed JSON at line 1 column 11 path $",
-  "class" : "SERVER_ERROR"
+  "display" : "Diagnosis (observable entity)",
+  "code" : "439401001",
+  "system" : "http://snomed.info/sct"
 }
 -------------------------------------------------------------------------------------
 {"code" : {
@@ -306,20 +306,30 @@ v: {
   "code" : "24484000"
 }, "url": "http://hl7.org/fhir/ValueSet/condition-severity--0", "version": "5.0.0", "langs":"[en]", "useServer":"true", "useClient":"false", "guessSystem":"false", "valueSetMode":"CHECK_MEMERSHIP_ONLY", "versionFlexible":"true"}####
 v: {
-  "severity" : "error",
-  "error" : "Error parsing response message: com.google.gson.stream.MalformedJsonException: Use JsonReader.setLenient(true) to accept malformed JSON at line 1 column 11 path $",
-  "class" : "SERVER_ERROR"
+  "display" : "Severe",
+  "code" : "24484000",
+  "system" : "http://snomed.info/sct"
 }
 -------------------------------------------------------------------------------------
 {"code" : {
   "system" : "http://snomed.info/sct",
   "code" : "24484000",
   "display" : "Severe"
+}, "url": "http://hl7.org/fhir/ValueSet/condition-severity", "version": "5.0.0", "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"NO_MEMBERSHIP_CHECK", "versionFlexible":"true"}####
+v: {
+  "display" : "Severe",
+  "code" : "24484000",
+  "system" : "http://snomed.info/sct"
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "system" : "http://snomed.info/sct",
+  "code" : "24484000"
 }, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "versionFlexible":"true"}####
 v: {
-  "severity" : "error",
-  "error" : "Error parsing response message: com.google.gson.stream.MalformedJsonException: Use JsonReader.setLenient(true) to accept malformed JSON at line 1 column 11 path $",
-  "class" : "SERVER_ERROR"
+  "display" : "Severe",
+  "code" : "24484000",
+  "system" : "http://snomed.info/sct"
 }
 -------------------------------------------------------------------------------------
 {"code" : {
@@ -328,9 +338,9 @@ v: {
   "display" : "Burn of ear"
 }, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "versionFlexible":"true"}####
 v: {
-  "severity" : "error",
-  "error" : "Error parsing response message: com.google.gson.stream.MalformedJsonException: Use JsonReader.setLenient(true) to accept malformed JSON at line 1 column 11 path $",
-  "class" : "SERVER_ERROR"
+  "display" : "Burn of ear",
+  "code" : "39065001",
+  "system" : "http://snomed.info/sct"
 }
 -------------------------------------------------------------------------------------
 {"code" : {
@@ -339,9 +349,9 @@ v: {
   "display" : "Left external ear structure"
 }, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "versionFlexible":"true"}####
 v: {
-  "severity" : "error",
-  "error" : "Error parsing response message: com.google.gson.stream.MalformedJsonException: Use JsonReader.setLenient(true) to accept malformed JSON at line 1 column 11 path $",
-  "class" : "SERVER_ERROR"
+  "display" : "Left external ear",
+  "code" : "49521004",
+  "system" : "http://snomed.info/sct"
 }
 -------------------------------------------------------------------------------------
 {"code" : {
@@ -350,9 +360,9 @@ v: {
   "display" : "Apgar score at 20 minutes"
 }, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "versionFlexible":"true"}####
 v: {
-  "severity" : "error",
-  "error" : "Error parsing response message: com.google.gson.stream.MalformedJsonException: Use JsonReader.setLenient(true) to accept malformed JSON at line 1 column 11 path $",
-  "class" : "SERVER_ERROR"
+  "display" : "Apgar score at 20 minutes (observable entity)",
+  "code" : "443849008",
+  "system" : "http://snomed.info/sct"
 }
 -------------------------------------------------------------------------------------
 {"code" : {
@@ -362,8 +372,8 @@ v: {
 }, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "versionFlexible":"true"}####
 v: {
   "severity" : "error",
-  "error" : "Error parsing response message: com.google.gson.stream.MalformedJsonException: Use JsonReader.setLenient(true) to accept malformed JSON at line 1 column 11 path $",
-  "class" : "SERVER_ERROR"
+  "error" : "The provided code is not in the value set 'http://hl7.org/fhir/ValueSet/@all' (from Tx-Server)",
+  "class" : "UNKNOWN"
 }
 -------------------------------------------------------------------------------------
 {"code" : {
@@ -372,9 +382,9 @@ v: {
   "display" : "Apgar heart rate score"
 }, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "versionFlexible":"true"}####
 v: {
-  "severity" : "error",
-  "error" : "Error parsing response message: com.google.gson.stream.MalformedJsonException: Use JsonReader.setLenient(true) to accept malformed JSON at line 1 column 11 path $",
-  "class" : "SERVER_ERROR"
+  "display" : "Apgar heart rate score",
+  "code" : "249223000",
+  "system" : "http://snomed.info/sct"
 }
 -------------------------------------------------------------------------------------
 {"code" : {
@@ -383,9 +393,9 @@ v: {
   "display" : "Apgar response to stimulus score"
 }, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "versionFlexible":"true"}####
 v: {
-  "severity" : "error",
-  "error" : "Error parsing response message: com.google.gson.stream.MalformedJsonException: Use JsonReader.setLenient(true) to accept malformed JSON at line 1 column 11 path $",
-  "class" : "SERVER_ERROR"
+  "display" : "Apgar response to stimulus score",
+  "code" : "249226008",
+  "system" : "http://snomed.info/sct"
 }
 -------------------------------------------------------------------------------------
 {"code" : {
@@ -394,9 +404,9 @@ v: {
   "display" : "Apgar muscle tone score"
 }, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "versionFlexible":"true"}####
 v: {
-  "severity" : "error",
-  "error" : "Error parsing response message: com.google.gson.stream.MalformedJsonException: Use JsonReader.setLenient(true) to accept malformed JSON at line 1 column 11 path $",
-  "class" : "SERVER_ERROR"
+  "display" : "Apgar muscle tone score",
+  "code" : "249225007",
+  "system" : "http://snomed.info/sct"
 }
 -------------------------------------------------------------------------------------
 {"code" : {
@@ -405,9 +415,9 @@ v: {
   "display" : "Apgar respiratory effort score"
 }, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "versionFlexible":"true"}####
 v: {
-  "severity" : "error",
-  "error" : "Error parsing response message: com.google.gson.stream.MalformedJsonException: Use JsonReader.setLenient(true) to accept malformed JSON at line 1 column 11 path $",
-  "class" : "SERVER_ERROR"
+  "display" : "Apgar respiratory effort score",
+  "code" : "249224006",
+  "system" : "http://snomed.info/sct"
 }
 -------------------------------------------------------------------------------------
 {"code" : {
@@ -416,9 +426,9 @@ v: {
   "display" : "Angina (disorder)"
 }, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "versionFlexible":"true"}####
 v: {
-  "severity" : "error",
-  "error" : "Error parsing response message: com.google.gson.stream.MalformedJsonException: Use JsonReader.setLenient(true) to accept malformed JSON at line 1 column 11 path $",
-  "class" : "SERVER_ERROR"
+  "display" : "Angina",
+  "code" : "194828000",
+  "system" : "http://snomed.info/sct"
 }
 -------------------------------------------------------------------------------------
 {"code" : {
@@ -427,9 +437,9 @@ v: {
   "display" : "Myocardial infarction (disorder)"
 }, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "versionFlexible":"true"}####
 v: {
-  "severity" : "error",
-  "error" : "Error parsing response message: com.google.gson.stream.MalformedJsonException: Use JsonReader.setLenient(true) to accept malformed JSON at line 1 column 11 path $",
-  "class" : "SERVER_ERROR"
+  "display" : "Myocardial infarction",
+  "code" : "22298006",
+  "system" : "http://snomed.info/sct"
 }
 -------------------------------------------------------------------------------------
 {"code" : {
@@ -438,9 +448,9 @@ v: {
   "display" : "Ophthalmic route (qualifier value)"
 }, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "versionFlexible":"true"}####
 v: {
-  "severity" : "error",
-  "error" : "Error parsing response message: com.google.gson.stream.MalformedJsonException: Use JsonReader.setLenient(true) to accept malformed JSON at line 1 column 11 path $",
-  "class" : "SERVER_ERROR"
+  "display" : "Ophthalmic route",
+  "code" : "54485002",
+  "system" : "http://snomed.info/sct"
 }
 -------------------------------------------------------------------------------------
 {"code" : {
@@ -449,8 +459,8 @@ v: {
   "display" : "Instill - dosing instruction imperative (qualifier value)"
 }, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "versionFlexible":"true"}####
 v: {
-  "severity" : "error",
-  "error" : "Error parsing response message: com.google.gson.stream.MalformedJsonException: Use JsonReader.setLenient(true) to accept malformed JSON at line 1 column 11 path $",
-  "class" : "SERVER_ERROR"
+  "display" : "Instill - dosing instruction imperative (qualifier value)",
+  "code" : "421538008",
+  "system" : "http://snomed.info/sct"
 }
 -------------------------------------------------------------------------------------
diff --git a/org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/5.0.0/ucum.cache b/org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/5.0.0/ucum.cache
index f630a2ea6..f700aa0a8 100644
--- a/org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/5.0.0/ucum.cache
+++ b/org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/5.0.0/ucum.cache
@@ -65,8 +65,8 @@ v: {
 }, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "versionFlexible":"true"}####
 v: {
   "severity" : "error",
-  "error" : "Error parsing response message: com.google.gson.stream.MalformedJsonException: Use JsonReader.setLenient(true) to accept malformed JSON at line 1 column 11 path $",
-  "class" : "SERVER_ERROR"
+  "error" : "The provided code is not in the value set 'http://hl7.org/fhir/ValueSet/@all' (from Tx-Server)",
+  "class" : "UNKNOWN"
 }
 -------------------------------------------------------------------------------------
 {"code" : {
@@ -75,8 +75,8 @@ v: {
 }, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "versionFlexible":"true"}####
 v: {
   "severity" : "error",
-  "error" : "Error parsing response message: com.google.gson.stream.MalformedJsonException: Use JsonReader.setLenient(true) to accept malformed JSON at line 1 column 11 path $",
-  "class" : "SERVER_ERROR"
+  "error" : "The provided code is not in the value set 'http://hl7.org/fhir/ValueSet/@all' (from Tx-Server)",
+  "class" : "UNKNOWN"
 }
 -------------------------------------------------------------------------------------
 {"code" : {
@@ -84,9 +84,9 @@ v: {
   "code" : "mL"
 }, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "versionFlexible":"true"}####
 v: {
-  "severity" : "error",
-  "error" : "Error parsing response message: com.google.gson.stream.MalformedJsonException: Use JsonReader.setLenient(true) to accept malformed JSON at line 1 column 11 path $",
-  "class" : "SERVER_ERROR"
+  "display" : "mL",
+  "code" : "mL",
+  "system" : "http://unitsofmeasure.org"
 }
 -------------------------------------------------------------------------------------
 {"code" : {
@@ -94,8 +94,8 @@ v: {
   "code" : "d"
 }, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "versionFlexible":"true"}####
 v: {
-  "severity" : "error",
-  "error" : "Error parsing response message: com.google.gson.stream.MalformedJsonException: Use JsonReader.setLenient(true) to accept malformed JSON at line 1 column 11 path $",
-  "class" : "SERVER_ERROR"
+  "display" : "d",
+  "code" : "d",
+  "system" : "http://unitsofmeasure.org"
 }
 -------------------------------------------------------------------------------------
diff --git a/org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/5.0.0/v2-0136.cache b/org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/5.0.0/v2-0136.cache
index 458ef413d..3b42365f5 100644
--- a/org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/5.0.0/v2-0136.cache
+++ b/org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/5.0.0/v2-0136.cache
@@ -5,7 +5,7 @@
 }, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "versionFlexible":"true"}####
 v: {
   "severity" : "error",
-  "error" : "Error parsing response message: com.google.gson.stream.MalformedJsonException: Use JsonReader.setLenient(true) to accept malformed JSON at line 1 column 11 path $",
-  "class" : "SERVER_ERROR"
+  "error" : "The provided code is not in the value set 'http://hl7.org/fhir/ValueSet/@all' (from Tx-Server)",
+  "class" : "UNKNOWN"
 }
 -------------------------------------------------------------------------------------
diff --git a/org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/5.0.0/v2-0360_2.7.cache b/org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/5.0.0/v2-0360_2.7.cache
index 550659875..d025a5d57 100644
--- a/org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/5.0.0/v2-0360_2.7.cache
+++ b/org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/5.0.0/v2-0360_2.7.cache
@@ -5,8 +5,8 @@
   "display" : "Bachelor of Science"
 }, "valueSet" :null, "langs":"[en]", "useServer":"true", "useClient":"true", "guessSystem":"false", "valueSetMode":"ALL_CHECKS", "versionFlexible":"true"}####
 v: {
-  "severity" : "error",
-  "error" : "Error parsing response message: com.google.gson.stream.MalformedJsonException: Use JsonReader.setLenient(true) to accept malformed JSON at line 1 column 11 path $",
-  "class" : "SERVER_ERROR"
+  "display" : "Bachelor of Science",
+  "code" : "BS",
+  "system" : "http://terminology.hl7.org/CodeSystem/v2-0360|2.7"
 }
 -------------------------------------------------------------------------------------