Merge 36247f5229 into eeb92b069a

2024 09 gg tx validation

RELEASE_NOTES.md

@@ -1,7 +1,18 @@
 ## Validator Changes
 
-* no changes
+* Validator supports R6 from now on (using last stable release)
+* Set default language to tag not display
+* Handle tx server issues better
+* Do not use server piecemeal when validating complex value sets
+* Add support for -txCache parameter
 
 ## Other code changes
 
-* no changes
+* Add support for R6 to R4 version enumeration
+* Fix SCT link to include version and point to the right place
+* Add response time to tx log
+* Allow for code to turn off use of cache-id on tx interface (for debugging)
+* Support n/a for tx cache folder
+* Update tx cache for tests
+* Add more logging for too costly validation
+* Fix xml annotation suppression

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

@@ -683,7 +683,7 @@ public class ClientUtils {
       for (Header h : response.getAllHeaders()) {
         headers.add(h.toString());
       }
-      logger.logResponse(response.getStatusLine().toString(), headers, cnt);
+      logger.logResponse(response.getStatusLine().toString(), headers, cnt, 0);
     }
     return cnt;
   }

org.hl7.fhir.dstu2016may/src/main/java/org/hl7/fhir/dstu2016may/utils/client/ClientUtils.java

@@ -625,7 +625,7 @@ public class ClientUtils {
       for (Header h : response.getAllHeaders()) {
         headers.add(h.toString());
       }
-      logger.logResponse(response.getStatusLine().toString(), headers, cnt);
+      logger.logResponse(response.getStatusLine().toString(), headers, cnt, 0);
     }
     return cnt;
   }

org.hl7.fhir.dstu3/src/main/java/org/hl7/fhir/dstu3/utils/client/network/FhirRequestBuilder.java

@@ -371,7 +371,7 @@ public class FhirRequestBuilder {
 
       try {
         if (logger != null) {
-          logger.logResponse(Integer.toString(responseCode), headerList, responseBody);
+          logger.logResponse(Integer.toString(responseCode), headerList, responseBody, 0);
         }
       } catch (Exception e) {
         System.out.println("Error parsing response body passed in to logger ->\n" + e.getLocalizedMessage());

org.hl7.fhir.dstu3/src/test/java/org/hl7/fhir/dstu3/utils/client/network/FhirRequestBuilderTests.java

@@ -95,13 +95,13 @@ public class FhirRequestBuilderTests {
     Mockito.doReturn(parser).when(fhirRequestBuilder).getParser(ArgumentMatchers.eq("json"));
 
     fhirRequestBuilder.unmarshalReference(response, "json");
-    Mockito.verify(logger).logResponse(ArgumentMatchers.eq("200"), ArgumentMatchers.anyList(), AdditionalMatchers.aryEq(RESPONSE_BODY_STRING.getBytes()));
+    Mockito.verify(logger).logResponse(ArgumentMatchers.eq("200"), ArgumentMatchers.anyList(), AdditionalMatchers.aryEq(RESPONSE_BODY_STRING.getBytes()), ArgumentMatchers.anyLong());
   }
 
   @Test
   public void testUnmarshallFeedLogging() {
     fhirRequestBuilder.unmarshalFeed(response, "application/json");
-    Mockito.verify(logger).logResponse(ArgumentMatchers.eq("200"), ArgumentMatchers.anyList(), AdditionalMatchers.aryEq(RESPONSE_BODY_STRING.getBytes()));
+    Mockito.verify(logger).logResponse(ArgumentMatchers.eq("200"), ArgumentMatchers.anyList(), AdditionalMatchers.aryEq(RESPONSE_BODY_STRING.getBytes()), ArgumentMatchers.anyLong());
   }
 
 }

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

@@ -77,7 +77,7 @@ public class HTMLClientLogger implements ToolingClientLogger {
   }
 
   @Override
-  public void logResponse(String outcome, List<String> headers, byte[] body) {
+  public void logResponse(String outcome, List<String> headers, byte[] body, long start) {
     if (file == null)
       return;
     file.println("<pre>");

org.hl7.fhir.r4/src/main/java/org/hl7/fhir/r4/utils/client/network/FhirLoggingInterceptor.java

@@ -64,7 +64,7 @@ public class FhirLoggingInterceptor implements Interceptor {
     headerMap.keySet().forEach(key -> headerMap.get(key).forEach(value -> headerList.add(key + ":" + value)));
 
     if (logger != null) {
-      logger.logResponse(Integer.toString(response.code()), headerList, bodyBytes);
+      logger.logResponse(Integer.toString(response.code()), headerList, bodyBytes, 0);
     }
 
     // Reading byte[] clears body. Need to recreate.

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

@@ -85,7 +85,7 @@ public class HTMLClientLogger extends BaseLogger implements ToolingClientLogger
   }
 
   @Override
-  public void logResponse(String outcome, List<String> headers, byte[] body) {
+  public void logResponse(String outcome, List<String> headers, byte[] body, long start) {
     if (DEBUG) {
       System.out.println(" txlog resp: " + outcome + " " + present(body));
     }

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

@@ -72,7 +72,7 @@ public class TextClientLogger extends BaseLogger implements ToolingClientLogger
   }
 
   @Override
-  public void logResponse(String outcome, List<String> headers, byte[] body) {
+  public void logResponse(String outcome, List<String> headers, byte[] body, long start) {
     if (file == null)
       return;
     file.println("\r\n\r\nResponse: \r\n");

org.hl7.fhir.r4b/src/main/java/org/hl7/fhir/r4b/utils/client/network/FhirLoggingInterceptor.java

@@ -59,7 +59,7 @@ public class FhirLoggingInterceptor implements Interceptor {
     headerMap.keySet().forEach(key -> headerMap.get(key).forEach(value -> headerList.add(key + ":" + value)));
 
     if (logger != null) {
-      logger.logResponse(Integer.toString(response.code()), headerList, bodyBytes);
+      logger.logResponse(Integer.toString(response.code()), headerList, bodyBytes, 0);
     }
 
     // Reading byte[] clears body. Need to recreate.

org.hl7.fhir.r4b/src/test/java/org/hl7/fhir/r4b/utils/client/network/ClientTest.java

@@ -134,6 +134,6 @@ class ClientTest {
     server.takeRequest();
     Mockito.verify(mockLogger, Mockito.times(1)).logRequest(Mockito.anyString(), Mockito.anyString(), Mockito.anyList(),
         Mockito.any());
-    Mockito.verify(mockLogger, Mockito.times(1)).logResponse(Mockito.anyString(), Mockito.anyList(), Mockito.any());
+    Mockito.verify(mockLogger, Mockito.times(1)).logResponse(Mockito.anyString(), Mockito.anyList(), Mockito.any(), Mockito.anyLong());
   }
 }

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

@@ -1276,9 +1276,9 @@ public abstract class BaseWorkerContext extends I18nBase implements IWorkerConte
   }
   
   public ValidationResult validateCode(final ValidationOptions optionsArg, String path, final Coding code, final ValueSet vs, final ValidationContextCarrier ctxt) {
-
+  
     ValidationOptions options = optionsArg != null ? optionsArg : ValidationOptions.defaults();
-
+    
     if (code.hasSystem()) {
       codeSystemsUsed.add(code.getSystem());
     }
@@ -1303,6 +1303,9 @@ public abstract class BaseWorkerContext extends I18nBase implements IWorkerConte
       // ok, first we try to validate locally
       try {
         ValueSetValidator vsc = constructValueSetCheckerSimple(options, vs, ctxt);
+        if (vsc.getOpContext() != null) {
+          vsc.getOpContext().note("Validate "+code.toString()+" @ "+path+" against "+(vs == null ? "null" : vs.getVersionedUrl()));
+        }
         vsc.setUnknownSystems(unknownSystems);
         vsc.setThrowToServer(options.isUseServer() && terminologyClientManager.hasClient());
         if (!ValueSetUtilities.isServerSide(code.getSystem())) {
@@ -1328,7 +1331,7 @@ public abstract class BaseWorkerContext extends I18nBase implements IWorkerConte
         issues.add(iss);
         return new ValidationResult(IssueSeverity.FATAL, e.getMessage(), e.getError(), issues);
       } catch (Exception e) {
-//        e.printStackTrace();
+        e.printStackTrace();
         localError = e.getMessage();
       }
     }
@@ -1643,7 +1646,11 @@ public abstract class BaseWorkerContext extends I18nBase implements IWorkerConte
       Parameters pIn = constructParameters(options, code);
       res = validateOnServer(tc, vs, pIn, options);
     } catch (Exception e) {
-      res = new ValidationResult(IssueSeverity.ERROR, e.getMessage() == null ? e.getClass().getName() : e.getMessage(), null).setTxLink(txLog == null ? null : txLog.getLastId());
+      issues.clear();
+      OperationOutcomeIssueComponent iss = new OperationOutcomeIssueComponent(org.hl7.fhir.r5.model.OperationOutcome.IssueSeverity.ERROR, org.hl7.fhir.r5.model.OperationOutcome.IssueType.EXCEPTION);
+      iss.getDetails().setText(e.getMessage());
+      issues.add(iss);
+      res = new ValidationResult(IssueSeverity.ERROR, e.getMessage() == null ? e.getClass().getName() : e.getMessage(), issues).setTxLink(txLog == null ? null : txLog.getLastId()).setErrorClass(TerminologyServiceErrorClass.SERVER_ERROR);
     }
     if (cachingAllowed) {
       txCache.cacheValidation(cacheToken, res, TerminologyCache.PERMANENT);
@@ -1779,6 +1786,7 @@ public abstract class BaseWorkerContext extends I18nBase implements IWorkerConte
     if (options.isDisplayWarningMode()) {
       pin.addParameter("mode","lenient-display-validation");
     }
+    pin.addParameter("diagnostics", true);
   }
 
   private boolean addDependentResources(TerminologyClientContext tc, Parameters pin, ValueSet vs) {

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

@@ -87,7 +87,7 @@ public class HTMLClientLogger extends BaseLogger implements ToolingClientLogger
   }
 
   @Override
-  public void logResponse(String outcome, List<String> headers, byte[] body) {
+  public void logResponse(String outcome, List<String> headers, byte[] body, long start) {
     if (DEBUG) {
       System.out.println(" txlog resp: " +outcome+" "+present(body));
     }

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

@@ -76,10 +76,10 @@ public class TextClientLogger extends BaseLogger implements ToolingClientLogger
   }
 
   @Override
-  public void logResponse(String outcome, List<String> headers, byte[] body) {
+  public void logResponse(String outcome, List<String> headers, byte[] body, long length) {
     if (file == null)
       return;
-    file.println("\r\n\r\nResponse: \r\n");
+    file.println("\r\n\r\nResponse ("+Utilities.describeDuration(length)+"): \r\n");
     file.println(outcome);
     for (String s : headers)  
       file.println(s);

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

@@ -51,6 +51,8 @@ public class TerminologyClientContext {
     
   }
 
+  private static boolean canUseCacheId;
+
   private ITerminologyClient client;
   private boolean initialised = false;
   private CapabilityStatement capabilitiesStatementQuick;
@@ -180,7 +182,7 @@ public class TerminologyClientContext {
           txCache.cacheTerminologyCapabilities(getAddress(), txcaps);
         }
       }
-      if (txcaps != null) {
+      if (txcaps != null && TerminologyClientContext.canUseCacheId) {
         for (TerminologyCapabilitiesExpansionParameterComponent t : txcaps.getExpansion().getParameter()) {
           if ("cache-id".equals(t.getName())) {
             setTxCaching(true);
@@ -206,6 +208,13 @@ public class TerminologyClientContext {
   public String toString() {
     return client.getAddress();
   }
-  
+
+  public static boolean isCanUseCacheId() {
+    return canUseCacheId;
+  }
+
+  public static void setCanUseCacheId(boolean canUseCacheId) {
+    TerminologyClientContext.canUseCacheId = canUseCacheId;
+  }
   
 }

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

@@ -188,7 +188,7 @@ public class ValueSetExpander extends ValueSetProcessBase {
   private ValueSetExpansionContainsComponent addCode(WorkingContext wc, String system, String code, String display, String dispLang, ValueSetExpansionContainsComponent parent, List<ConceptDefinitionDesignationComponent> designations, Parameters expParams, 
       boolean isAbstract, boolean inactive, List<ValueSet> filters, boolean noInactive, boolean deprecated, List<ValueSetExpansionPropertyComponent> vsProp, 
       List<ConceptPropertyComponent> csProps, CodeSystem cs, List<org.hl7.fhir.r5.model.ValueSet.ConceptPropertyComponent> expProps, List<Extension> csExtList, List<Extension> vsExtList, ValueSetExpansionComponent exp) throws ETooCostly {
-    opContext.deadCheck();
+    opContext.deadCheck("addCode"+code);
     
     if (filters != null && !filters.isEmpty() && !filterContainsCode(filters, system, code, exp))
       return null;
@@ -447,7 +447,7 @@ public class ValueSetExpander extends ValueSetProcessBase {
   }
 
   private void addCodeAndDescendents(WorkingContext wc, ValueSetExpansionContainsComponent focus, ValueSetExpansionContainsComponent parent, Parameters expParams, List<ValueSet> filters, boolean noInactive, List<ValueSetExpansionPropertyComponent> vsProps, ValueSet vsSrc, ValueSetExpansionComponent exp)  throws FHIRException, ETooCostly {
-    opContext.deadCheck();
+    opContext.deadCheck("addCodeAndDescendents");
     focus.checkNoModifiers("Expansion.contains", "expanding");
     ValueSetExpansionContainsComponent np = null;
     for (String code : getCodesForConcept(focus, expParams)) {
@@ -497,7 +497,7 @@ public class ValueSetExpander extends ValueSetProcessBase {
 
   private void addCodeAndDescendents(WorkingContext wc, CodeSystem cs, String system, ConceptDefinitionComponent def, ValueSetExpansionContainsComponent parent, Parameters expParams, List<ValueSet> filters, 
         ConceptDefinitionComponent exclusion, ConceptFilter filterFunc, boolean noInactive, List<ValueSetExpansionPropertyComponent> vsProps, List<WorkingContext> otherFilters, ValueSetExpansionComponent exp)  throws FHIRException, ETooCostly {
-    opContext.deadCheck();
+    opContext.deadCheck("addCodeAndDescendents");
     def.checkNoModifiers("Code in Code System", "expanding");
     if (exclusion != null) {
       if (exclusion.getCode().equals(def.getCode()))
@@ -528,7 +528,7 @@ public class ValueSetExpander extends ValueSetProcessBase {
 
   private void excludeCodeAndDescendents(WorkingContext wc, CodeSystem cs, String system, ConceptDefinitionComponent def, Parameters expParams, List<ValueSet> filters, 
       ConceptDefinitionComponent exclusion, ConceptFilter filterFunc, List<WorkingContext> otherFilters, ValueSetExpansionComponent exp)  throws FHIRException, ETooCostly {
-    opContext.deadCheck();
+    opContext.deadCheck("excludeCodeAndDescendents");
     def.checkNoModifiers("Code in Code System", "expanding");
     if (exclusion != null) {
       if (exclusion.getCode().equals(def.getCode()))
@@ -596,7 +596,7 @@ public class ValueSetExpander extends ValueSetProcessBase {
   }
 
   private void excludeCodes(WorkingContext wc, ConceptSetComponent exc, Parameters expParams, ValueSetExpansionComponent exp, ValueSet vs) throws FHIRException, FileNotFoundException, ETooCostly, IOException {
-    opContext.deadCheck();
+    opContext.deadCheck("excludeCodes");
     exc.checkNoModifiers("Compose.exclude", "expanding");
     if (exc.hasSystem() && exc.getConcept().size() == 0 && exc.getFilter().size() == 0) {
       wc.getExcludeSystems().add(exc.getSystem());
@@ -639,7 +639,7 @@ public class ValueSetExpander extends ValueSetProcessBase {
   }
 
   private void excludeCodes(WorkingContext wc, ValueSetExpansionComponent expand) {
-    opContext.deadCheck();
+    opContext.deadCheck("excludeCodes");
     for (ValueSetExpansionContainsComponent c : expand.getContains()) {
       excludeCode(wc, c.getSystem(), c.getCode());
     }
@@ -959,7 +959,7 @@ public class ValueSetExpander extends ValueSetProcessBase {
   }
 
   public void copyExpansion(WorkingContext wc,List<ValueSetExpansionContainsComponent> list) {
-    opContext.deadCheck();
+    opContext.deadCheck("copyExpansion");
     for (ValueSetExpansionContainsComponent cc : list) {
        ValueSetExpansionContainsComponent n = new ValueSet.ValueSetExpansionContainsComponent();
        n.setSystem(cc.getSystem());
@@ -988,7 +988,7 @@ public class ValueSetExpander extends ValueSetProcessBase {
 
   private int copyImportContains(List<ValueSetExpansionContainsComponent> list, ValueSetExpansionContainsComponent parent, Parameters expParams, List<ValueSet> filter, boolean noInactive, List<ValueSetExpansionPropertyComponent> vsProps, ValueSet vsSrc, ValueSetExpansionComponent exp) throws FHIRException, ETooCostly {
     int count = 0;
-    opContext.deadCheck();
+    opContext.deadCheck("copyImportContains");
     for (ValueSetExpansionContainsComponent c : list) {
       c.checkNoModifiers("Imported Expansion in Code System", "expanding");
       ValueSetExpansionContainsComponent np = addCode(dwc, c.getSystem(), c.getCode(), c.getDisplay(), vsSrc.getLanguage(), parent, null, expParams, c.getAbstract(), c.getInactive(), 
@@ -1002,7 +1002,7 @@ public class ValueSetExpander extends ValueSetProcessBase {
   }
 
   private void includeCodes(ConceptSetComponent inc, ValueSetExpansionComponent exp, Parameters expParams, boolean heirarchical, boolean noInactive, List<Extension> extensions, ValueSet valueSet) throws ETooCostly, FileNotFoundException, IOException, FHIRException, CodeSystemProviderExtension {
-    opContext.deadCheck();
+    opContext.deadCheck("includeCodes");
     inc.checkNoModifiers("Compose.include", "expanding");
     List<ValueSet> imports = new ArrayList<ValueSet>();
     for (CanonicalType imp : inc.getValueSet()) {
@@ -1033,7 +1033,7 @@ public class ValueSetExpander extends ValueSetProcessBase {
   }
 
   private void doServerIncludeCodes(ConceptSetComponent inc, boolean heirarchical, ValueSetExpansionComponent exp, List<ValueSet> imports, Parameters expParams, List<Extension> extensions, boolean noInactive, List<ValueSetExpansionPropertyComponent> vsProps) throws FHIRException, CodeSystemProviderExtension, ETooCostly {
-    opContext.deadCheck();
+    opContext.deadCheck("doServerIncludeCodes");
     CodeSystemProvider csp = CodeSystemProvider.factory(inc.getSystem());
     if (csp != null) {
       csp.includeCodes(inc, heirarchical, exp, imports, expParams, extensions, noInactive, vsProps);
@@ -1075,7 +1075,7 @@ public class ValueSetExpander extends ValueSetProcessBase {
 
 
   public void doInternalIncludeCodes(ConceptSetComponent inc, ValueSetExpansionComponent exp, Parameters expParams, List<ValueSet> imports, CodeSystem cs, boolean noInactive, Resource vsSrc) throws NoTerminologyServiceException, TerminologyServiceException, FHIRException, ETooCostly {
-    opContext.deadCheck();
+    opContext.deadCheck("doInternalIncludeCodes");
     if (cs == null) {
       if (context.isNoTerminologyServer())
         throw failTSE("Unable to find code system " + inc.getSystem().toString());
@@ -1160,7 +1160,7 @@ public class ValueSetExpander extends ValueSetProcessBase {
   private void processFilter(ConceptSetComponent inc, ValueSetExpansionComponent exp, Parameters expParams, List<ValueSet> imports, CodeSystem cs, boolean noInactive, 
       ConceptSetFilterComponent fc, WorkingContext wc, List<WorkingContext> filters, boolean exclude)
       throws ETooCostly {
-    opContext.deadCheck();
+    opContext.deadCheck("processFilter");
     if ("concept".equals(fc.getProperty()) && fc.getOp() == FilterOperator.ISA) {
       // special: all codes in the target code system under the value
       ConceptDefinitionComponent def = getConceptForCode(cs.getConcept(), fc.getValue());
@@ -1213,7 +1213,7 @@ public class ValueSetExpander extends ValueSetProcessBase {
         if (isNotBlank(def.getDisplay()) && isNotBlank(fc.getValue())) {
           if (def.getDisplay().contains(fc.getValue()) && passesOtherFilters(filters, cs, def.getCode())) {
             for (String code : getCodesForConcept(def, expParams)) {
-              opContext.deadCheck();
+              opContext.deadCheck("processFilter2");
               if (exclude) {
                 excludeCode(wc, inc.getSystem(), code);
               } else {

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

@@ -302,22 +302,26 @@ public class TerminologyCache {
     this.lock = lock;
     if (folder == null) {
       folder = Utilities.path("[tmp]", "default-tx-cache");
+    } else if ("n/a".equals(folder)) {
+      // this is a weird way to do things but it maintains the legacy interface
+      folder = null;
     }
     this.folder = folder;
     requestCount = 0;
     hitCount = 0;
     networkCount = 0;
 
-    
-    File f = ManagedFileAccess.file(folder);
-    if (!f.exists()) {
-      Utilities.createDirectory(folder);
+    if (folder != null) {
+      File f = ManagedFileAccess.file(folder);
+      if (!f.exists()) {
+        Utilities.createDirectory(folder);
+      }
+      if (!f.exists()) {
+        throw new IOException("Unable to create terminology cache at "+folder);
+      }
+      checkVersion();      
+      load();
     }
-    if (!f.exists()) {
-      throw new IOException("Unable to create terminology cache at "+folder);
-    }
-    checkVersion();      
-    load();
   }
 
   private void checkVersion() throws IOException {
@@ -361,7 +365,9 @@ public class TerminologyCache {
   }
   
   private void clear() throws IOException {
-    Utilities.clearDirectory(folder);
+    if (folder != null) {
+      Utilities.clearDirectory(folder);
+    }
     caches.clear();
     vsCache.clear();
     csCache.clear();
@@ -1039,7 +1045,7 @@ public class TerminologyCache {
 
   public SourcedValueSet getValueSet(String canonical) {
     SourcedValueSetEntry sp = vsCache.get(canonical);
-    if (sp == null) {
+    if (sp == null || folder == null) {
       return null;
     } else {
       try {
@@ -1052,7 +1058,7 @@ public class TerminologyCache {
 
   public SourcedCodeSystem getCodeSystem(String canonical) {
     SourcedCodeSystemEntry sp = csCache.get(canonical);
-    if (sp == null) {
+    if (sp == null || folder == null) {
       return null;
     } else {
       try {
@@ -1073,7 +1079,9 @@ public class TerminologyCache {
       } else {
         String uuid = Utilities.makeUuidLC();
         String fn = "vs-"+uuid+".json";
-        new JsonParser().compose(ManagedFileAccess.outStream(Utilities.path(folder, fn)), svs.getVs());
+        if (folder != null) {
+          new JsonParser().compose(ManagedFileAccess.outStream(Utilities.path(folder, fn)), svs.getVs());
+        }
         vsCache.put(canonical, new SourcedValueSetEntry(svs.getServer(), fn));
       }    
       org.hl7.fhir.utilities.json.model.JsonObject j = new org.hl7.fhir.utilities.json.model.JsonObject();
@@ -1090,7 +1098,9 @@ public class TerminologyCache {
           j.add(k, e);
         }
       }
-      org.hl7.fhir.utilities.json.parser.JsonParser.compose(j, ManagedFileAccess.file(Utilities.path(folder, "vs-externals.json")), true);
+      if (folder != null) {
+        org.hl7.fhir.utilities.json.parser.JsonParser.compose(j, ManagedFileAccess.file(Utilities.path(folder, "vs-externals.json")), true);
+      }
     } catch (Exception e) {
       e.printStackTrace();
     }
@@ -1106,7 +1116,9 @@ public class TerminologyCache {
       } else {
         String uuid = Utilities.makeUuidLC();
         String fn = "cs-"+uuid+".json";
-        new JsonParser().compose(ManagedFileAccess.outStream(Utilities.path(folder, fn)), scs.getCs());
+        if (folder != null) {
+          new JsonParser().compose(ManagedFileAccess.outStream(Utilities.path(folder, fn)), scs.getCs());
+        }
         csCache.put(canonical, new SourcedCodeSystemEntry(scs.getServer(), fn));
       }    
       org.hl7.fhir.utilities.json.model.JsonObject j = new org.hl7.fhir.utilities.json.model.JsonObject();
@@ -1123,7 +1135,9 @@ public class TerminologyCache {
           j.add(k, e);
         }
       }
-      org.hl7.fhir.utilities.json.parser.JsonParser.compose(j, ManagedFileAccess.file(Utilities.path(folder, "cs-externals.json")), true);
+      if (folder != null) {
+        org.hl7.fhir.utilities.json.parser.JsonParser.compose(j, ManagedFileAccess.file(Utilities.path(folder, "cs-externals.json")), true);
+      }
     } catch (Exception e) {
       e.printStackTrace();
     }

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

@@ -7,6 +7,7 @@ import org.hl7.fhir.exceptions.TerminologyServiceException;
 import org.hl7.fhir.r5.context.IWorkerContext;
 import org.hl7.fhir.r5.model.OperationOutcome.IssueType;
 import org.hl7.fhir.r5.terminologies.utilities.TerminologyOperationContext.TerminologyServiceProtectionException;
+import org.hl7.fhir.utilities.Utilities;
 import org.hl7.fhir.utilities.i18n.I18nConstants;
 import org.hl7.fhir.utilities.validation.ValidationOptions;
 
@@ -38,11 +39,14 @@ public class TerminologyOperationContext {
   public static boolean debugging = java.lang.management.ManagementFactory.getRuntimeMXBean().getInputArguments().toString().indexOf("-agentlib:jdwp") > 0;
   private static final int EXPANSION_DEAD_TIME_SECS = 60;
   private long deadTime;
+  private int nestCount = 0;
+  private long startTime;
   private List<String> contexts = new ArrayList<>();
   private IWorkerContext worker;
   private boolean original;
   private ValidationOptions options;
   private String name;
+  private List<String> notes = new ArrayList<>();
   
   public TerminologyOperationContext(IWorkerContext worker, ValidationOptions options, String name) {
     super();
@@ -50,6 +54,7 @@ public class TerminologyOperationContext {
     this.original = true;
     this.options = options;
     this.name = name;
+    this.startTime = System.currentTimeMillis();
     
     if (EXPANSION_DEAD_TIME_SECS == 0 || debugging) {
       deadTime = 0;
@@ -62,6 +67,7 @@ public class TerminologyOperationContext {
     super();
     this.options = options;
     this.name = name;
+    this.startTime = System.currentTimeMillis();
   }
 
   public TerminologyOperationContext copy() {
@@ -69,12 +75,21 @@ public class TerminologyOperationContext {
     ret.worker = worker;
     ret.contexts.addAll(contexts);
     ret.deadTime = deadTime;
+    ret.notes = notes;
+    ret.startTime = startTime;
+    ret.nestCount = nestCount + 1;
     return ret;
   }
   
-  public void deadCheck() {
+  public void deadCheck(String note) {
+    note(note);
     if (deadTime != 0 &&  System.currentTimeMillis() > deadTime) {
-      throw new TerminologyServiceProtectionException(worker.formatMessage(I18nConstants.VALUESET_TOO_COSTLY_TIME, contexts.get(0), EXPANSION_DEAD_TIME_SECS, name), TerminologyServiceErrorClass.TOO_COSTLY, IssueType.TOOCOSTLY);
+      System.out.println();
+      System.out.println("Operation took too long - longer than "+(deadTime - startTime)+"ms");
+      for (String s : notes) {
+        System.out.println(s);
+      }
+      throw new TerminologyServiceProtectionException(worker.formatMessage(I18nConstants.VALUESET_TOO_COSTLY_TIME, contexts.get(0), EXPANSION_DEAD_TIME_SECS, name+" (local)"), TerminologyServiceErrorClass.TOO_COSTLY, IssueType.TOOCOSTLY);
     }
   }
   
@@ -93,5 +108,8 @@ public class TerminologyOperationContext {
     return options;
   }
 
-  
+  public void note(String s) {
+    s = Utilities.padLeft("", ' ', nestCount)+" "+(System.currentTimeMillis() - startTime)+" "+s;
+    notes.add(s);
+  }
 }

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

@@ -49,7 +49,7 @@ public class ValueSetProcessBase {
   protected IWorkerContext context;
   protected TerminologyOperationContext opContext;
   protected List<String> requiredSupplements = new ArrayList<>();
-
+  
   protected ValueSetProcessBase(IWorkerContext context, TerminologyOperationContext opContext) {
     super();
     this.context = context;
@@ -229,7 +229,11 @@ public class ValueSetProcessBase {
       }
     }
   }
-            
+
+  public TerminologyOperationContext getOpContext() {
+    return opContext;
+  }
+
                          
   protected AlternateCodesProcessingRules altCodeParams = new AlternateCodesProcessingRules(false);
   protected AlternateCodesProcessingRules allAltCodes = new AlternateCodesProcessingRules(true);

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

@@ -175,11 +175,15 @@ public class ValueSetValidator extends ValueSetProcessBase {
   }
 
   private void analyseValueSet() {
+    opContext.note("analyse");
     if (valueset != null) {
+      opContext.note("vs = "+valueset.getVersionedUrl());
       opContext.seeContext(valueset.getVersionedUrl());
       for (Extension s : valueset.getExtensionsByUrl(ExtensionConstants.EXT_VSSUPPLEMENT)) {
         requiredSupplements.add(s.getValue().primitiveValue());
       }
+    } else {
+      opContext.note("vs = null");
     }
 
     altCodeParams.seeParameters(expansionProfile);
@@ -187,17 +191,18 @@ public class ValueSetValidator extends ValueSetProcessBase {
     if (localContext != null) {
       if (valueset != null) {
         for (ConceptSetComponent i : valueset.getCompose().getInclude()) {
-          analyseComponent(i);
+          analyseComponent(i, "inc"+i);
         }
         for (ConceptSetComponent i : valueset.getCompose().getExclude()) {
-          analyseComponent(i);
+          analyseComponent(i, "exc"+i);
         }
       }
     }
+    opContext.note("analysed");
   }
 
-  private void analyseComponent(ConceptSetComponent i) {
-    opContext.deadCheck();
+  private void analyseComponent(ConceptSetComponent i, String name) {
+    opContext.deadCheck("analyse Component "+name);
     if (i.getSystemElement().hasExtension(ToolingExtensions.EXT_VALUESET_SYSTEM)) {
       String ref = i.getSystemElement().getExtensionString(ToolingExtensions.EXT_VALUESET_SYSTEM);
       if (ref.startsWith("#")) {
@@ -219,11 +224,15 @@ public class ValueSetValidator extends ValueSetProcessBase {
   }
   
   public ValidationResult validateCode(String path, CodeableConcept code) throws FHIRException {
-    opContext.deadCheck();
+    opContext.deadCheck("validate "+code.toString());
     checkValueSetOptions();
 
     // first, we validate the codings themselves
     ValidationProcessInfo info = new ValidationProcessInfo();
+    
+    if (throwToServer) {
+      checkValueSetLoad(info);
+    }
 
     CodeableConcept vcc = new CodeableConcept();
     List<ValidationResult> resList = new ArrayList<>();
@@ -395,6 +404,45 @@ public class ValueSetValidator extends ValueSetProcessBase {
     }
   }
 
+  private void checkValueSetLoad(ValidationProcessInfo info) {
+    int serverCount = getServerLoad(info);
+    // There's a trade off here: if we're going to hit the server inside the components, then
+    // the amount of value set collateral we send is limited, but we pay the price of hitting 
+    // the server multiple times. If, on the other hand, we give up on that, and hit the server 
+    // directly, we have to send value set collateral (though we cache at the higher level)
+    //
+    // the cutoff value is chosen experimentally
+    if (serverCount > 2) {
+      throw new VSCheckerException("This value set is better processed on the server for performance reasons", null, true);
+    }
+  }
+
+  private int getServerLoad(ValidationProcessInfo info) {
+    int serverCount = 0;
+    if (valueset != null) {
+      for (ConceptSetComponent inc : valueset.getCompose().getInclude()) {
+        serverCount = serverCount + checkValueSetLoad(inc, info);
+      }
+      for (ConceptSetComponent inc : valueset.getCompose().getExclude()) {
+        serverCount = serverCount + checkValueSetLoad(inc, info);
+      }
+    }
+    return serverCount;
+  }
+  
+  private int checkValueSetLoad(ConceptSetComponent inc, ValidationProcessInfo info) {
+    int serverCount = 0;
+    for (UriType uri : inc.getValueSet()) {
+      ValueSetValidator vsv = getVs(uri.getValue(), info);
+      serverCount += vsv.getServerLoad(info);
+    }
+    CodeSystem cs = resolveCodeSystem(inc.getSystem(), inc.getVersion());
+    if (cs == null || (cs.getContent() != CodeSystemContentMode.COMPLETE && cs.getContent() != CodeSystemContentMode.FRAGMENT)) {
+      serverCount++;
+    }
+    return serverCount;
+  }
+
   private boolean checkRequiredSupplements(ValidationProcessInfo info) {
     if (!requiredSupplements.isEmpty()) {
       String msg= context.formatMessagePlural(requiredSupplements.size(), I18nConstants.VALUESET_SUPPLEMENT_MISSING, CommaSeparatedStringBuilder.build(requiredSupplements));
@@ -466,7 +514,7 @@ public class ValueSetValidator extends ValueSetProcessBase {
   }
   
   public ValidationResult validateCode(String path, Coding code) throws FHIRException {
-    opContext.deadCheck();
+    opContext.deadCheck("validate "+code.toString());
     checkValueSetOptions();
     
     String warningMessage = null;
@@ -798,7 +846,7 @@ public class ValueSetValidator extends ValueSetProcessBase {
 
   private ValidationResult findCodeInExpansion(Coding code, List<ValueSetExpansionContainsComponent> contains) {
     for (ValueSetExpansionContainsComponent containsComponent: contains) {
-      opContext.deadCheck();
+      opContext.deadCheck("findCodeInExpansion");
       if (containsComponent.getSystem().equals(code.getSystem()) && containsComponent.getCode().equals(code.getCode())) {
         ConceptDefinitionComponent ccd = new ConceptDefinitionComponent();
         ccd.setCode(containsComponent.getCode());
@@ -825,7 +873,7 @@ public class ValueSetValidator extends ValueSetProcessBase {
 
   private boolean checkExpansion(Coding code, List<ValueSetExpansionContainsComponent> contains, VersionInfo vi) {
     for (ValueSetExpansionContainsComponent containsComponent: contains) {
-      opContext.deadCheck();
+      opContext.deadCheck("checkExpansion: "+code.toString());
       if (containsComponent.hasSystem() && containsComponent.hasCode() && containsComponent.getSystem().equals(code.getSystem()) && containsComponent.getCode().equals(code.getCode())) {
         vi.setExpansionVersion(containsComponent.getVersion());
         return true;
@@ -882,7 +930,7 @@ public class ValueSetValidator extends ValueSetProcessBase {
     }
     
     for (ConceptDefinitionDesignationComponent ds : cc.getDesignation()) {
-      opContext.deadCheck();
+      opContext.deadCheck("validateCode1 "+ds.toString());
       if (isOkLanguage(ds.getLanguage())) {
         b.append("'"+ds.getValue()+"' ("+ds.getLanguage()+")");
         if (code.getDisplay().equalsIgnoreCase(ds.getValue())) {
@@ -904,7 +952,7 @@ public class ValueSetValidator extends ValueSetProcessBase {
           }
         }
         for (ConceptReferenceDesignationComponent ds : vs.getCc().getDesignation()) {
-          opContext.deadCheck();
+          opContext.deadCheck("validateCode2 "+ds.toString());
           if (isOkLanguage(ds.getLanguage())) {
             b.append("'"+ds.getValue()+"'");
             if (code.getDisplay().equalsIgnoreCase(ds.getValue())) {
@@ -1009,7 +1057,7 @@ public class ValueSetValidator extends ValueSetProcessBase {
       return null;
     // if it has an expansion
     for (ValueSetExpansionContainsComponent exp : valueset.getExpansion().getContains()) {
-      opContext.deadCheck();
+      opContext.deadCheck("findValueSetRef "+exp.toString());
       if (system.equals(exp.getSystem()) && code.equals(exp.getCode())) {
         ConceptReferenceComponent cc = new ConceptReferenceComponent();
         cc.setDisplay(exp.getDisplay());
@@ -1048,7 +1096,7 @@ public class ValueSetValidator extends ValueSetProcessBase {
   }
 
   private ConceptDefinitionComponent findCodeInConcept(ConceptDefinitionComponent concept, String code, boolean caseSensitive, AlternateCodesProcessingRules altCodeRules) {
-    opContext.deadCheck();
+    opContext.deadCheck("findCodeInConcept: "+code.toString()+", "+concept.toString());
     if (code.equals(concept.getCode())) {
       return concept;
     }
@@ -1121,7 +1169,7 @@ public class ValueSetValidator extends ValueSetProcessBase {
 
       int i = 0;
       for (ConceptSetComponent vsi : valueset.getCompose().getInclude()) {
-        opContext.deadCheck();
+        opContext.deadCheck("scanForCodeInValueSet: "+code.toString());
         if (scanForCodeInValueSetInclude(code, sys, problems, i, vsi)) {
           return true;
         }
@@ -1241,7 +1289,7 @@ public class ValueSetValidator extends ValueSetProcessBase {
    */
   private boolean checkSystems(List<ValueSetExpansionContainsComponent> contains, String code, Set<String> systems, List<StringWithCode> problems) {
     for (ValueSetExpansionContainsComponent c: contains) {
-      opContext.deadCheck();
+      opContext.deadCheck("checkSystems "+code.toString());
       if (c.getCode().equals(code)) {
         systems.add(c.getSystem());
       }
@@ -1255,7 +1303,7 @@ public class ValueSetValidator extends ValueSetProcessBase {
     if (valueset == null) {
       return null;
     }
-    opContext.deadCheck();
+    opContext.deadCheck("codeInValueSet: "+system+"#"+code);
     checkCanonical(info.getIssues(), path, valueset, valueset);
     Boolean result = false;
     VersionInfo vi = new VersionInfo(this);
@@ -1290,7 +1338,7 @@ public class ValueSetValidator extends ValueSetProcessBase {
   }
 
   private Boolean inComponent(String path, ConceptSetComponent vsi, int vsiIndex, String system, String version, String code, boolean only, ValidationProcessInfo info) throws FHIRException {
-    opContext.deadCheck();
+    opContext.deadCheck("inComponent "+vsiIndex);
     boolean ok = true;
     
     if (vsi.hasValueSet()) {
@@ -1339,6 +1387,7 @@ public class ValueSetValidator extends ValueSetProcessBase {
         vs.setUrl(valueset.getUrl()+"--"+vsiIndex);
         vs.setVersion(valueset.getVersion());
         vs.getCompose().addInclude(vsi);
+        opContext.deadCheck("hit server "+vs.getVersionedUrl());
         ValidationResult res = context.validateCode(options.withNoClient(), new Coding(system, code, null), vs);
         if (res.getErrorClass() == TerminologyServiceErrorClass.UNKNOWN || res.getErrorClass() == TerminologyServiceErrorClass.CODESYSTEM_UNSUPPORTED || res.getErrorClass() == TerminologyServiceErrorClass.VALUESET_UNSUPPORTED) {
           if (info != null && res.getErrorClass() == TerminologyServiceErrorClass.CODESYSTEM_UNSUPPORTED) {
@@ -1348,16 +1397,20 @@ public class ValueSetValidator extends ValueSetProcessBase {
               info.addIssue(makeIssue(IssueSeverity.WARNING, IssueType.UNKNOWN, path, msg, OpIssueCode.NotFound, null));
               for (ConceptReferenceComponent cc : vsi.getConcept()) {
                 if (cc.getCode().equals(code)) {
+                  opContext.deadCheck("server true");
                   return true;
                 }
               }
             }
             info.setErr(TerminologyServiceErrorClass.CODESYSTEM_UNSUPPORTED);
+            opContext.deadCheck("server codesystem unsupported");
             return null;
           }
+          opContext.deadCheck("server not found");
           return false;
         }
         if (res.getErrorClass() == TerminologyServiceErrorClass.NOSERVICE) {
+          opContext.deadCheck("server no server");
           throw new NoTerminologyServiceException();
         }
         return res.isOk();
@@ -1538,7 +1591,7 @@ public class ValueSetValidator extends ValueSetProcessBase {
   }
 
   public boolean validateCodeInConceptList(String code, CodeSystem def, List<ConceptDefinitionComponent> list, AlternateCodesProcessingRules altCodeRules) {
-    opContext.deadCheck();
+    opContext.deadCheck("validateCodeInConceptList");
     if (def.hasUserData("tx.cs.special")) {
       return ((SpecialCodeSystem) def.getUserData("tx.cs.special")).findConcept(new Coding().setCode(code)) != null; 
     } else if (def.getCaseSensitive()) {
@@ -1580,7 +1633,7 @@ public class ValueSetValidator extends ValueSetProcessBase {
     inner.put(url, vsc);
     return vsc;
   }
-
+  
   private Boolean inImport(String path, String uri, String system, String version, String code, ValidationProcessInfo info) throws FHIRException {
     ValueSetValidator vs = getVs(uri, info);
     if (vs == null) {

org.hl7.fhir.r5/src/main/java/org/hl7/fhir/r5/utils/client/network/FhirLoggingInterceptor.java

@@ -59,7 +59,8 @@ public class FhirLoggingInterceptor implements Interceptor {
     headerMap.keySet().forEach(key -> headerMap.get(key).forEach(value -> headerList.add(key + ":" + value)));
 
     if (logger != null) {
-      logger.logResponse(Integer.toString(response.code()), headerList, bodyBytes);
+      long responseTimeInMillis = response.receivedResponseAtMillis() - response.sentRequestAtMillis();
+      logger.logResponse(Integer.toString(response.code()), headerList, bodyBytes, responseTimeInMillis);
     }
 
     // Reading byte[] clears body. Need to recreate.

org.hl7.fhir.r5/src/main/java/org/hl7/fhir/r5/utils/formats/XmlLocationAnnotator.java

@@ -75,14 +75,14 @@ public class XmlLocationAnnotator extends XMLFilterImpl  {
 
   @Override
   public void setProperty(String name, Object value) throws SAXNotRecognizedException, SAXNotSupportedException {
-    if (!name.equals("http://javax.xml.xmlconstants/property/accessExternalDTD")) {
+    if (!name.equals("http://javax.xml.XMLConstants/property/accessExternalDTD")) {
       super.setProperty(name, value);
     }
   }
 
   @Override
   public Object getProperty(String name) throws SAXNotRecognizedException, SAXNotSupportedException {
-    if (!name.equals("http://javax.xml.xmlconstants/property/accessExternalDTD")) {
+    if (!name.equals("http://javax.xml.XMLConstants/property/accessExternalDTD")) {
       return null;
     } else {
       return super.getProperty(name);

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

@@ -13,6 +13,7 @@ import org.hl7.fhir.r5.utils.validation.IResourceValidator;
 import org.hl7.fhir.r5.utils.validation.ValidationContextCarrier;
 import org.hl7.fhir.utilities.FhirPublication;
 import org.hl7.fhir.utilities.ToolingClientLogger;
+import org.hl7.fhir.utilities.Utilities;
 import org.hl7.fhir.utilities.npm.BasePackageCacheManager;
 import org.hl7.fhir.utilities.npm.NpmPackage;
 import org.hl7.fhir.utilities.validation.ValidationMessage;
@@ -341,6 +342,7 @@ public class BaseWorkerContextTests {
   public void testValidateCodingWithValueSetChecker() throws IOException {
     ValidationOptions validationOptions = new ValidationOptions(FhirPublication.R5).withGuessSystem().withVersionFlexible(false);
     ValueSet valueSet = new ValueSet();
+    valueSet.setUrl(Utilities.makeUuidUrn());
     Coding coding = new Coding();
 
     Mockito.doReturn(cacheToken).when(terminologyCache).generateValidationToken(validationOptions, coding, valueSet, expParameters);

org.hl7.fhir.r5/src/test/java/org/hl7/fhir/r5/utils/client/network/ClientTest.java

@@ -172,6 +172,6 @@ class ClientTest {
     Mockito.verify(mockLogger, Mockito.times(1))
       .logRequest(Mockito.anyString(), Mockito.anyString(), Mockito.anyList(), Mockito.any());
     Mockito.verify(mockLogger, Mockito.times(1))
-      .logResponse(Mockito.anyString(), Mockito.anyList(), Mockito.any());
+      .logResponse(Mockito.anyString(), Mockito.anyList(), Mockito.any(), Mockito.anyLong());
   }
 }

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

@@ -36,7 +36,7 @@ import java.util.List;
 public interface ToolingClientLogger {
 
   void logRequest(String method, String url, List<String> headers, byte[] body);
-  void logResponse(String outcome, List<String> headers, byte[] body);
+  void logResponse(String outcome, List<String> headers, byte[] body, long length);
   String getLastId();
   void clearLastId();
 

org.hl7.fhir.utilities/src/main/java/org/hl7/fhir/utilities/http/ManagedWebAccess.java

@@ -64,9 +64,9 @@ public class ManagedWebAccess {
   }
 
   public enum WebAccessPolicy {
-    DIRECT, // open access to the local file system, though access can be restricted only to files under the paths in AllowedPaths
-    MANAGED, // no access except by the FileSystemProxyProvider
-    PROHIBITED, // no access at all to File() services
+    DIRECT, // open access to the web, though access can be restricted only to domains in AllowedDomains
+    MANAGED, // no access except by the IWebAccessor
+    PROHIBITED, // no access at all to the web
   }
 
   private static WebAccessPolicy accessPolicy = WebAccessPolicy.DIRECT; // for legacy reasons

org.hl7.fhir.utilities/src/main/java/org/hl7/fhir/utilities/tests/CacheVerificationLogger.java

@@ -33,7 +33,7 @@ public class CacheVerificationLogger implements ToolingClientLogger {
   }
 
   @Override
-  public void logResponse(String outcome, List<String> headers, byte[] body) {
+  public void logResponse(String outcome, List<String> headers, byte[] body, long start) {
 
   }
 

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

@@ -529,14 +529,18 @@ public class ValidationService {
   }
 
   @Nonnull
-  protected ValidationEngine buildValidationEngine( CliContext cliContext, String definitions, TimeTracker timeTracker) throws IOException, URISyntaxException {
+  protected ValidationEngine buildValidationEngine(CliContext cliContext, String definitions, TimeTracker timeTracker) throws IOException, URISyntaxException {
     System.out.print("  Load FHIR v" + cliContext.getSv() + " from " + definitions);
     ValidationEngine validationEngine = getValidationEngineBuilder().withTHO(false).withVersion(cliContext.getSv()).withTimeTracker(timeTracker).withUserAgent(Common.getValidatorUserAgent()).fromSource(definitions);
 
     System.out.println(" - " + validationEngine.getContext().countAllCaches() + " resources (" + timeTracker.milestone() + ")");
 
     loadIgsAndExtensions(validationEngine, cliContext, timeTracker);
-    if (validationEngine.getContext().getTxCache() == null) {
+    if (cliContext.getTxCache() != null) {
+      TerminologyCache cache = new TerminologyCache(new Object(), cliContext.getTxCache());
+      validationEngine.getContext().initTxCache(cache);
+    }
+    if (validationEngine.getContext().getTxCache() == null || validationEngine.getContext().getTxCache().getFolder() == null) {
       System.out.println("  No Terminology Cache");      
     } else {
       System.out.println("  Terminology Cache at "+validationEngine.getContext().getTxCache().getFolder());

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

@@ -1654,7 +1654,7 @@ public class InstanceValidator extends BaseValidator implements IResourceValidat
                 }
               } else if (vr.getErrorClass() != null && vr.getErrorClass() == TerminologyServiceErrorClass.CODESYSTEM_UNSUPPORTED) {
                 // we've already handled the warnings / errors about this, and set the status correctly. We don't need to do anything more?
-              } else {
+              } else if (vr.getErrorClass() != TerminologyServiceErrorClass.SERVER_ERROR) { // (should have?) already handled server error
                 if (strength == BindingStrength.REQUIRED) {
                   bh.see(txRule(errors, NO_RULE_DATE, vr.getTxLink(), IssueType.CODEINVALID, element.line(), element.col(), path, false, I18nConstants.TERMINOLOGY_TX_NOVALID_1_CC, describeReference(vsRef, valueset, bc, usageNote), ccSummary(cc)));
                 } else if (strength == BindingStrength.EXTENSIBLE) {

org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/1.0.2/servers.ini

@@ -1,3 +1,4 @@
 [servers]
 tx-dev.fhir.org.r2 = http://tx-dev.fhir.org/r2
+local.fhir.org.r2 = http://local.fhir.org/r2
 

org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/1.4.0/servers.ini

@@ -1,3 +1,4 @@
 [servers]
 tx-dev.fhir.org.r3 = http://tx-dev.fhir.org/r3
+local.fhir.org.r3 = http://local.fhir.org/r3
 

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

@@ -521,7 +521,6 @@ v: {
   "system" : "http://unitsofmeasure.org",
   "version" : "2.0.1",
   "server" : "http://tx-dev.fhir.org/r3",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -549,7 +548,6 @@ v: {
   "code" : "image/jpg",
   "system" : "urn:ietf:bcp:13",
   "server" : "http://tx-dev.fhir.org/r3",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -577,7 +575,6 @@ v: {
   "code" : "image/jpg",
   "system" : "urn:ietf:bcp:13",
   "server" : "http://tx-dev.fhir.org/r3",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -605,7 +602,6 @@ v: {
   "code" : "application/pdf",
   "system" : "urn:ietf:bcp:13",
   "server" : "http://tx-dev.fhir.org/r3",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -633,7 +629,6 @@ v: {
   "code" : "application/pdf",
   "system" : "urn:ietf:bcp:13",
   "server" : "http://tx-dev.fhir.org/r3",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -654,7 +649,6 @@ v: {
   "code" : "de-CH",
   "system" : "urn:ietf:bcp:47",
   "server" : "http://tx-dev.fhir.org/r3",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -720,3 +714,29 @@ v: {
 
 }
 -------------------------------------------------------------------------------------
+{"code" : {
+  "coding" : [{
+    "system" : "urn:iso:std:iso:3166",
+    "code" : "US",
+    "display" : "United States of America"
+  }]
+}, "url": "http://hl7.org/fhir/ValueSet/jurisdiction", "version": "3.0.2", "langs":"en-US", "useServer":"true", "useClient":"true", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "display" : "United States of America",
+  "code" : "US",
+  "system" : "urn:iso:std:iso:3166",
+  "version" : "2018",
+  "server" : "http://tx-dev.fhir.org/r3",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
+}
+-------------------------------------------------------------------------------------

org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/3.0.2/servers.ini

@@ -1,3 +1,4 @@
 [servers]
 tx-dev.fhir.org.r3 = http://tx-dev.fhir.org/r3
+local.fhir.org.r3 = http://local.fhir.org/r3
 

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

@@ -1108,7 +1108,6 @@ v: {
   "system" : "http://snomed.info/sct",
   "version" : "http://snomed.info/sct/900000000000207008/version/20240201",
   "server" : "http://tx-dev.fhir.org/r3",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -1132,7 +1131,6 @@ v: {
   "system" : "http://snomed.info/sct",
   "version" : "http://snomed.info/sct/900000000000207008/version/20240201",
   "server" : "http://tx-dev.fhir.org/r3",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -1159,7 +1157,6 @@ v: {
   "error" : "Wrong Display Name 'Laboratory test finding (finding)' for http://snomed.info/sct#118246004. Valid display is one of 4 choices: 'Laboratory test finding', 'Laboratory test observations', 'Laboratory test result' or 'Laboratory test finding (navigational concept)' (for the language(s) 'en-US')",
   "class" : "UNKNOWN",
   "server" : "http://tx-dev.fhir.org/r3",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome",
   "issue" : [{
@@ -1203,7 +1200,6 @@ v: {
   "error" : "Wrong Display Name 'Chemistry' for http://snomed.info/sct#275711006. Valid display is one of 2 choices: 'Serum chemistry test' or 'Serum chemistry test (procedure)' (for the language(s) 'en-US')",
   "class" : "UNKNOWN",
   "server" : "http://tx-dev.fhir.org/r3",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome",
   "issue" : [{
@@ -1244,7 +1240,6 @@ v: {
   "system" : "http://snomed.info/sct",
   "version" : "http://snomed.info/sct/900000000000207008/version/20240201",
   "server" : "http://tx-dev.fhir.org/r3",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -1268,7 +1263,6 @@ v: {
   "system" : "http://snomed.info/sct",
   "version" : "http://snomed.info/sct/900000000000207008/version/20240201",
   "server" : "http://tx-dev.fhir.org/r3",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -1292,7 +1286,6 @@ v: {
   "system" : "http://snomed.info/sct",
   "version" : "http://snomed.info/sct/900000000000207008/version/20240201",
   "server" : "http://tx-dev.fhir.org/r3",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -1316,7 +1309,6 @@ v: {
   "system" : "http://snomed.info/sct",
   "version" : "http://snomed.info/sct/900000000000207008/version/20240201",
   "server" : "http://tx-dev.fhir.org/r3",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -1340,7 +1332,6 @@ v: {
   "system" : "http://snomed.info/sct",
   "version" : "http://snomed.info/sct/900000000000207008/version/20240201",
   "server" : "http://tx-dev.fhir.org/r3",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -1364,7 +1355,6 @@ v: {
   "system" : "http://snomed.info/sct",
   "version" : "http://snomed.info/sct/900000000000207008/version/20240201",
   "server" : "http://tx-dev.fhir.org/r3",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -1388,7 +1378,6 @@ v: {
   "system" : "http://snomed.info/sct",
   "version" : "http://snomed.info/sct/900000000000207008/version/20240201",
   "server" : "http://tx-dev.fhir.org/r3",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -1413,7 +1402,6 @@ v: {
   "error" : "Unknown code '823681000000100' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20240201'",
   "class" : "UNKNOWN",
   "server" : "http://tx-dev.fhir.org/r3",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome",
   "issue" : [{
@@ -1455,7 +1443,6 @@ v: {
   "error" : "Unknown code '886921000000105' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20240201'",
   "class" : "UNKNOWN",
   "server" : "http://tx-dev.fhir.org/r3",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome",
   "issue" : [{
@@ -1497,7 +1484,6 @@ v: {
   "error" : "Unknown code '1077881000000105' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20240201'",
   "class" : "UNKNOWN",
   "server" : "http://tx-dev.fhir.org/r3",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome",
   "issue" : [{
@@ -1539,7 +1525,6 @@ v: {
   "error" : "Unknown code '887181000000106' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20240201'",
   "class" : "UNKNOWN",
   "server" : "http://tx-dev.fhir.org/r3",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome",
   "issue" : [{
@@ -1581,7 +1566,6 @@ v: {
   "error" : "Unknown code '887161000000102' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20240201'",
   "class" : "UNKNOWN",
   "server" : "http://tx-dev.fhir.org/r3",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome",
   "issue" : [{
@@ -1623,7 +1607,6 @@ v: {
   "error" : "Unknown code '1052891000000108' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20240201'",
   "class" : "UNKNOWN",
   "server" : "http://tx-dev.fhir.org/r3",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome",
   "issue" : [{
@@ -1665,7 +1648,6 @@ v: {
   "error" : "Unknown code '715851000000102' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20240201'",
   "class" : "UNKNOWN",
   "server" : "http://tx-dev.fhir.org/r3",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome",
   "issue" : [{
@@ -1707,7 +1689,6 @@ v: {
   "error" : "Unknown code '717121000000105' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20240201'",
   "class" : "UNKNOWN",
   "server" : "http://tx-dev.fhir.org/r3",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome",
   "issue" : [{
@@ -1749,7 +1730,6 @@ v: {
   "error" : "Unknown code '933361000000108' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20240201'",
   "class" : "UNKNOWN",
   "server" : "http://tx-dev.fhir.org/r3",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome",
   "issue" : [{
@@ -1791,7 +1771,6 @@ v: {
   "error" : "Unknown code '887171000000109' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20240201'",
   "class" : "UNKNOWN",
   "server" : "http://tx-dev.fhir.org/r3",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome",
   "issue" : [{
@@ -1833,7 +1812,6 @@ v: {
   "error" : "Unknown code '887201000000105' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20240201'",
   "class" : "UNKNOWN",
   "server" : "http://tx-dev.fhir.org/r3",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome",
   "issue" : [{
@@ -1875,7 +1853,6 @@ v: {
   "error" : "Unknown code '1052951000000105' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20240201'",
   "class" : "UNKNOWN",
   "server" : "http://tx-dev.fhir.org/r3",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome",
   "issue" : [{
@@ -1917,7 +1894,6 @@ v: {
   "error" : "Unknown code '886731000000109' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20240201'",
   "class" : "UNKNOWN",
   "server" : "http://tx-dev.fhir.org/r3",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome",
   "issue" : [{
@@ -1959,7 +1935,6 @@ v: {
   "error" : "Unknown code '887231000000104' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20240201'",
   "class" : "UNKNOWN",
   "server" : "http://tx-dev.fhir.org/r3",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome",
   "issue" : [{
@@ -2001,7 +1976,6 @@ v: {
   "error" : "Unknown code '9290701000001101' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20240201'",
   "class" : "UNKNOWN",
   "server" : "http://tx-dev.fhir.org/r3",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome",
   "issue" : [{
@@ -2042,7 +2016,6 @@ v: {
   "system" : "http://snomed.info/sct",
   "version" : "http://snomed.info/sct/900000000000207008/version/20240201",
   "server" : "http://tx-dev.fhir.org/r3",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -2066,7 +2039,6 @@ v: {
   "system" : "http://snomed.info/sct",
   "version" : "http://snomed.info/sct/900000000000207008/version/20240201",
   "server" : "http://tx-dev.fhir.org/r3",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -2089,7 +2061,6 @@ v: {
   "system" : "http://snomed.info/sct",
   "version" : "http://snomed.info/sct/900000000000207008/version/20240201",
   "server" : "http://tx-dev.fhir.org/r3",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -2113,7 +2084,6 @@ v: {
   "error" : "Unknown code '11181000146103' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/900000000000207008/version/20240201'",
   "class" : "UNKNOWN",
   "server" : "http://tx-dev.fhir.org/r3",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome",
   "issue" : [{
@@ -2137,3 +2107,61 @@ v: {
 
 }
 -------------------------------------------------------------------------------------
+{"code" : {
+  "coding" : [{
+    "system" : "http://snomed.info/sct",
+    "code" : "17621005",
+    "display" : "Normal (qualifier value)"
+  }]
+}, "url": "http://hl7.org/fhir/ValueSet/security-labels", "version": "3.0.2", "langs":"en-US", "useServer":"true", "useClient":"true", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "version" : "http://snomed.info/sct/900000000000207008/version/20240201",
+  "severity" : "error",
+  "error" : "No valid coding was found for the value set 'http://hl7.org/fhir/ValueSet/security-labels|3.0.2'; The provided code 'http://snomed.info/sct#17621005 ('Normal (qualifier value)')' was not found in the value set 'http://hl7.org/fhir/ValueSet/security-labels|3.0.2'",
+  "class" : "UNKNOWN",
+  "server" : "http://tx-dev.fhir.org/r3",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome",
+  "issue" : [{
+    "extension" : [{
+      "url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-server",
+      "valueUrl" : "http://tx-dev.fhir.org/r3"
+    }],
+    "severity" : "information",
+    "code" : "code-invalid",
+    "details" : {
+      "coding" : [{
+        "system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type",
+        "code" : "this-code-not-in-vs"
+      }],
+      "text" : "The provided code 'http://snomed.info/sct#17621005 ('Normal (qualifier value)')' was not found in the value set 'http://hl7.org/fhir/ValueSet/security-labels|3.0.2'"
+    },
+    "location" : ["CodeableConcept.coding[0].code"],
+    "expression" : ["CodeableConcept.coding[0].code"]
+  },
+  {
+    "extension" : [{
+      "url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-server",
+      "valueUrl" : "http://tx-dev.fhir.org/r3"
+    }],
+    "severity" : "error",
+    "code" : "code-invalid",
+    "details" : {
+      "coding" : [{
+        "system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type",
+        "code" : "not-in-vs"
+      }],
+      "text" : "No valid coding was found for the value set 'http://hl7.org/fhir/ValueSet/security-labels|3.0.2'"
+    }
+  }]
+}
+
+}
+-------------------------------------------------------------------------------------

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

@@ -39,10 +39,68 @@ v: {
   "system" : "http://www.ada.org/snodent",
   "version" : "2.1.0",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
 
 }
 -------------------------------------------------------------------------------------
+{"code" : {
+  "coding" : [{
+    "system" : "http://www.ada.org/snodent",
+    "code" : "210965D",
+    "display" : "Anterior part of lower alveolar ridge"
+  }],
+  "text" : "Anterior part of lower alveolar ridge"
+}, "url": "http://hl7.org/fhir/us/dental-data-exchange/ValueSet/dental-anatomy", "version": "1.0.0", "langs":"en-US", "useServer":"true", "useClient":"true", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "version" : "2.1.0",
+  "severity" : "error",
+  "error" : "No valid coding was found for the value set 'http://hl7.org/fhir/us/dental-data-exchange/ValueSet/dental-anatomy|1.0.0'; The provided code 'http://www.ada.org/snodent#210965D ('Anterior part of lower alveolar ridge')' was not found in the value set 'http://hl7.org/fhir/us/dental-data-exchange/ValueSet/dental-anatomy|1.0.0'",
+  "class" : "UNKNOWN",
+  "server" : "http://local.fhir.org/r4",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome",
+  "issue" : [{
+    "extension" : [{
+      "url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-server",
+      "valueUrl" : "http://local.fhir.org/r4"
+    }],
+    "severity" : "information",
+    "code" : "code-invalid",
+    "details" : {
+      "coding" : [{
+        "system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type",
+        "code" : "this-code-not-in-vs"
+      }],
+      "text" : "The provided code 'http://www.ada.org/snodent#210965D ('Anterior part of lower alveolar ridge')' was not found in the value set 'http://hl7.org/fhir/us/dental-data-exchange/ValueSet/dental-anatomy|1.0.0'"
+    },
+    "location" : ["CodeableConcept.coding[0].code"],
+    "expression" : ["CodeableConcept.coding[0].code"]
+  },
+  {
+    "extension" : [{
+      "url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-server",
+      "valueUrl" : "http://local.fhir.org/r4"
+    }],
+    "severity" : "error",
+    "code" : "code-invalid",
+    "details" : {
+      "coding" : [{
+        "system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type",
+        "code" : "not-in-vs"
+      }],
+      "text" : "No valid coding was found for the value set 'http://hl7.org/fhir/us/dental-data-exchange/ValueSet/dental-anatomy|1.0.0'"
+    }
+  }]
+}
+
+}
+-------------------------------------------------------------------------------------

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

@@ -8422,7 +8422,6 @@ v: {
   "error" : "Wrong Display Name 'O2 % BldC Oximetry' for http://loinc.org#59408-5. Valid display is 'Oxygen saturation in Arterial blood by Pulse oximetry' (en-US) (for the language(s) 'en-US')",
   "class" : "UNKNOWN",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome",
   "issue" : [{
@@ -8463,7 +8462,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.77",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -8489,7 +8487,6 @@ v: {
   "error" : "The provided code 'http://loinc.org#59408-5' was not found in the value set 'http://hl7.org/fhir/ValueSet/observation-vitalsignresult--0|4.0.1'",
   "class" : "UNKNOWN",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome",
   "issue" : [{
@@ -8529,7 +8526,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.77",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -8553,7 +8549,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.77",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -8579,7 +8574,6 @@ v: {
   "error" : "The provided code 'http://loinc.org#3150-0' was not found in the value set 'http://hl7.org/fhir/ValueSet/observation-vitalsignresult--0|4.0.1'",
   "class" : "UNKNOWN",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome",
   "issue" : [{
@@ -8623,7 +8617,6 @@ v: {
   "error" : "Wrong Display Name 'Flow Rate' for http://loinc.org#3151-8. Valid display is 'Inhaled oxygen flow rate' (en-US) (for the language(s) 'en-US')",
   "class" : "UNKNOWN",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome",
   "issue" : [{
@@ -8666,7 +8659,6 @@ v: {
   "error" : "The provided code 'http://loinc.org#3151-8' was not found in the value set 'http://hl7.org/fhir/ValueSet/observation-vitalsignresult--0|4.0.1'",
   "class" : "UNKNOWN",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome",
   "issue" : [{
@@ -8706,7 +8698,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.77",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -8732,7 +8723,6 @@ v: {
   "error" : "The provided code 'http://loinc.org#2708-6' was not found in the value set 'http://hl7.org/fhir/us/core/ValueSet/us-core-vital-signs--0|4.0.0'",
   "class" : "UNKNOWN",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome",
   "issue" : [{
@@ -8772,7 +8762,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.77",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -8795,7 +8784,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.77",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -8818,7 +8806,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.77",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -8844,7 +8831,6 @@ v: {
   "error" : "The provided code 'http://loinc.org#100066-0' was not found in the value set 'http://hl7.org/fhir/test/StructureDefinition/additional-bindings-vs1--0|1.0.0'",
   "class" : "UNKNOWN",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome",
   "issue" : [{
@@ -8884,7 +8870,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.77",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -8907,7 +8892,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.77",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -8930,7 +8914,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.77",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -8954,7 +8937,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.77",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -8978,7 +8960,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.77",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -9002,7 +8983,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.77",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -9026,7 +9006,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.77",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -9049,7 +9028,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.77",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -9073,7 +9051,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.77",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -9096,7 +9073,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.77",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -9120,7 +9096,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.77",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -9143,7 +9118,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.77",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -9167,7 +9141,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.77",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -9190,7 +9163,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.77",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -9214,7 +9186,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.77",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -9237,7 +9208,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.77",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -9261,7 +9231,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.77",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -9284,7 +9253,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.77",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -9308,7 +9276,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.77",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -9332,7 +9299,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.77",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -9359,7 +9325,6 @@ v: {
   "error" : "Wrong Display Name 'Patient Authorization Signature' for http://loinc.org#59284-0. Valid display is 'Consent Document' (en-US) (for the language(s) 'en-US')",
   "class" : "UNKNOWN",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome",
   "issue" : [{
@@ -9399,7 +9364,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.77",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -9423,7 +9387,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.77",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -9446,7 +9409,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.77",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -9470,7 +9432,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.77",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -9494,7 +9455,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.77",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -9518,7 +9478,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.77",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -9545,7 +9504,6 @@ v: {
   "error" : "Wrong Display Name 'NDC labeler code request' for http://loinc.org#51726-8. Valid display is 'FDA product label NDC labeler code request' (en-US) (for the language(s) 'en-US')",
   "class" : "UNKNOWN",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome",
   "issue" : [{
@@ -9586,7 +9544,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.77",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -9611,7 +9568,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.77",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -9634,7 +9590,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.77",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -9662,7 +9617,6 @@ v: {
   "error" : "Wrong Display Name 'Allergies and adverse reactions' for http://loinc.org#48765-2. Valid display is 'Allergies and adverse reactions Document' (en-US) (for the language(s) 'en-US')",
   "class" : "UNKNOWN",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome",
   "issue" : [{
@@ -9703,7 +9657,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.77",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -9726,7 +9679,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.77",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -9749,7 +9701,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.77",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -9773,7 +9724,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.77",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -9796,7 +9746,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.77",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -9821,7 +9770,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.77",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -9845,7 +9793,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.77",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -9868,7 +9815,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.77",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -9892,7 +9838,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.77",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -9915,7 +9860,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.77",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -9939,7 +9883,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.77",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -9962,7 +9905,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.77",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -9986,7 +9928,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.77",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -10010,7 +9951,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.77",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -10033,7 +9973,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.77",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -10057,7 +9996,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.77",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -10080,7 +10018,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.77",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -10103,7 +10040,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.77",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -10128,7 +10064,6 @@ v: {
   "error" : "Unknown code '<27>g<EFBFBD><67>' in the CodeSystem 'http://loinc.org' version '2.77'",
   "class" : "UNKNOWN",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome",
   "issue" : [{
@@ -10169,7 +10104,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.77",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -10196,7 +10130,6 @@ v: {
   "error" : "Wrong Display Name '<27><><EFBFBD><EFBFBD>' for http://loinc.org#18684-1. Valid display is 'First Blood pressure Set' (en-US) (for the language(s) 'en-US')",
   "class" : "UNKNOWN",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome",
   "issue" : [{
@@ -10240,7 +10173,6 @@ v: {
   "error" : "Wrong Display Name '<27><><EFBFBD>k<EFBFBD><6B><EFBFBD><EFBFBD><EFBFBD><EFBFBD>' for http://loinc.org#8480-6. Valid display is 'Systolic blood pressure' (en-US) (for the language(s) 'en-US')",
   "class" : "UNKNOWN",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome",
   "issue" : [{
@@ -10284,7 +10216,6 @@ v: {
   "error" : "Wrong Display Name '<27>g<EFBFBD><67><EFBFBD><EFBFBD><EFBFBD><EFBFBD><EFBFBD><EFBFBD>' for http://loinc.org#8462-4. Valid display is 'Diastolic blood pressure' (en-US) (for the language(s) 'en-US')",
   "class" : "UNKNOWN",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome",
   "issue" : [{
@@ -10325,7 +10256,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.77",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -10349,7 +10279,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.77",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -10373,7 +10302,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.77",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -10397,7 +10325,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.77",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -10422,7 +10349,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.77",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -10447,7 +10373,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.77",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -10471,7 +10396,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.77",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -10495,7 +10419,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.77",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -10518,7 +10441,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.77",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -10541,7 +10463,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.77",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -10564,7 +10485,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.77",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -10587,7 +10507,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.77",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -10610,7 +10529,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.77",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -10633,7 +10551,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.77",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -10656,7 +10573,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.77",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -10679,7 +10595,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.77",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -10702,7 +10617,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.77",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -10737,7 +10651,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.77",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -10772,7 +10685,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.77",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -10807,7 +10719,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.77",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -10831,7 +10742,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.77",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -10854,7 +10764,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.77",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -10877,7 +10786,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.77",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -10901,7 +10809,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.77",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -10927,7 +10834,6 @@ v: {
   "error" : "The provided code 'http://loinc.org#76534-7' was not found in the value set 'http://hl7.org/fhir/ValueSet/observation-vitalsignresult--0|4.0.1'",
   "class" : "UNKNOWN",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome",
   "issue" : [{
@@ -10967,7 +10873,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.77",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -10991,7 +10896,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.77",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -11015,7 +10919,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.77",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -11039,7 +10942,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.77",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -11063,7 +10965,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.77",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -11087,7 +10988,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.77",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -11111,7 +11011,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.77",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -11135,7 +11034,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.77",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -11158,7 +11056,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.77",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -11181,7 +11078,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.77",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -11205,7 +11101,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.77",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -11229,7 +11124,6 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.77",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -11252,6 +11146,82 @@ v: {
   "system" : "http://loinc.org",
   "version" : "2.77",
   "server" : "http://tx-dev.fhir.org/r4",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "coding" : [{
+    "system" : "http://loinc.org",
+    "code" : "59408-5",
+    "display" : "O2 % BldC Oximetry"
+  },
+  {
+    "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-US", "useServer":"true", "useClient":"true", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "display" : "Oxygen saturation in Arterial blood",
+  "code" : "2708-6",
+  "system" : "http://loinc.org",
+  "version" : "2.78",
+  "severity" : "error",
+  "error" : "Wrong Display Name 'O2 % BldC Oximetry' for http://loinc.org#59408-5. Valid display is one of 3 choices: 'Oxygen saturation in Arterial blood by Pulse oximetry' (en-US), 'Oxygen saturation in Arterial blood by Pulse oximetry' (en-US) or 'SaO2 % BldA PulseOx' (en-US) (for the language(s) 'en-US')",
+  "class" : "UNKNOWN",
+  "server" : "http://tx-dev.fhir.org/r4",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome",
+  "issue" : [{
+    "extension" : [{
+      "url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-server",
+      "valueUrl" : "http://tx-dev.fhir.org/r4"
+    }],
+    "severity" : "error",
+    "code" : "invalid",
+    "details" : {
+      "coding" : [{
+        "system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type",
+        "code" : "invalid-display"
+      }],
+      "text" : "Wrong Display Name 'O2 % BldC Oximetry' for http://loinc.org#59408-5. Valid display is one of 3 choices: 'Oxygen saturation in Arterial blood by Pulse oximetry' (en-US), 'Oxygen saturation in Arterial blood by Pulse oximetry' (en-US) or 'SaO2 % BldA PulseOx' (en-US) (for the language(s) 'en-US')"
+    },
+    "location" : ["CodeableConcept.coding[0].display"],
+    "expression" : ["CodeableConcept.coding[0].display"]
+  }]
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "coding" : [{
+    "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-US", "useServer":"true", "useClient":"true", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "display" : "Inhaled oxygen concentration",
+  "code" : "3150-0",
+  "system" : "http://loinc.org",
+  "version" : "2.78",
+  "server" : "http://tx-dev.fhir.org/r4",
   "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
@@ -11259,3 +11229,49 @@ v: {
 
 }
 -------------------------------------------------------------------------------------
+{"code" : {
+  "coding" : [{
+    "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-US", "useServer":"true", "useClient":"true", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "display" : "Inhaled oxygen flow rate",
+  "code" : "3151-8",
+  "system" : "http://loinc.org",
+  "version" : "2.78",
+  "severity" : "error",
+  "error" : "Wrong Display Name 'Flow Rate' for http://loinc.org#3151-8. Valid display is one of 4 choices: 'Inhaled oxygen flow rate' (en-US), 'Inhaled oxygen flow rate' (en-US), 'Inhaled O2 flow rate' (en-US) or 'Inhaled oxygen' (en-US) (for the language(s) 'en-US')",
+  "class" : "UNKNOWN",
+  "server" : "http://tx-dev.fhir.org/r4",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome",
+  "issue" : [{
+    "extension" : [{
+      "url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-server",
+      "valueUrl" : "http://tx-dev.fhir.org/r4"
+    }],
+    "severity" : "error",
+    "code" : "invalid",
+    "details" : {
+      "coding" : [{
+        "system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type",
+        "code" : "invalid-display"
+      }],
+      "text" : "Wrong Display Name 'Flow Rate' for http://loinc.org#3151-8. Valid display is one of 4 choices: 'Inhaled oxygen flow rate' (en-US), 'Inhaled oxygen flow rate' (en-US), 'Inhaled O2 flow rate' (en-US) or 'Inhaled oxygen' (en-US) (for the language(s) 'en-US')"
+    },
+    "location" : ["CodeableConcept.coding[0].display"],
+    "expression" : ["CodeableConcept.coding[0].display"]
+  }]
+}
+
+}
+-------------------------------------------------------------------------------------

org.hl7.fhir.validation/src/test/resources/txCache/org.hl7.fhir.validation/4.0.1/servers.ini

@@ -1,3 +1,4 @@
 [servers]
 tx-dev.fhir.org.r4 = http://tx-dev.fhir.org/r4
+local.fhir.org.r4 = http://local.fhir.org/r4
 

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

@@ -14292,6 +14292,533 @@ v: {
   "system" : "http://snomed.info/sct",
   "version" : "http://snomed.info/sct/900000000000207008/version/20240201",
   "server" : "http://tx-dev.fhir.org/r4",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "coding" : [{
+    "system" : "http://snomed.info/sct",
+    "code" : "17621005",
+    "display" : "Normal (qualifier value)"
+  }]
+}, "url": "http://hl7.org/fhir/ValueSet/security-labels", "version": "4.0.1", "langs":"en-US", "useServer":"true", "useClient":"true", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "version" : "http://snomed.info/sct/900000000000207008/version/20240201",
+  "severity" : "error",
+  "error" : "No valid coding was found for the value set 'http://hl7.org/fhir/ValueSet/security-labels|4.0.1'; The provided code 'http://snomed.info/sct#17621005 ('Normal (qualifier value)')' was not found in the value set 'http://hl7.org/fhir/ValueSet/security-labels|4.0.1'",
+  "class" : "UNKNOWN",
+  "server" : "http://tx-dev.fhir.org/r4",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome",
+  "issue" : [{
+    "extension" : [{
+      "url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
+      "valueString" : "MSG_RETIRED"
+    },
+    {
+      "url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-server",
+      "valueUrl" : "http://tx-dev.fhir.org/r4"
+    }],
+    "severity" : "information",
+    "code" : "business-rule",
+    "details" : {
+      "coding" : [{
+        "system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type",
+        "code" : "status-check"
+      }],
+      "text" : "Reference to retired ValueSet http://terminology.hl7.org/ValueSet/v3-ActUSPrivacyLaw|2.0.0"
+    }
+  },
+  {
+    "extension" : [{
+      "url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-server",
+      "valueUrl" : "http://tx-dev.fhir.org/r4"
+    }],
+    "severity" : "information",
+    "code" : "code-invalid",
+    "details" : {
+      "coding" : [{
+        "system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type",
+        "code" : "this-code-not-in-vs"
+      }],
+      "text" : "The provided code 'http://snomed.info/sct#17621005 ('Normal (qualifier value)')' was not found in the value set 'http://hl7.org/fhir/ValueSet/security-labels|4.0.1'"
+    },
+    "location" : ["CodeableConcept.coding[0].code"],
+    "expression" : ["CodeableConcept.coding[0].code"]
+  },
+  {
+    "extension" : [{
+      "url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-server",
+      "valueUrl" : "http://tx-dev.fhir.org/r4"
+    }],
+    "severity" : "error",
+    "code" : "code-invalid",
+    "details" : {
+      "coding" : [{
+        "system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type",
+        "code" : "not-in-vs"
+      }],
+      "text" : "No valid coding was found for the value set 'http://hl7.org/fhir/ValueSet/security-labels|4.0.1'"
+    }
+  }]
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "coding" : [{
+    "system" : "http://snomed.info/sct",
+    "code" : "96067005",
+    "display" : "Flucloxacillin-containing product"
+  }]
+}, "url": "http://hl7.org/fhir/uv/ips/ValueSet/allergy-intolerance-uv-ips", "version": "1.1.0", "langs":"en-US", "useServer":"true", "useClient":"true", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "display" : "Product containing flucloxacillin (medicinal product)",
+  "code" : "96067005",
+  "system" : "http://snomed.info/sct",
+  "version" : "http://snomed.info/sct/900000000000207008/version/20240201",
+  "server" : "http://tx-dev.fhir.org/r4",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "coding" : [{
+    "system" : "http://snomed.info/sct",
+    "code" : "48546005",
+    "display" : "Diazepam-containing product"
+  }]
+}, "url": "http://hl7.org/fhir/uv/ips/ValueSet/allergy-intolerance-uv-ips", "version": "1.1.0", "langs":"en-US", "useServer":"true", "useClient":"true", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "display" : "Product containing diazepam (medicinal product)",
+  "code" : "48546005",
+  "system" : "http://snomed.info/sct",
+  "version" : "http://snomed.info/sct/900000000000207008/version/20240201",
+  "server" : "http://tx-dev.fhir.org/r4",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "coding" : [{
+    "system" : "http://snomed.info/sct",
+    "code" : "40425004",
+    "display" : "Postconcussion syndrome"
+  }]
+}, "url": "http://hl7.org/fhir/uv/ips/ValueSet/problems-snomed-absent-unknown-uv-ips", "version": "1.1.0", "langs":"en-US", "useServer":"true", "useClient":"true", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "display" : "Postconcussion syndrome",
+  "code" : "40425004",
+  "system" : "http://snomed.info/sct",
+  "version" : "http://snomed.info/sct/900000000000207008/version/20240201",
+  "server" : "http://tx-dev.fhir.org/r4",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "coding" : [{
+    "system" : "http://snomed.info/sct",
+    "code" : "237599002",
+    "display" : "Diabetes type 2 on insulin"
+  }]
+}, "url": "http://hl7.org/fhir/uv/ips/ValueSet/problems-snomed-absent-unknown-uv-ips", "version": "1.1.0", "langs":"en-US", "useServer":"true", "useClient":"true", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "display" : "Insulin treated Type II diabetes mellitus",
+  "code" : "237599002",
+  "system" : "http://snomed.info/sct",
+  "version" : "http://snomed.info/sct/900000000000207008/version/20240201",
+  "server" : "http://tx-dev.fhir.org/r4",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "coding" : [{
+    "system" : "http://snomed.info/sct",
+    "code" : "90560007",
+    "display" : "Gout"
+  }]
+}, "url": "http://hl7.org/fhir/uv/ips/ValueSet/problems-snomed-absent-unknown-uv-ips", "version": "1.1.0", "langs":"en-US", "useServer":"true", "useClient":"true", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "display" : "Gout",
+  "code" : "90560007",
+  "system" : "http://snomed.info/sct",
+  "version" : "http://snomed.info/sct/900000000000207008/version/20240201",
+  "server" : "http://tx-dev.fhir.org/r4",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "coding" : [{
+    "system" : "http://snomed.info/sct",
+    "code" : "1201005",
+    "display" : "Benign essential hypertension"
+  }]
+}, "url": "http://hl7.org/fhir/uv/ips/ValueSet/problems-snomed-absent-unknown-uv-ips", "version": "1.1.0", "langs":"en-US", "useServer":"true", "useClient":"true", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "display" : "Benign essential hypertension",
+  "code" : "1201005",
+  "system" : "http://snomed.info/sct",
+  "version" : "http://snomed.info/sct/900000000000207008/version/20240201",
+  "server" : "http://tx-dev.fhir.org/r4",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "coding" : [{
+    "system" : "http://snomed.info/sct",
+    "code" : "52910006",
+    "display" : "Anxiety disorder due to a general medical condition"
+  }]
+}, "url": "http://hl7.org/fhir/uv/ips/ValueSet/problems-snomed-absent-unknown-uv-ips", "version": "1.1.0", "langs":"en-US", "useServer":"true", "useClient":"true", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "display" : "Anxiety disorder due to a general medical condition",
+  "code" : "52910006",
+  "system" : "http://snomed.info/sct",
+  "version" : "http://snomed.info/sct/900000000000207008/version/20240201",
+  "server" : "http://tx-dev.fhir.org/r4",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "coding" : [{
+    "system" : "http://snomed.info/sct",
+    "code" : "5913000",
+    "display" : "Fracture of neck of femur"
+  }]
+}, "url": "http://hl7.org/fhir/uv/ips/ValueSet/problems-snomed-absent-unknown-uv-ips", "version": "1.1.0", "langs":"en-US", "useServer":"true", "useClient":"true", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "display" : "Fracture of neck of femur",
+  "code" : "5913000",
+  "system" : "http://snomed.info/sct",
+  "version" : "http://snomed.info/sct/900000000000207008/version/20240201",
+  "server" : "http://tx-dev.fhir.org/r4",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "coding" : [{
+    "system" : "http://snomed.info/sct",
+    "code" : "126212009",
+    "display" : "Product containing insulin glargine (medicinal product)"
+  }],
+  "text" : "insulin glargine 100 international units/mL injection, 10 mL vial"
+}, "url": "http://hl7.org/fhir/uv/ips/ValueSet/medication-snomed-absent-unknown-uv-ips", "version": "1.1.0", "langs":"en-US", "useServer":"true", "useClient":"true", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "display" : "Product containing insulin glargine (medicinal product)",
+  "code" : "126212009",
+  "system" : "http://snomed.info/sct",
+  "version" : "http://snomed.info/sct/900000000000207008/version/20240201",
+  "server" : "http://tx-dev.fhir.org/r4",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "coding" : [{
+    "system" : "http://snomed.info/sct",
+    "code" : "714081009",
+    "display" : "Product containing dulaglutide (medicinal product)"
+  }],
+  "text" : "dulaglutide 1.5 mg/0.5 mL injection, prefilled injection device"
+}, "url": "http://hl7.org/fhir/uv/ips/ValueSet/medication-snomed-absent-unknown-uv-ips", "version": "1.1.0", "langs":"en-US", "useServer":"true", "useClient":"true", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "display" : "Product containing dulaglutide (medicinal product)",
+  "code" : "714081009",
+  "system" : "http://snomed.info/sct",
+  "version" : "http://snomed.info/sct/900000000000207008/version/20240201",
+  "server" : "http://tx-dev.fhir.org/r4",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "coding" : [{
+    "system" : "http://snomed.info/sct",
+    "code" : "109081006",
+    "display" : "Product containing metformin (medicinal product)"
+  }],
+  "text" : "metformin hydrochloride 1000 mg tablet"
+}, "url": "http://hl7.org/fhir/uv/ips/ValueSet/medication-snomed-absent-unknown-uv-ips", "version": "1.1.0", "langs":"en-US", "useServer":"true", "useClient":"true", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "display" : "Product containing metformin (medicinal product)",
+  "code" : "109081006",
+  "system" : "http://snomed.info/sct",
+  "version" : "http://snomed.info/sct/900000000000207008/version/20240201",
+  "server" : "http://tx-dev.fhir.org/r4",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "coding" : [{
+    "system" : "http://snomed.info/sct",
+    "code" : "108537001",
+    "display" : "Product containing amlodipine (medicinal product)"
+  }],
+  "text" : "amlodipine 5 mg tablet"
+}, "url": "http://hl7.org/fhir/uv/ips/ValueSet/medication-snomed-absent-unknown-uv-ips", "version": "1.1.0", "langs":"en-US", "useServer":"true", "useClient":"true", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "display" : "Product containing amlodipine (medicinal product)",
+  "code" : "108537001",
+  "system" : "http://snomed.info/sct",
+  "version" : "http://snomed.info/sct/900000000000207008/version/20240201",
+  "server" : "http://tx-dev.fhir.org/r4",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "coding" : [{
+    "system" : "http://snomed.info/sct",
+    "code" : "96309000",
+    "display" : "Product containing losartan (medicinal product)"
+  }],
+  "text" : "losartan potassium 50 mg tablet"
+}, "url": "http://hl7.org/fhir/uv/ips/ValueSet/medication-snomed-absent-unknown-uv-ips", "version": "1.1.0", "langs":"en-US", "useServer":"true", "useClient":"true", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "display" : "Product containing losartan (medicinal product)",
+  "code" : "96309000",
+  "system" : "http://snomed.info/sct",
+  "version" : "http://snomed.info/sct/900000000000207008/version/20240201",
+  "server" : "http://tx-dev.fhir.org/r4",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "coding" : [{
+    "system" : "http://snomed.info/sct",
+    "code" : "7947003",
+    "display" : "Product containing aspirin (medicinal product)"
+  }],
+  "text" : "aspirin 75 mg tablet: enteric-coated"
+}, "url": "http://hl7.org/fhir/uv/ips/ValueSet/medication-snomed-absent-unknown-uv-ips", "version": "1.1.0", "langs":"en-US", "useServer":"true", "useClient":"true", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "display" : "Product containing aspirin (medicinal product)",
+  "code" : "7947003",
+  "system" : "http://snomed.info/sct",
+  "version" : "http://snomed.info/sct/900000000000207008/version/20240201",
+  "server" : "http://tx-dev.fhir.org/r4",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "coding" : [{
+    "system" : "http://snomed.info/sct",
+    "code" : "25246002",
+    "display" : "Product containing allopurinol (medicinal product)"
+  }],
+  "text" : "allopurinol 300 mg tablet"
+}, "url": "http://hl7.org/fhir/uv/ips/ValueSet/medication-snomed-absent-unknown-uv-ips", "version": "1.1.0", "langs":"en-US", "useServer":"true", "useClient":"true", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "display" : "Product containing allopurinol (medicinal product)",
+  "code" : "25246002",
+  "system" : "http://snomed.info/sct",
+  "version" : "http://snomed.info/sct/900000000000207008/version/20240201",
+  "server" : "http://tx-dev.fhir.org/r4",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "coding" : [{
+    "system" : "http://snomed.info/sct",
+    "code" : "265132005",
+    "display" : "Primary open reduction and internal fixation of proximal femoral fracture with screw/nail and plate device"
+  }],
+  "text" : "Operative procedure on hip"
+}, "url": "http://hl7.org/fhir/uv/ips/ValueSet/procedures-snomed-absent-unknown-uv-ips", "version": "1.1.0", "langs":"en-US", "useServer":"true", "useClient":"true", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "display" : "Primary open reduction and internal fixation of proximal femoral fracture with screw/nail and plate device",
+  "code" : "265132005",
+  "system" : "http://snomed.info/sct",
+  "version" : "http://snomed.info/sct/900000000000207008/version/20240201",
+  "server" : "http://tx-dev.fhir.org/r4",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome"
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "coding" : [{
+    "system" : "http://snomed.info/sct",
+    "code" : "287903004",
+    "display" : "Suturing of hand"
+  }],
+  "text" : "Hand closure"
+}, "url": "http://hl7.org/fhir/uv/ips/ValueSet/procedures-snomed-absent-unknown-uv-ips", "version": "1.1.0", "langs":"en-US", "useServer":"true", "useClient":"true", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "display" : "Suturing of hand",
+  "code" : "287903004",
+  "system" : "http://snomed.info/sct",
+  "version" : "http://snomed.info/sct/900000000000207008/version/20240201",
+  "server" : "http://tx-dev.fhir.org/r4",
   "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"

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

@@ -1038,7 +1038,6 @@ v: {
   "system" : "http://unitsofmeasure.org",
   "version" : "2.0.1",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -1059,7 +1058,6 @@ v: {
   "code" : "fr-CA",
   "system" : "urn:ietf:bcp:47",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
@@ -1081,10 +1079,96 @@ v: {
   "system" : "http://unitsofmeasure.org",
   "version" : "2.0.1",
   "server" : "http://tx-dev.fhir.org/r4",
-  "unknown-systems" : "",
   "issues" : {
   "resourceType" : "OperationOutcome"
 }
 
 }
 -------------------------------------------------------------------------------------
+{"code" : {
+  "coding" : [{
+    "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
+    "code" : "001"
+  }]
+}, "url": "http://hl7.org/fhir/ValueSet/jurisdiction", "version": "5.0.0", "langs":"en-US", "useServer":"true", "useClient":"true", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "display" : "World",
+  "code" : "001",
+  "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
+  "server" : "http://tx-dev.fhir.org/r4",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome",
+  "issue" : [{
+    "extension" : [{
+      "url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
+      "valueString" : "MSG_DEPRECATED"
+    },
+    {
+      "url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-server",
+      "valueUrl" : "http://tx-dev.fhir.org/r4"
+    }],
+    "severity" : "information",
+    "code" : "business-rule",
+    "details" : {
+      "coding" : [{
+        "system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type",
+        "code" : "status-check"
+      }],
+      "text" : "Reference to deprecated ValueSet http://hl7.org/fhir/ValueSet/jurisdiction|5.0.0"
+    }
+  }]
+}
+
+}
+-------------------------------------------------------------------------------------
+{"code" : {
+  "coding" : [{
+    "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
+    "code" : "001",
+    "display" : "World"
+  }]
+}, "url": "http://hl7.org/fhir/ValueSet/jurisdiction", "version": "5.0.0", "langs":"en-US", "useServer":"true", "useClient":"true", "guessSystem":"false", "activeOnly":"false", "membershipOnly":"false", "displayWarningMode":"false", "versionFlexible":"false", "profile": {
+  "resourceType" : "Parameters",
+  "parameter" : [{
+    "name" : "profile-url",
+    "valueString" : "http://hl7.org/fhir/ExpansionProfile/dc8fd4bc-091a-424a-8a3b-6198ef146891"
+  }]
+}}####
+v: {
+  "display" : "World",
+  "code" : "001",
+  "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
+  "server" : "http://tx-dev.fhir.org/r4",
+  "unknown-systems" : "",
+  "issues" : {
+  "resourceType" : "OperationOutcome",
+  "issue" : [{
+    "extension" : [{
+      "url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
+      "valueString" : "MSG_DEPRECATED"
+    },
+    {
+      "url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-server",
+      "valueUrl" : "http://tx-dev.fhir.org/r4"
+    }],
+    "severity" : "information",
+    "code" : "business-rule",
+    "details" : {
+      "coding" : [{
+        "system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type",
+        "code" : "status-check"
+      }],
+      "text" : "Reference to deprecated ValueSet http://hl7.org/fhir/ValueSet/jurisdiction|5.0.0"
+    }
+  }]
+}
+
+}
+-------------------------------------------------------------------------------------

pom.xml

@@ -21,7 +21,7 @@
         <commons_compress_version>1.26.0</commons_compress_version>
         <guava_version>32.0.1-jre</guava_version>
         <hapi_fhir_version>6.4.1</hapi_fhir_version>
-        <validator_test_case_version>1.5.24-SNAPSHOT</validator_test_case_version>
+        <validator_test_case_version>1.5.24</validator_test_case_version>
         <jackson_version>2.17.0</jackson_version>
         <junit_jupiter_version>5.9.2</junit_jupiter_version>
         <junit_platform_launcher_version>1.8.2</junit_platform_launcher_version>