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I have to spend more time on this. When our terminology server returns an additional OperationOutcome, the issues are discarded, not added to the response.
The validation issue seems to be crafted from the type of error returned by the terminology server, most probably in BaseWorkerContext.processValidationResult().
When validating with the internal terminology server it would be nice if we could get an information message that the ValueSet could not be validated.
with tx.fhir.org we get the error message: None of the codings provided are in the value set 'Caveat Condition' (http://fhir.ch/ig/ch-rad-order/ValueSet/ch-rad-order-caveat-condition|2.0.0-ballot), and a coding from this value set is required) (codes = http://snomed.info/sct#444444444)"
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