diff --git a/src/Firely.Fhir.Validation/Impl/PatternValidator.cs b/src/Firely.Fhir.Validation/Impl/PatternValidator.cs
index 5e78e0a9..57b53f23 100644
--- a/src/Firely.Fhir.Validation/Impl/PatternValidator.cs
+++ b/src/Firely.Fhir.Validation/Impl/PatternValidator.cs
@@ -54,12 +54,11 @@ ResultReport IValidatable.Validate(PocoNode input, ValidationSettings _, Validat
             if (input.Matches(PatternValue))
                 return ResultReport.SUCCESS;
                     
-            var severity = OperationOutcome.IssueSeverity.Error;
-            // element with no value and extension - might have a special meaning, so let's make it into warning instead
+            // element with no value and extension is valid per spec
             if (input is PrimitiveNode && input.GetValue() is null && (input.Poco as IExtendable)?.HasExtensions() is true)
-                severity = OperationOutcome.IssueSeverity.Warning;
+                return ResultReport.SUCCESS;
                     
-            return new IssueAssertion(Issue.CONTENT_DOES_NOT_MATCH_PATTERN_VALUE.Code, $"Value '{displayValue(input)}' does not match pattern '{displayValue(PatternValue)}'", severity, OperationOutcome.IssueType.Invalid)
+            return new IssueAssertion(Issue.CONTENT_DOES_NOT_MATCH_PATTERN_VALUE.Code, $"Value '{displayValue(input)}' does not match pattern '{displayValue(PatternValue)}'", OperationOutcome.IssueSeverity.Error, OperationOutcome.IssueType.Invalid)
                   .AsResult(s, input, nameof(PatternValidator));
 
             static string displayValue(ITypedElement te) =>
diff --git a/src/Firely.Fhir.Validation/Impl/RegExValidator.cs b/src/Firely.Fhir.Validation/Impl/RegExValidator.cs
index 90004b35..8836d49e 100644
--- a/src/Firely.Fhir.Validation/Impl/RegExValidator.cs
+++ b/src/Firely.Fhir.Validation/Impl/RegExValidator.cs
@@ -60,13 +60,12 @@ internal override ResultReport BasicValidate(PocoNode input, ValidationSettings
             if (value is not null && _regex.IsMatch(value))
                 return ResultReport.SUCCESS;
 
-            var severity = OperationOutcome.IssueSeverity.Error;
-            // element with no value and extension - might have a special meaning, so let's make it into warning instead
+            // element with no value and extension is valid per spec
             if (value is null && (input.Poco as IExtendable)?.HasExtensions() is true)
-                severity = OperationOutcome.IssueSeverity.Warning;
+                return ResultReport.SUCCESS;
 
-            return new IssueAssertion(Issue.CONTENT_ELEMENT_INVALID_PRIMITIVE_VALUE.Code, $"Value '{value}' does not match regex '{Pattern}'", severity, OperationOutcome.IssueType.Invalid)
-                .AsResult(s, input, nameof (RegExValidator));
+            return new IssueAssertion(Issue.CONTENT_ELEMENT_INVALID_PRIMITIVE_VALUE.Code, $"Value '{value}' does not match regex '{Pattern}'", OperationOutcome.IssueSeverity.Error, OperationOutcome.IssueType.Invalid)
+                .AsResult(s, input, nameof(RegExValidator));
         }
 
         private static string? toStringRepresentation(PocoNode vp)
diff --git a/test/Firely.Fhir.Validation.Compilation.Tests.Shared/FhirTestCases b/test/Firely.Fhir.Validation.Compilation.Tests.Shared/FhirTestCases
index 7eac7b9e..e33c0add 160000
--- a/test/Firely.Fhir.Validation.Compilation.Tests.Shared/FhirTestCases
+++ b/test/Firely.Fhir.Validation.Compilation.Tests.Shared/FhirTestCases
@@ -1 +1 @@
-Subproject commit 7eac7b9e294adf5c1053553ef424a8b64d8ed044
+Subproject commit e33c0addd9ecdba237b0ac7a37c480026c9a6c6e
diff --git a/test/Firely.Fhir.Validation.Tests/Impl/PatternValidatorTests.cs b/test/Firely.Fhir.Validation.Tests/Impl/PatternValidatorTests.cs
index 493196aa..dec70af3 100644
--- a/test/Firely.Fhir.Validation.Tests/Impl/PatternValidatorTests.cs
+++ b/test/Firely.Fhir.Validation.Tests/Impl/PatternValidatorTests.cs
@@ -98,6 +98,12 @@ internal class PatternValidatorData : BasicValidatorDataAttribute
                 new CodeableConcept() { Coding = [new() { CodeElement = new() { Extension = [new("http://test", new FhirString("Test"))]}}]}.ToPocoNode(),
                 false, Issue.CONTENT_DOES_NOT_MATCH_PATTERN_VALUE, "Complex inputs primitive entry with extension and no value will still generate an error."
             };
+            yield return new object?[]
+            {
+                new PatternValidator(new CodeableConcept("test-system", "test-code").ToPocoNode()),
+                new CodeableConcept() { Extension = [new("http://test", new FhirString("Test"))] }.ToPocoNode(),
+                false, Issue.CONTENT_DOES_NOT_MATCH_PATTERN_VALUE, "Complex inputs primitive entry with extension and no value will still generate an error."
+            };
         }
     }
 
diff --git a/test/Firely.Fhir.Validation.Tests/Impl/RegExValidatorTests.cs b/test/Firely.Fhir.Validation.Tests/Impl/RegExValidatorTests.cs
index b336c2cd..d806bc83 100644
--- a/test/Firely.Fhir.Validation.Tests/Impl/RegExValidatorTests.cs
+++ b/test/Firely.Fhir.Validation.Tests/Impl/RegExValidatorTests.cs
@@ -28,6 +28,13 @@ internal class RegExValidatorData : BasicValidatorDataAttribute
                 new RegExValidator(@"^((\+31)|(0031)|0)(\(0\)|)(\d{1,3})(\s|\-|)(\d{8}|\d{4}\s\d{4}|\d{2}\s\d{2}\s\d{2}\s\d{2})$"),
                 PocoNode.ForPrimitive<FhirString>("+31(0)612345678"), true, null, "result must be true (Dutch phonenumber)"
             };
+
+            yield return new object?[]
+            {
+                new RegExValidator("[0-9]"),
+                new FhirString { Extension = [new("http://example.org/ext", new FhirString("test"))] }.ToPocoNode(),
+                true, null, "extension-only primitive (no value) must pass regex validation"
+            };
         }
     }