When a VSAC value set expansion is returned with paging, the validator only handles the first page of results and therefore examples can't use codes from the entire expansion.
<manufacturedMaterial>
<code code="197380"
displayName="Atenolol 25 MG Oral Tablet"
codeSystem="2.16.840.1.113883.6.88" codeSystemName="RxNorm"/>
</manufacturedMaterial>
None of the codings provided are in the value set http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1010.4, and a coding from this value set is required) (codes = ValueSet[http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1010.4|20170601])
When a VSAC value set expansion is returned with paging, the validator only handles the first page of results and therefore examples can't use codes from the entire expansion.