diff --git a/plugin/cr/src/main/java/org/opencds/cqf/ruler/cr/KnowledgeArtifactProcessor.java b/plugin/cr/src/main/java/org/opencds/cqf/ruler/cr/KnowledgeArtifactProcessor.java
index 98b97cc1e..600847c7f 100644
--- a/plugin/cr/src/main/java/org/opencds/cqf/ruler/cr/KnowledgeArtifactProcessor.java
+++ b/plugin/cr/src/main/java/org/opencds/cqf/ruler/cr/KnowledgeArtifactProcessor.java
@@ -938,8 +938,19 @@ private void checkIfValueSetNeedsCondition(MetadataResource resource, RelatedArt
 				.map(list -> {
 					return list.stream().filter(ext -> ext.getUrl().equalsIgnoreCase(valueSetConditionUrl)).findFirst().orElse(null);
 				});
-			if (isLeaf && !maybeConditionExtension.isPresent()) {
-				throw new UnprocessableEntityException("Missing condition on ValueSet : " + valueSet.getUrl());
+			Optional<Extension> maybePriorityExtension = Optional.ofNullable(relatedArtifact)
+				.map(RelatedArtifact::getExtension)
+				.map(list -> {
+					return list.stream().filter(ext -> ext.getUrl().equalsIgnoreCase(valueSetPriorityUrl)).findFirst().orElse(null);
+				});
+			if (isLeaf && (maybeConditionExtension.isEmpty() || maybePriorityExtension.isEmpty())) {
+				if (maybeConditionExtension.isEmpty() && maybePriorityExtension.isEmpty()) {
+					throw new UnprocessableEntityException("Missing condition and priority references on ValueSet : " + valueSet.getUrl());
+				} else if (maybeConditionExtension.isEmpty()) {
+					throw new UnprocessableEntityException("Missing condition reference on ValueSet : " + valueSet.getUrl());
+				} else {
+					throw new UnprocessableEntityException("Missing priority reference on ValueSet : " + valueSet.getUrl());
+				}
 			}
 		}
 	}
diff --git a/plugin/cr/src/test/java/org/opencds/cqf/ruler/cr/r4/RepositoryServiceTest.java b/plugin/cr/src/test/java/org/opencds/cqf/ruler/cr/r4/RepositoryServiceTest.java
index 924eda8f4..8b3c31904 100644
--- a/plugin/cr/src/test/java/org/opencds/cqf/ruler/cr/r4/RepositoryServiceTest.java
+++ b/plugin/cr/src/test/java/org/opencds/cqf/ruler/cr/r4/RepositoryServiceTest.java
@@ -713,7 +713,7 @@ void release_preserve_extensions() {
 
 	@Test
 	void release_test_condition_missing() {
-		loadTransaction("ersd-small-approved-draft-no-conditions.json");
+		loadTransaction("ersd-small-approved-draft-missing-condition.json");
 		loadResource("artifactAssessment-search-parameter.json");
 		Parameters params = parameters(
 			part("version", new StringType("1.2.3.23")),
@@ -732,7 +732,55 @@ void release_test_condition_missing() {
 			noConditionExtension = e;
 		}
 		assertNotNull(noConditionExtension);
-		assertTrue(noConditionExtension.getMessage().contains("Missing condition"));
+		assertTrue(noConditionExtension.getMessage().contains("Missing condition reference"));
+	}
+
+	@Test
+	void release_test_priority_missing() {
+		loadTransaction("ersd-small-approved-draft-missing-priority.json");
+		loadResource("artifactAssessment-search-parameter.json");
+		Parameters params = parameters(
+			part("version", new StringType("1.2.3.23")),
+			part("versionBehavior", new StringType("default"))
+		);
+		UnprocessableEntityException noPriorityExtension = null;
+		try {
+			getClient().operation()
+				.onInstance(specificationLibReference)
+				.named("$release")
+				.withParameters(params)
+				.returnResourceType(Bundle.class)
+				.execute();
+		} catch (UnprocessableEntityException e) {
+			noPriorityExtension = e;
+		}
+
+		assertNotNull(noPriorityExtension);
+		assertTrue(noPriorityExtension.getMessage().contains("Missing priority reference"));
+	}
+
+	@Test
+	void release_test_condition_and_priority_missing() {
+		loadTransaction("ersd-small-approved-draft-missing-condition-and-priority.json");
+		loadResource("artifactAssessment-search-parameter.json");
+		Parameters params = parameters(
+			part("version", new StringType("1.2.3.23")),
+			part("versionBehavior", new StringType("default"))
+		);
+		UnprocessableEntityException noConditionAndPriorityExtension = null;
+		try {
+			getClient().operation()
+				.onInstance(specificationLibReference)
+				.named("$release")
+				.withParameters(params)
+				.returnResourceType(Bundle.class)
+				.execute();
+		} catch (UnprocessableEntityException e) {
+			noConditionAndPriorityExtension = e;
+		}
+
+		assertNotNull(noConditionAndPriorityExtension);
+		assertTrue(noConditionAndPriorityExtension.getMessage().contains("Missing condition and priority references"));
 	}
 
 	@Test
@@ -1323,7 +1371,7 @@ void packageOperation_big_bundle() {
 
 	@Test
 	void package_test_condition_missing() {
-		loadTransaction("ersd-small-approved-draft-no-conditions.json");
+		loadTransaction("ersd-small-approved-draft-missing-condition.json");
 		loadResource("artifactAssessment-search-parameter.json");
 		UnprocessableEntityException noConditionExtension = null;
 		try {
@@ -1338,7 +1386,45 @@ void package_test_condition_missing() {
 			noConditionExtension = e;
 		}
 		assertNotNull(noConditionExtension);
-		assertTrue(noConditionExtension.getMessage().contains("Missing condition"));
+		assertTrue(noConditionExtension.getMessage().contains("Missing condition reference"));
+	}
+
+	@Test
+	void package_test_priority_missing() {
+		loadTransaction("ersd-small-approved-draft-missing-priority.json");
+		loadResource("artifactAssessment-search-parameter.json");
+		UnprocessableEntityException noPriorityExtension = null;
+		try {
+			getClient().operation()
+				.onInstance(specificationLibReference)
+				.named("$package")
+				.withNoParameters(Parameters.class)
+				.returnResourceType(Bundle.class)
+				.execute();
+		} catch (UnprocessableEntityException e) {
+			noPriorityExtension = e;
+		}
+		assertNotNull(noPriorityExtension);
+		assertTrue(noPriorityExtension.getMessage().contains("Missing priority reference"));
+	}
+
+	@Test
+	void package_test_condition_and_priority_missing() {
+		loadTransaction("ersd-small-approved-draft-missing-condition-and-priority.json");
+		loadResource("artifactAssessment-search-parameter.json");
+		UnprocessableEntityException noConditionAndPriorityExtension = null;
+		try {
+			getClient().operation()
+				.onInstance(specificationLibReference)
+				.named("$package")
+				.withNoParameters(Parameters.class)
+				.returnResourceType(Bundle.class)
+				.execute();
+		} catch (UnprocessableEntityException e) {
+			noConditionAndPriorityExtension = e;
+		}
+		assertNotNull(noConditionAndPriorityExtension);
+		assertTrue(noConditionAndPriorityExtension.getMessage().contains("Missing condition and priority references"));
 	}
 
 	@Test
diff --git a/plugin/cr/src/test/resources/ersd-active-transaction-bundle-example.json b/plugin/cr/src/test/resources/ersd-active-transaction-bundle-example.json
index a95b69be3..311b38e92 100644
--- a/plugin/cr/src/test/resources/ersd-active-transaction-bundle-example.json
+++ b/plugin/cr/src/test/resources/ersd-active-transaction-bundle-example.json
@@ -196,6 +196,18 @@
 					},
 					{
 						"extension": [
+							{
+								"url": "http://aphl.org/fhir/vsm/StructureDefinition/vsm-valueset-priority",
+								"valueCodeableConcept": {
+									"coding": [
+										{
+											"system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context",
+											"code": "emergent"
+										}
+									],
+									"text": "Emergent"
+								}
+							},
 							{
 								"url": "http://aphl.org/fhir/vsm/StructureDefinition/vsm-valueset-condition",
 								"valueCodeableConcept": {
@@ -214,6 +226,18 @@
 					},
 					{
 						"extension": [
+							{
+								"url": "http://aphl.org/fhir/vsm/StructureDefinition/vsm-valueset-priority",
+								"valueCodeableConcept": {
+									"coding": [
+										{
+											"system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context",
+											"code": "emergent"
+										}
+									],
+									"text": "Emergent"
+								}
+							},
 							{
 								"url": "http://aphl.org/fhir/vsm/StructureDefinition/vsm-valueset-condition",
 								"valueCodeableConcept": {
@@ -232,6 +256,18 @@
 					},
 					{
 						"extension": [
+							{
+								"url": "http://aphl.org/fhir/vsm/StructureDefinition/vsm-valueset-priority",
+								"valueCodeableConcept": {
+									"coding": [
+										{
+											"system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context",
+											"code": "emergent"
+										}
+									],
+									"text": "Emergent"
+								}
+							},
 							{
 								"url": "http://aphl.org/fhir/vsm/StructureDefinition/vsm-valueset-condition",
 								"valueCodeableConcept": {
@@ -250,6 +286,18 @@
 					},
 					{
 						"extension": [
+							{
+								"url": "http://aphl.org/fhir/vsm/StructureDefinition/vsm-valueset-priority",
+								"valueCodeableConcept": {
+									"coding": [
+										{
+											"system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context",
+											"code": "emergent"
+										}
+									],
+									"text": "Emergent"
+								}
+							},
 							{
 								"url": "http://aphl.org/fhir/vsm/StructureDefinition/vsm-valueset-condition",
 								"valueCodeableConcept": {
@@ -268,6 +316,18 @@
 					},
 					{
 						"extension": [
+							{
+								"url": "http://aphl.org/fhir/vsm/StructureDefinition/vsm-valueset-priority",
+								"valueCodeableConcept": {
+									"coding": [
+										{
+											"system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context",
+											"code": "emergent"
+										}
+									],
+									"text": "Emergent"
+								}
+							},
 							{
 								"url": "http://aphl.org/fhir/vsm/StructureDefinition/vsm-valueset-condition",
 								"valueCodeableConcept": {
@@ -286,6 +346,18 @@
 					},
 					{
 						"extension": [
+							{
+								"url": "http://aphl.org/fhir/vsm/StructureDefinition/vsm-valueset-priority",
+								"valueCodeableConcept": {
+									"coding": [
+										{
+											"system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context",
+											"code": "emergent"
+										}
+									],
+									"text": "Emergent"
+								}
+							},
 							{
 								"url": "http://aphl.org/fhir/vsm/StructureDefinition/vsm-valueset-condition",
 								"valueCodeableConcept": {
@@ -304,6 +376,18 @@
 					},
 					{
 						"extension": [
+							{
+								"url": "http://aphl.org/fhir/vsm/StructureDefinition/vsm-valueset-priority",
+								"valueCodeableConcept": {
+									"coding": [
+										{
+											"system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context",
+											"code": "emergent"
+										}
+									],
+									"text": "Emergent"
+								}
+							},
 							{
 								"url": "http://aphl.org/fhir/vsm/StructureDefinition/vsm-valueset-condition",
 								"valueCodeableConcept": {
@@ -322,6 +406,18 @@
 					},
 					{
 						"extension": [
+							{
+								"url": "http://aphl.org/fhir/vsm/StructureDefinition/vsm-valueset-priority",
+								"valueCodeableConcept": {
+									"coding": [
+										{
+											"system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context",
+											"code": "emergent"
+										}
+									],
+									"text": "Emergent"
+								}
+							},
 							{
 								"url": "http://aphl.org/fhir/vsm/StructureDefinition/vsm-valueset-condition",
 								"valueCodeableConcept": {
@@ -340,6 +436,18 @@
 					},
 					{
 						"extension": [
+							{
+								"url": "http://aphl.org/fhir/vsm/StructureDefinition/vsm-valueset-priority",
+								"valueCodeableConcept": {
+									"coding": [
+										{
+											"system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context",
+											"code": "emergent"
+										}
+									],
+									"text": "Emergent"
+								}
+							},
 							{
 								"url": "http://aphl.org/fhir/vsm/StructureDefinition/vsm-valueset-condition",
 								"valueCodeableConcept": {
@@ -358,6 +466,18 @@
 					},
 					{
 						"extension": [
+							{
+								"url": "http://aphl.org/fhir/vsm/StructureDefinition/vsm-valueset-priority",
+								"valueCodeableConcept": {
+									"coding": [
+										{
+											"system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context",
+											"code": "emergent"
+										}
+									],
+									"text": "Emergent"
+								}
+							},
 							{
 								"url": "http://aphl.org/fhir/vsm/StructureDefinition/vsm-valueset-condition",
 								"valueCodeableConcept": {
@@ -376,6 +496,18 @@
 					},
 					{
 						"extension": [
+							{
+								"url": "http://aphl.org/fhir/vsm/StructureDefinition/vsm-valueset-priority",
+								"valueCodeableConcept": {
+									"coding": [
+										{
+											"system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context",
+											"code": "emergent"
+										}
+									],
+									"text": "Emergent"
+								}
+							},
 							{
 								"url": "http://aphl.org/fhir/vsm/StructureDefinition/vsm-valueset-condition",
 								"valueCodeableConcept": {
@@ -394,6 +526,18 @@
 					},
 					{
 						"extension": [
+							{
+								"url": "http://aphl.org/fhir/vsm/StructureDefinition/vsm-valueset-priority",
+								"valueCodeableConcept": {
+									"coding": [
+										{
+											"system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context",
+											"code": "emergent"
+										}
+									],
+									"text": "Emergent"
+								}
+							},
 							{
 								"url": "http://aphl.org/fhir/vsm/StructureDefinition/vsm-valueset-condition",
 								"valueCodeableConcept": {
@@ -412,6 +556,18 @@
 					},
 					{
 						"extension": [
+							{
+								"url": "http://aphl.org/fhir/vsm/StructureDefinition/vsm-valueset-priority",
+								"valueCodeableConcept": {
+									"coding": [
+										{
+											"system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context",
+											"code": "emergent"
+										}
+									],
+									"text": "Emergent"
+								}
+							},
 							{
 								"url": "http://aphl.org/fhir/vsm/StructureDefinition/vsm-valueset-condition",
 								"valueCodeableConcept": {
@@ -430,6 +586,18 @@
 					},
 					{
 						"extension": [
+							{
+								"url": "http://aphl.org/fhir/vsm/StructureDefinition/vsm-valueset-priority",
+								"valueCodeableConcept": {
+									"coding": [
+										{
+											"system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context",
+											"code": "emergent"
+										}
+									],
+									"text": "Emergent"
+								}
+							},
 							{
 								"url": "http://aphl.org/fhir/vsm/StructureDefinition/vsm-valueset-condition",
 								"valueCodeableConcept": {
@@ -448,6 +616,18 @@
 					},
 					{
 						"extension": [
+							{
+								"url": "http://aphl.org/fhir/vsm/StructureDefinition/vsm-valueset-priority",
+								"valueCodeableConcept": {
+									"coding": [
+										{
+											"system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context",
+											"code": "emergent"
+										}
+									],
+									"text": "Emergent"
+								}
+							},
 							{
 								"url": "http://aphl.org/fhir/vsm/StructureDefinition/vsm-valueset-condition",
 								"valueCodeableConcept": {
@@ -466,6 +646,18 @@
 					},
 					{
 						"extension": [
+							{
+								"url": "http://aphl.org/fhir/vsm/StructureDefinition/vsm-valueset-priority",
+								"valueCodeableConcept": {
+									"coding": [
+										{
+											"system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context",
+											"code": "emergent"
+										}
+									],
+									"text": "Emergent"
+								}
+							},
 							{
 								"url": "http://aphl.org/fhir/vsm/StructureDefinition/vsm-valueset-condition",
 								"valueCodeableConcept": {
@@ -484,6 +676,18 @@
 					},
 					{
 						"extension": [
+							{
+								"url": "http://aphl.org/fhir/vsm/StructureDefinition/vsm-valueset-priority",
+								"valueCodeableConcept": {
+									"coding": [
+										{
+											"system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context",
+											"code": "emergent"
+										}
+									],
+									"text": "Emergent"
+								}
+							},
 							{
 								"url": "http://aphl.org/fhir/vsm/StructureDefinition/vsm-valueset-condition",
 								"valueCodeableConcept": {
@@ -502,6 +706,18 @@
 					},
 					{
 						"extension": [
+							{
+								"url": "http://aphl.org/fhir/vsm/StructureDefinition/vsm-valueset-priority",
+								"valueCodeableConcept": {
+									"coding": [
+										{
+											"system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context",
+											"code": "emergent"
+										}
+									],
+									"text": "Emergent"
+								}
+							},
 							{
 								"url": "http://aphl.org/fhir/vsm/StructureDefinition/vsm-valueset-condition",
 								"valueCodeableConcept": {
@@ -520,6 +736,18 @@
 					},
 					{
 						"extension": [
+							{
+								"url": "http://aphl.org/fhir/vsm/StructureDefinition/vsm-valueset-priority",
+								"valueCodeableConcept": {
+									"coding": [
+										{
+											"system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context",
+											"code": "emergent"
+										}
+									],
+									"text": "Emergent"
+								}
+							},
 							{
 								"url": "http://aphl.org/fhir/vsm/StructureDefinition/vsm-valueset-condition",
 								"valueCodeableConcept": {
@@ -538,6 +766,18 @@
 					},
 					{
 						"extension": [
+							{
+								"url": "http://aphl.org/fhir/vsm/StructureDefinition/vsm-valueset-priority",
+								"valueCodeableConcept": {
+									"coding": [
+										{
+											"system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context",
+											"code": "emergent"
+										}
+									],
+									"text": "Emergent"
+								}
+							},
 							{
 								"url": "http://aphl.org/fhir/vsm/StructureDefinition/vsm-valueset-condition",
 								"valueCodeableConcept": {
@@ -556,6 +796,18 @@
 					},
 					{
 						"extension": [
+							{
+								"url": "http://aphl.org/fhir/vsm/StructureDefinition/vsm-valueset-priority",
+								"valueCodeableConcept": {
+									"coding": [
+										{
+											"system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context",
+											"code": "emergent"
+										}
+									],
+									"text": "Emergent"
+								}
+							},
 							{
 								"url": "http://aphl.org/fhir/vsm/StructureDefinition/vsm-valueset-condition",
 								"valueCodeableConcept": {
@@ -574,6 +826,18 @@
 					},
 					{
 						"extension": [
+							{
+								"url": "http://aphl.org/fhir/vsm/StructureDefinition/vsm-valueset-priority",
+								"valueCodeableConcept": {
+									"coding": [
+										{
+											"system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context",
+											"code": "emergent"
+										}
+									],
+									"text": "Emergent"
+								}
+							},
 							{
 								"url": "http://aphl.org/fhir/vsm/StructureDefinition/vsm-valueset-condition",
 								"valueCodeableConcept": {
@@ -592,6 +856,18 @@
 					},
 					{
 						"extension": [
+							{
+								"url": "http://aphl.org/fhir/vsm/StructureDefinition/vsm-valueset-priority",
+								"valueCodeableConcept": {
+									"coding": [
+										{
+											"system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context",
+											"code": "emergent"
+										}
+									],
+									"text": "Emergent"
+								}
+							},
 							{
 								"url": "http://aphl.org/fhir/vsm/StructureDefinition/vsm-valueset-condition",
 								"valueCodeableConcept": {
@@ -610,6 +886,18 @@
 					},
 					{
 						"extension": [
+							{
+								"url": "http://aphl.org/fhir/vsm/StructureDefinition/vsm-valueset-priority",
+								"valueCodeableConcept": {
+									"coding": [
+										{
+											"system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context",
+											"code": "emergent"
+										}
+									],
+									"text": "Emergent"
+								}
+							},
 							{
 								"url": "http://aphl.org/fhir/vsm/StructureDefinition/vsm-valueset-condition",
 								"valueCodeableConcept": {
@@ -628,6 +916,18 @@
 					},
 					{
 						"extension": [
+							{
+								"url": "http://aphl.org/fhir/vsm/StructureDefinition/vsm-valueset-priority",
+								"valueCodeableConcept": {
+									"coding": [
+										{
+											"system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context",
+											"code": "emergent"
+										}
+									],
+									"text": "Emergent"
+								}
+							},
 							{
 								"url": "http://aphl.org/fhir/vsm/StructureDefinition/vsm-valueset-condition",
 								"valueCodeableConcept": {
@@ -646,6 +946,18 @@
 					},
 					{
 						"extension": [
+							{
+								"url": "http://aphl.org/fhir/vsm/StructureDefinition/vsm-valueset-priority",
+								"valueCodeableConcept": {
+									"coding": [
+										{
+											"system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context",
+											"code": "emergent"
+										}
+									],
+									"text": "Emergent"
+								}
+							},
 							{
 								"url": "http://aphl.org/fhir/vsm/StructureDefinition/vsm-valueset-condition",
 								"valueCodeableConcept": {
@@ -664,6 +976,18 @@
 					},
 					{
 						"extension": [
+							{
+								"url": "http://aphl.org/fhir/vsm/StructureDefinition/vsm-valueset-priority",
+								"valueCodeableConcept": {
+									"coding": [
+										{
+											"system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context",
+											"code": "emergent"
+										}
+									],
+									"text": "Emergent"
+								}
+							},
 							{
 								"url": "http://aphl.org/fhir/vsm/StructureDefinition/vsm-valueset-condition",
 								"valueCodeableConcept": {
diff --git a/plugin/cr/src/test/resources/ersd-active-transaction-capabilities-bundle.json b/plugin/cr/src/test/resources/ersd-active-transaction-capabilities-bundle.json
index b2e0bb928..b17d57635 100644
--- a/plugin/cr/src/test/resources/ersd-active-transaction-capabilities-bundle.json
+++ b/plugin/cr/src/test/resources/ersd-active-transaction-capabilities-bundle.json
@@ -39,6 +39,18 @@
 					},
 					{
 						"extension": [
+							{
+								"url": "http://aphl.org/fhir/vsm/StructureDefinition/vsm-valueset-priority",
+								"valueCodeableConcept": {
+									"coding": [
+										{
+											"system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context",
+											"code": "emergent"
+										}
+									],
+									"text": "Emergent"
+								}
+							},
 							{
 								"url": "http://aphl.org/fhir/vsm/StructureDefinition/vsm-valueset-condition",
 								"valueCodeableConcept": {
diff --git a/plugin/cr/src/test/resources/ersd-active-transaction-no-versions.json b/plugin/cr/src/test/resources/ersd-active-transaction-no-versions.json
index c625e40c9..c63503d4d 100644
--- a/plugin/cr/src/test/resources/ersd-active-transaction-no-versions.json
+++ b/plugin/cr/src/test/resources/ersd-active-transaction-no-versions.json
@@ -39,6 +39,18 @@
                   },
                   {
                       "extension": [
+								  {
+									 	"url": "http://aphl.org/fhir/vsm/StructureDefinition/vsm-valueset-priority",
+									 	"valueCodeableConcept": {
+										 	"coding": [
+												 {
+													 "system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context",
+													 "code": "emergent"
+												 }
+											],
+											"text": "Emergent"
+										}
+								  },
                           {
                               "url": "http://aphl.org/fhir/vsm/StructureDefinition/vsm-valueset-condition",
                               "valueCodeableConcept": {
@@ -300,4 +312,4 @@
           }
       }
   ]
-}
\ No newline at end of file
+}
diff --git a/plugin/cr/src/test/resources/ersd-small-active-bundle.json b/plugin/cr/src/test/resources/ersd-small-active-bundle.json
index 64121b46b..2b94b950a 100644
--- a/plugin/cr/src/test/resources/ersd-small-active-bundle.json
+++ b/plugin/cr/src/test/resources/ersd-small-active-bundle.json
@@ -110,6 +110,18 @@
 					},
 					{
 						"extension": [
+							{
+								"url": "http://aphl.org/fhir/vsm/StructureDefinition/vsm-valueset-priority",
+								"valueCodeableConcept": {
+									"coding": [
+										{
+											"system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context",
+											"code": "routine"
+										}
+									],
+									"text": "routine"
+								}
+							},
 							{
 								"url": "http://aphl.org/fhir/vsm/StructureDefinition/vsm-valueset-condition",
 								"valueCodeableConcept": {
diff --git a/plugin/cr/src/test/resources/ersd-small-approved-draft-missing-condition-and-priority.json b/plugin/cr/src/test/resources/ersd-small-approved-draft-missing-condition-and-priority.json
new file mode 100644
index 000000000..1cead1441
--- /dev/null
+++ b/plugin/cr/src/test/resources/ersd-small-approved-draft-missing-condition-and-priority.json
@@ -0,0 +1,288 @@
+{
+	"resourceType": "Bundle",
+	"id": "rctc-release-2022-10-19-Bundle-rctc",
+	"type": "transaction",
+	"timestamp": "2022-10-21T15:18:28.504-04:00",
+	"entry": [
+		{
+			"fullUrl": "http://ersd.aimsplatform.org/fhir/Library/SpecificationLibrary",
+			"resource": {
+				"resourceType": "Library",
+				"id": "SpecificationLibrary",
+				"url": "http://ersd.aimsplatform.org/fhir/Library/SpecificationLibrary",
+				"version": "1.2.3-draft",
+				"status": "draft",
+				"date": "2023-06-30",
+				"approvalDate": "2023-06-30",
+				"relatedArtifact": [
+					{
+						"type": "composed-of",
+						"resource": "http://ersd.aimsplatform.org/fhir/PlanDefinition/us-ecr-specification|1.2.3-draft",
+						"extension": [
+							{
+								"url": "http://hl7.org/fhir/StructureDefinition/crmi-isOwned",
+								"valueBoolean": true
+							}
+						]
+					},
+					{
+						"type": "composed-of",
+						"resource": "http://ersd.aimsplatform.org/fhir/Library/rctc|1.2.3-draft",
+						"extension": [
+							{
+								"url": "http://hl7.org/fhir/StructureDefinition/crmi-isOwned",
+								"valueBoolean": true
+							}
+						]
+					},
+					{
+						"type": "depends-on",
+						"resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.6|20210526",
+						"extension": [
+							{
+								"url": "http://hl7.org/fhir/StructureDefinition/crmi-isOwned",
+								"valueBoolean": false
+							}
+						]
+					}
+				]
+			},
+			"request": {
+				"method": "PUT",
+				"url": "Library/SpecificationLibrary"
+			}
+		},
+		{
+			"fullUrl": "http://ersd.aimsplatform.org/fhir/PlanDefinition/us-ecr-specification",
+			"resource": {
+				"resourceType": "PlanDefinition",
+				"id": "us-ecr-specification",
+				"url": "http://ersd.aimsplatform.org/fhir/PlanDefinition/us-ecr-specification",
+				"version": "1.2.3-draft",
+				"status": "draft",
+				"relatedArtifact": [
+					{
+						"type": "depends-on",
+						"label": "RCTC Value Set Library of Trigger Codes",
+						"resource": "http://ersd.aimsplatform.org/fhir/Library/rctc|1.2.3-draft"
+					}
+				]
+			},
+			"request": {
+				"method": "PUT",
+				"url": "PlanDefinition/us-ecr-specification"
+			}
+		},
+		{
+			"fullUrl": "http://ersd.aimsplatform.org/fhir/Library/rctc",
+			"resource": {
+				"resourceType": "Library",
+				"id": "rctc",
+				"url": "http://ersd.aimsplatform.org/fhir/Library/rctc",
+				"version": "1.2.3-draft",
+				"status": "draft",
+				"relatedArtifact": [
+					{
+						"type": "composed-of",
+						"resource": "http://ersd.aimsplatform.org/fhir/ValueSet/dxtc|1.2.3-draft",
+						"extension": [
+							{
+								"url": "http://hl7.org/fhir/StructureDefinition/crmi-isOwned",
+								"valueBoolean": true
+							}
+						]
+					}
+				]
+			},
+			"request": {
+				"method": "PUT",
+				"url": "Library/rctc"
+			}
+		},
+		{
+			"fullUrl": "http://ersd.aimsplatform.org/fhir/ValueSet/dxtc",
+			"resource": {
+				"resourceType": "ValueSet",
+				"id": "dxtc",
+				"url": "http://ersd.aimsplatform.org/fhir/ValueSet/dxtc",
+				"version": "1.2.3-draft",
+				"status": "draft",
+				"compose": {
+					"include": [
+						{
+							"valueSet": [
+								"http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.6|20210526"
+							]
+						}
+					]
+				},
+				"expansion": {
+					"timestamp": "2022-10-21T15:18:29-04:00",
+					"contains": [
+						{
+							"system": "http://hl7.org/fhir/sid/icd-10-cm",
+							"version": "Provisional_2022-01-12",
+							"code": "T40.0X1A"
+						},
+						{
+							"system": "http://hl7.org/fhir/sid/icd-10-cm",
+							"version": "Provisional_2022-01-12",
+							"code": "T40.0X2A"
+						},
+						{
+							"system": "http://hl7.org/fhir/sid/icd-10-cm",
+							"version": "Provisional_2022-01-12",
+							"code": "T40.0X3A"
+						}
+					]
+				}
+			},
+			"request": {
+				"method": "PUT",
+				"url": "ValueSet/dxtc"
+			}
+		},
+		{
+			"fullUrl": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.6",
+			"resource": {
+				"resourceType": "ValueSet",
+				"id": "2.16.840.1.113762.1.4.1146.6",
+				"url": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.6",
+				"identifier": [
+					{
+						"system": "urn:ietf:rfc:3986",
+						"value": "urn:oid:2.16.840.1.113762.1.4.1146.6"
+					}
+				],
+				"version": "20210526",
+				"status": "active",
+				"compose": {
+					"include": [
+						{
+							"system": "http://snomed.info/sct",
+							"version": "Provisional_2022-04-25",
+							"concept": [
+								{
+									"code": "1086051000119107",
+									"display": "Cardiomyopathy due to diphtheria (disorder)"
+								},
+								{
+									"code": "1086061000119109",
+									"display": "Diphtheria radiculomyelitis (disorder)"
+								},
+								{
+									"code": "1086071000119103",
+									"display": "Diphtheria tubulointerstitial nephropathy (disorder)"
+								},
+								{
+									"code": "1090211000119102",
+									"display": "Pharyngeal diphtheria (disorder)"
+								},
+								{
+									"code": "129667001",
+									"display": "Diphtheritic peripheral neuritis (disorder)"
+								},
+								{
+									"code": "13596001",
+									"display": "Diphtheritic peritonitis (disorder)"
+								},
+								{
+									"code": "15682004",
+									"display": "Anterior nasal diphtheria (disorder)"
+								},
+								{
+									"code": "186347006",
+									"display": "Diphtheria of penis (disorder)"
+								},
+								{
+									"code": "18901009",
+									"display": "Cutaneous diphtheria (disorder)"
+								},
+								{
+									"code": "194945009",
+									"display": "Acute myocarditis - diphtheritic (disorder)"
+								},
+								{
+									"code": "230596007",
+									"display": "Diphtheritic neuropathy (disorder)"
+								},
+								{
+									"code": "240422004",
+									"display": "Tracheobronchial diphtheria (disorder)"
+								},
+								{
+									"code": "26117009",
+									"display": "Diphtheritic myocarditis (disorder)"
+								},
+								{
+									"code": "276197005",
+									"display": "Infection caused by Corynebacterium diphtheriae (disorder)"
+								},
+								{
+									"code": "3419005",
+									"display": "Faucial diphtheria (disorder)"
+								},
+								{
+									"code": "397428000",
+									"display": "Diphtheria (disorder)"
+								},
+								{
+									"code": "397430003",
+									"display": "Diphtheria caused by Corynebacterium diphtheriae (disorder)"
+								},
+								{
+									"code": "48278001",
+									"display": "Diphtheritic cystitis (disorder)"
+								},
+								{
+									"code": "50215002",
+									"display": "Laryngeal diphtheria (disorder)"
+								},
+								{
+									"code": "715659006",
+									"display": "Diphtheria of respiratory system (disorder)"
+								},
+								{
+									"code": "75589004",
+									"display": "Nasopharyngeal diphtheria (disorder)"
+								},
+								{
+									"code": "7773002",
+									"display": "Conjunctival diphtheria (disorder)"
+								},
+								{
+									"code": "789005009",
+									"display": "Paralysis of uvula after diphtheria (disorder)"
+								}
+							]
+						}
+					]
+				},
+				"expansion": {
+					"timestamp": "2022-10-21T15:18:29-04:00",
+					"contains": [
+						{
+							"system": "http://snomed.info/sct",
+							"version": "Provisional_2022-04-25",
+							"code": "1086051000119107"
+						},
+						{
+							"system": "http://snomed.info/sct",
+							"version": "Provisional_2022-04-25",
+							"code": "1086061000119109"
+						},
+						{
+							"system": "http://snomed.info/sct",
+							"version": "Provisional_2022-04-25",
+							"code": "1086071000119103"
+						}
+					]
+				}
+			},
+			"request": {
+				"method": "PUT",
+				"url": "ValueSet/2.16.840.1.113762.1.4.1146.6"
+			}
+		}
+	]
+}
diff --git a/plugin/cr/src/test/resources/ersd-small-approved-draft-missing-condition.json b/plugin/cr/src/test/resources/ersd-small-approved-draft-missing-condition.json
new file mode 100644
index 000000000..0bde9dd18
--- /dev/null
+++ b/plugin/cr/src/test/resources/ersd-small-approved-draft-missing-condition.json
@@ -0,0 +1,300 @@
+{
+	"resourceType": "Bundle",
+	"id": "rctc-release-2022-10-19-Bundle-rctc",
+	"type": "transaction",
+	"timestamp": "2022-10-21T15:18:28.504-04:00",
+	"entry": [
+		{
+			"fullUrl": "http://ersd.aimsplatform.org/fhir/Library/SpecificationLibrary",
+			"resource": {
+				"resourceType": "Library",
+				"id": "SpecificationLibrary",
+				"url": "http://ersd.aimsplatform.org/fhir/Library/SpecificationLibrary",
+				"version": "1.2.3-draft",
+				"status": "draft",
+				"date": "2023-06-30",
+				"approvalDate": "2023-06-30",
+				"relatedArtifact": [
+					{
+						"type": "composed-of",
+						"resource": "http://ersd.aimsplatform.org/fhir/PlanDefinition/us-ecr-specification|1.2.3-draft",
+						"extension": [
+							{
+								"url": "http://hl7.org/fhir/StructureDefinition/crmi-isOwned",
+								"valueBoolean": true
+							}
+						]
+					},
+					{
+						"type": "composed-of",
+						"resource": "http://ersd.aimsplatform.org/fhir/Library/rctc|1.2.3-draft",
+						"extension": [
+							{
+								"url": "http://hl7.org/fhir/StructureDefinition/crmi-isOwned",
+								"valueBoolean": true
+							}
+						]
+					},
+					{
+						"extension": [
+							{
+								"url": "http://hl7.org/fhir/StructureDefinition/crmi-isOwned",
+								"valueBoolean": false
+							},
+							{
+								"url": "http://aphl.org/fhir/vsm/StructureDefinition/vsm-valueset-priority",
+								"valueCodeableConcept": {
+									"coding": [
+										{
+											"system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context",
+											"code": "emergent"
+										}
+									],
+									"text": "Emergent"
+								}
+							}
+						],
+						"type": "depends-on",
+						"resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.6|20210526"
+					}
+				]
+			},
+			"request": {
+				"method": "PUT",
+				"url": "Library/SpecificationLibrary"
+			}
+		},
+		{
+			"fullUrl": "http://ersd.aimsplatform.org/fhir/PlanDefinition/us-ecr-specification",
+			"resource": {
+				"resourceType": "PlanDefinition",
+				"id": "us-ecr-specification",
+				"url": "http://ersd.aimsplatform.org/fhir/PlanDefinition/us-ecr-specification",
+				"version": "1.2.3-draft",
+				"status": "draft",
+				"relatedArtifact": [
+					{
+						"type": "depends-on",
+						"label": "RCTC Value Set Library of Trigger Codes",
+						"resource": "http://ersd.aimsplatform.org/fhir/Library/rctc|1.2.3-draft"
+					}
+				]
+			},
+			"request": {
+				"method": "PUT",
+				"url": "PlanDefinition/us-ecr-specification"
+			}
+		},
+		{
+			"fullUrl": "http://ersd.aimsplatform.org/fhir/Library/rctc",
+			"resource": {
+				"resourceType": "Library",
+				"id": "rctc",
+				"url": "http://ersd.aimsplatform.org/fhir/Library/rctc",
+				"version": "1.2.3-draft",
+				"status": "draft",
+				"relatedArtifact": [
+					{
+						"type": "composed-of",
+						"resource": "http://ersd.aimsplatform.org/fhir/ValueSet/dxtc|1.2.3-draft",
+						"extension": [
+							{
+								"url": "http://hl7.org/fhir/StructureDefinition/crmi-isOwned",
+								"valueBoolean": true
+							}
+						]
+					}
+				]
+			},
+			"request": {
+				"method": "PUT",
+				"url": "Library/rctc"
+			}
+		},
+		{
+			"fullUrl": "http://ersd.aimsplatform.org/fhir/ValueSet/dxtc",
+			"resource": {
+				"resourceType": "ValueSet",
+				"id": "dxtc",
+				"url": "http://ersd.aimsplatform.org/fhir/ValueSet/dxtc",
+				"version": "1.2.3-draft",
+				"status": "draft",
+				"compose": {
+					"include": [
+						{
+							"valueSet": [
+								"http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.6|20210526"
+							]
+						}
+					]
+				},
+				"expansion": {
+					"timestamp": "2022-10-21T15:18:29-04:00",
+					"contains": [
+						{
+							"system": "http://hl7.org/fhir/sid/icd-10-cm",
+							"version": "Provisional_2022-01-12",
+							"code": "T40.0X1A"
+						},
+						{
+							"system": "http://hl7.org/fhir/sid/icd-10-cm",
+							"version": "Provisional_2022-01-12",
+							"code": "T40.0X2A"
+						},
+						{
+							"system": "http://hl7.org/fhir/sid/icd-10-cm",
+							"version": "Provisional_2022-01-12",
+							"code": "T40.0X3A"
+						}
+					]
+				}
+			},
+			"request": {
+				"method": "PUT",
+				"url": "ValueSet/dxtc"
+			}
+		},
+		{
+			"fullUrl": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.6",
+			"resource": {
+				"resourceType": "ValueSet",
+				"id": "2.16.840.1.113762.1.4.1146.6",
+				"url": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.6",
+				"identifier": [
+					{
+						"system": "urn:ietf:rfc:3986",
+						"value": "urn:oid:2.16.840.1.113762.1.4.1146.6"
+					}
+				],
+				"version": "20210526",
+				"status": "active",
+				"compose": {
+					"include": [
+						{
+							"system": "http://snomed.info/sct",
+							"version": "Provisional_2022-04-25",
+							"concept": [
+								{
+									"code": "1086051000119107",
+									"display": "Cardiomyopathy due to diphtheria (disorder)"
+								},
+								{
+									"code": "1086061000119109",
+									"display": "Diphtheria radiculomyelitis (disorder)"
+								},
+								{
+									"code": "1086071000119103",
+									"display": "Diphtheria tubulointerstitial nephropathy (disorder)"
+								},
+								{
+									"code": "1090211000119102",
+									"display": "Pharyngeal diphtheria (disorder)"
+								},
+								{
+									"code": "129667001",
+									"display": "Diphtheritic peripheral neuritis (disorder)"
+								},
+								{
+									"code": "13596001",
+									"display": "Diphtheritic peritonitis (disorder)"
+								},
+								{
+									"code": "15682004",
+									"display": "Anterior nasal diphtheria (disorder)"
+								},
+								{
+									"code": "186347006",
+									"display": "Diphtheria of penis (disorder)"
+								},
+								{
+									"code": "18901009",
+									"display": "Cutaneous diphtheria (disorder)"
+								},
+								{
+									"code": "194945009",
+									"display": "Acute myocarditis - diphtheritic (disorder)"
+								},
+								{
+									"code": "230596007",
+									"display": "Diphtheritic neuropathy (disorder)"
+								},
+								{
+									"code": "240422004",
+									"display": "Tracheobronchial diphtheria (disorder)"
+								},
+								{
+									"code": "26117009",
+									"display": "Diphtheritic myocarditis (disorder)"
+								},
+								{
+									"code": "276197005",
+									"display": "Infection caused by Corynebacterium diphtheriae (disorder)"
+								},
+								{
+									"code": "3419005",
+									"display": "Faucial diphtheria (disorder)"
+								},
+								{
+									"code": "397428000",
+									"display": "Diphtheria (disorder)"
+								},
+								{
+									"code": "397430003",
+									"display": "Diphtheria caused by Corynebacterium diphtheriae (disorder)"
+								},
+								{
+									"code": "48278001",
+									"display": "Diphtheritic cystitis (disorder)"
+								},
+								{
+									"code": "50215002",
+									"display": "Laryngeal diphtheria (disorder)"
+								},
+								{
+									"code": "715659006",
+									"display": "Diphtheria of respiratory system (disorder)"
+								},
+								{
+									"code": "75589004",
+									"display": "Nasopharyngeal diphtheria (disorder)"
+								},
+								{
+									"code": "7773002",
+									"display": "Conjunctival diphtheria (disorder)"
+								},
+								{
+									"code": "789005009",
+									"display": "Paralysis of uvula after diphtheria (disorder)"
+								}
+							]
+						}
+					]
+				},
+				"expansion": {
+					"timestamp": "2022-10-21T15:18:29-04:00",
+					"contains": [
+						{
+							"system": "http://snomed.info/sct",
+							"version": "Provisional_2022-04-25",
+							"code": "1086051000119107"
+						},
+						{
+							"system": "http://snomed.info/sct",
+							"version": "Provisional_2022-04-25",
+							"code": "1086061000119109"
+						},
+						{
+							"system": "http://snomed.info/sct",
+							"version": "Provisional_2022-04-25",
+							"code": "1086071000119103"
+						}
+					]
+				}
+			},
+			"request": {
+				"method": "PUT",
+				"url": "ValueSet/2.16.840.1.113762.1.4.1146.6"
+			}
+		}
+	]
+}
diff --git a/plugin/cr/src/test/resources/ersd-small-approved-draft-missing-priority.json b/plugin/cr/src/test/resources/ersd-small-approved-draft-missing-priority.json
new file mode 100644
index 000000000..c7fdad76b
--- /dev/null
+++ b/plugin/cr/src/test/resources/ersd-small-approved-draft-missing-priority.json
@@ -0,0 +1,300 @@
+{
+	"resourceType": "Bundle",
+	"id": "rctc-release-2022-10-19-Bundle-rctc",
+	"type": "transaction",
+	"timestamp": "2022-10-21T15:18:28.504-04:00",
+	"entry": [
+		{
+			"fullUrl": "http://ersd.aimsplatform.org/fhir/Library/SpecificationLibrary",
+			"resource": {
+				"resourceType": "Library",
+				"id": "SpecificationLibrary",
+				"url": "http://ersd.aimsplatform.org/fhir/Library/SpecificationLibrary",
+				"version": "1.2.3-draft",
+				"status": "draft",
+				"date": "2023-06-30",
+				"approvalDate": "2023-06-30",
+				"relatedArtifact": [
+					{
+						"type": "composed-of",
+						"resource": "http://ersd.aimsplatform.org/fhir/PlanDefinition/us-ecr-specification|1.2.3-draft",
+						"extension": [
+							{
+								"url": "http://hl7.org/fhir/StructureDefinition/crmi-isOwned",
+								"valueBoolean": true
+							}
+						]
+					},
+					{
+						"type": "composed-of",
+						"resource": "http://ersd.aimsplatform.org/fhir/Library/rctc|1.2.3-draft",
+						"extension": [
+							{
+								"url": "http://hl7.org/fhir/StructureDefinition/crmi-isOwned",
+								"valueBoolean": true
+							}
+						]
+					},
+					{
+						"extension": [
+							{
+								"url": "http://hl7.org/fhir/StructureDefinition/crmi-isOwned",
+								"valueBoolean": false
+							},
+							{
+								"url": "http://aphl.org/fhir/vsm/StructureDefinition/vsm-valueset-condition",
+								"valueCodeableConcept": {
+									"coding": [
+										{
+											"system": "http://snomed.info/sct",
+											"code": "49649001"
+										}
+									],
+									"text": "Infection caused by Acanthamoeba (disorder)"
+								}
+							}
+						],
+						"type": "depends-on",
+						"resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.6|20210526"
+					}
+				]
+			},
+			"request": {
+				"method": "PUT",
+				"url": "Library/SpecificationLibrary"
+			}
+		},
+		{
+			"fullUrl": "http://ersd.aimsplatform.org/fhir/PlanDefinition/us-ecr-specification",
+			"resource": {
+				"resourceType": "PlanDefinition",
+				"id": "us-ecr-specification",
+				"url": "http://ersd.aimsplatform.org/fhir/PlanDefinition/us-ecr-specification",
+				"version": "1.2.3-draft",
+				"status": "draft",
+				"relatedArtifact": [
+					{
+						"type": "depends-on",
+						"label": "RCTC Value Set Library of Trigger Codes",
+						"resource": "http://ersd.aimsplatform.org/fhir/Library/rctc|1.2.3-draft"
+					}
+				]
+			},
+			"request": {
+				"method": "PUT",
+				"url": "PlanDefinition/us-ecr-specification"
+			}
+		},
+		{
+			"fullUrl": "http://ersd.aimsplatform.org/fhir/Library/rctc",
+			"resource": {
+				"resourceType": "Library",
+				"id": "rctc",
+				"url": "http://ersd.aimsplatform.org/fhir/Library/rctc",
+				"version": "1.2.3-draft",
+				"status": "draft",
+				"relatedArtifact": [
+					{
+						"type": "composed-of",
+						"resource": "http://ersd.aimsplatform.org/fhir/ValueSet/dxtc|1.2.3-draft",
+						"extension": [
+							{
+								"url": "http://hl7.org/fhir/StructureDefinition/crmi-isOwned",
+								"valueBoolean": true
+							}
+						]
+					}
+				]
+			},
+			"request": {
+				"method": "PUT",
+				"url": "Library/rctc"
+			}
+		},
+		{
+			"fullUrl": "http://ersd.aimsplatform.org/fhir/ValueSet/dxtc",
+			"resource": {
+				"resourceType": "ValueSet",
+				"id": "dxtc",
+				"url": "http://ersd.aimsplatform.org/fhir/ValueSet/dxtc",
+				"version": "1.2.3-draft",
+				"status": "draft",
+				"compose": {
+					"include": [
+						{
+							"valueSet": [
+								"http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.6|20210526"
+							]
+						}
+					]
+				},
+				"expansion": {
+					"timestamp": "2022-10-21T15:18:29-04:00",
+					"contains": [
+						{
+							"system": "http://hl7.org/fhir/sid/icd-10-cm",
+							"version": "Provisional_2022-01-12",
+							"code": "T40.0X1A"
+						},
+						{
+							"system": "http://hl7.org/fhir/sid/icd-10-cm",
+							"version": "Provisional_2022-01-12",
+							"code": "T40.0X2A"
+						},
+						{
+							"system": "http://hl7.org/fhir/sid/icd-10-cm",
+							"version": "Provisional_2022-01-12",
+							"code": "T40.0X3A"
+						}
+					]
+				}
+			},
+			"request": {
+				"method": "PUT",
+				"url": "ValueSet/dxtc"
+			}
+		},
+		{
+			"fullUrl": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.6",
+			"resource": {
+				"resourceType": "ValueSet",
+				"id": "2.16.840.1.113762.1.4.1146.6",
+				"url": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.6",
+				"identifier": [
+					{
+						"system": "urn:ietf:rfc:3986",
+						"value": "urn:oid:2.16.840.1.113762.1.4.1146.6"
+					}
+				],
+				"version": "20210526",
+				"status": "active",
+				"compose": {
+					"include": [
+						{
+							"system": "http://snomed.info/sct",
+							"version": "Provisional_2022-04-25",
+							"concept": [
+								{
+									"code": "1086051000119107",
+									"display": "Cardiomyopathy due to diphtheria (disorder)"
+								},
+								{
+									"code": "1086061000119109",
+									"display": "Diphtheria radiculomyelitis (disorder)"
+								},
+								{
+									"code": "1086071000119103",
+									"display": "Diphtheria tubulointerstitial nephropathy (disorder)"
+								},
+								{
+									"code": "1090211000119102",
+									"display": "Pharyngeal diphtheria (disorder)"
+								},
+								{
+									"code": "129667001",
+									"display": "Diphtheritic peripheral neuritis (disorder)"
+								},
+								{
+									"code": "13596001",
+									"display": "Diphtheritic peritonitis (disorder)"
+								},
+								{
+									"code": "15682004",
+									"display": "Anterior nasal diphtheria (disorder)"
+								},
+								{
+									"code": "186347006",
+									"display": "Diphtheria of penis (disorder)"
+								},
+								{
+									"code": "18901009",
+									"display": "Cutaneous diphtheria (disorder)"
+								},
+								{
+									"code": "194945009",
+									"display": "Acute myocarditis - diphtheritic (disorder)"
+								},
+								{
+									"code": "230596007",
+									"display": "Diphtheritic neuropathy (disorder)"
+								},
+								{
+									"code": "240422004",
+									"display": "Tracheobronchial diphtheria (disorder)"
+								},
+								{
+									"code": "26117009",
+									"display": "Diphtheritic myocarditis (disorder)"
+								},
+								{
+									"code": "276197005",
+									"display": "Infection caused by Corynebacterium diphtheriae (disorder)"
+								},
+								{
+									"code": "3419005",
+									"display": "Faucial diphtheria (disorder)"
+								},
+								{
+									"code": "397428000",
+									"display": "Diphtheria (disorder)"
+								},
+								{
+									"code": "397430003",
+									"display": "Diphtheria caused by Corynebacterium diphtheriae (disorder)"
+								},
+								{
+									"code": "48278001",
+									"display": "Diphtheritic cystitis (disorder)"
+								},
+								{
+									"code": "50215002",
+									"display": "Laryngeal diphtheria (disorder)"
+								},
+								{
+									"code": "715659006",
+									"display": "Diphtheria of respiratory system (disorder)"
+								},
+								{
+									"code": "75589004",
+									"display": "Nasopharyngeal diphtheria (disorder)"
+								},
+								{
+									"code": "7773002",
+									"display": "Conjunctival diphtheria (disorder)"
+								},
+								{
+									"code": "789005009",
+									"display": "Paralysis of uvula after diphtheria (disorder)"
+								}
+							]
+						}
+					]
+				},
+				"expansion": {
+					"timestamp": "2022-10-21T15:18:29-04:00",
+					"contains": [
+						{
+							"system": "http://snomed.info/sct",
+							"version": "Provisional_2022-04-25",
+							"code": "1086051000119107"
+						},
+						{
+							"system": "http://snomed.info/sct",
+							"version": "Provisional_2022-04-25",
+							"code": "1086061000119109"
+						},
+						{
+							"system": "http://snomed.info/sct",
+							"version": "Provisional_2022-04-25",
+							"code": "1086071000119103"
+						}
+					]
+				}
+			},
+			"request": {
+				"method": "PUT",
+				"url": "ValueSet/2.16.840.1.113762.1.4.1146.6"
+			}
+		}
+	]
+}
diff --git a/plugin/cr/src/test/resources/ersd-small-approved-draft-no-conditions.json b/plugin/cr/src/test/resources/ersd-small-approved-draft-no-conditions.json
deleted file mode 100644
index 4de55693d..000000000
--- a/plugin/cr/src/test/resources/ersd-small-approved-draft-no-conditions.json
+++ /dev/null
@@ -1,597 +0,0 @@
-{
-	"resourceType": "Bundle",
-	"type": "transaction",
-	"entry": [
-		{
-			"fullUrl": "http://ersd.aimsplatform.org/fhir/Library/SpecificationLibrary|1.0.0.0-draft",
-			"resource": {
-				"resourceType": "Library",
-				"id": "SpecificationLibrary",
-				"meta": {
-					"versionId": "1",
-					"lastUpdated": "2023-12-14T15:38:56.845-05:00",
-					"source": "#FNgLVm21fIyZMxwE"
-				},
-				"url": "http://ersd.aimsplatform.org/fhir/Library/SpecificationLibrary",
-				"date": "2023-06-30",
-				"approvalDate": "2023-06-30",
-				"version": "1.0.0.0-draft",
-				"status": "draft",
-				"useContext": [
-					{
-						"code": {
-							"system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context-type",
-							"code": "reporting"
-						},
-						"valueCodeableConcept": {
-							"coding": [
-								{
-									"system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context",
-									"code": "triggering"
-								}
-							]
-						}
-					},
-					{
-						"code": {
-							"system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context-type",
-							"code": "specification-type"
-						},
-						"valueCodeableConcept": {
-							"coding": [
-								{
-									"system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context",
-									"code": "program"
-								}
-							]
-						}
-					}
-				],
-				"relatedArtifact": [
-					{
-						"extension": [
-							{
-								"url": "http://hl7.org/fhir/StructureDefinition/crmi-isOwned",
-								"valueBoolean": true
-							}
-						],
-						"type": "composed-of",
-						"resource": "http://ersd.aimsplatform.org/fhir/PlanDefinition/us-ecr-specification|1.0.0.0-draft"
-					},
-					{
-						"extension": [
-							{
-								"url": "http://hl7.org/fhir/StructureDefinition/crmi-isOwned",
-								"valueBoolean": true
-							}
-						],
-						"type": "composed-of",
-						"resource": "http://ersd.aimsplatform.org/fhir/Library/rctc|1.0.0.0-draft"
-					},
-					{
-						"type": "composed-of",
-						"resource": "http://notOwnedTest.com/Library/notOwnedRoot|0.1.1"
-					},
-					{
-						"extension": [
-							{
-								"url": "http://aphl.org/fhir/vsm/StructureDefinition/vsm-valueset-priority",
-								"valueCodeableConcept": {
-									"coding": [
-										{
-											"system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context",
-											"code": "emergent"
-										}
-									],
-									"text": "Emergent"
-								}
-							}
-						],
-						"type": "depends-on",
-						"resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.163|20220603"
-					},
-					{
-						"extension": [
-							{
-								"url": "http://aphl.org/fhir/vsm/StructureDefinition/vsm-valueset-condition",
-								"valueCodeableConcept": {
-									"coding": [
-										{
-											"system": "http://snomed.info/sct",
-											"code": "49649001"
-										}
-									],
-									"text": "Infection caused by Acanthamoeba (disorder)"
-								}
-							}
-						],
-						"type": "depends-on",
-						"resource": "http://cts.nlm.nih.gov/fhir/ValueSet/123-this-will-be-routine|20210526"
-					},
-					{
-						"type": "depends-on",
-						"resource": "http://ersd.aimsplatform.org/fhir/ValueSet/dxtc|1.0.0.0-draft"
-					}
-				]
-			},
-			"request": {
-				"method": "PUT",
-				"url": "Library/SpecificationLibrary",
-				"ifNoneExist": "url=http://ersd.aimsplatform.org/fhir/Library/SpecificationLibrary&version=1.0.0.0-draft"
-			}
-		},
-		{
-			"fullUrl": "http://ersd.aimsplatform.org/fhir/PlanDefinition/us-ecr-specification|1.0.0.0-draft",
-			"resource": {
-				"resourceType": "PlanDefinition",
-				"id": "8",
-				"meta": {
-					"versionId": "1",
-					"lastUpdated": "2023-12-14T15:38:56.845-05:00",
-					"source": "#FNgLVm21fIyZMxwE"
-				},
-				"url": "http://ersd.aimsplatform.org/fhir/PlanDefinition/us-ecr-specification",
-				"version": "1.0.0.0-draft",
-				"status": "draft",
-				"relatedArtifact": [
-					{
-						"type": "depends-on",
-						"label": "RCTC Value Set Library of Trigger Codes",
-						"resource": "http://ersd.aimsplatform.org/fhir/Library/rctc|1.0.0.0-draft"
-					},
-					{
-						"type": "composed-of",
-						"resource": "http://notOwnedTest.com/Library/notOwnedLeaf|0.1.1"
-					}
-				]
-			},
-			"request": {
-				"method": "POST",
-				"url": "PlanDefinition/8",
-				"ifNoneExist": "url=http://ersd.aimsplatform.org/fhir/PlanDefinition/us-ecr-specification&version=1.0.0.0-draft"
-			}
-		},
-		{
-			"fullUrl": "http://ersd.aimsplatform.org/fhir/Library/rctc|1.0.0.0-draft",
-			"resource": {
-				"resourceType": "Library",
-				"id": "9",
-				"meta": {
-					"versionId": "1",
-					"lastUpdated": "2023-12-14T15:38:56.845-05:00",
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