production 
might not always be a good idea:
</p>
<ul>
 <li>Validation - particularly full validation including terminology - can be quite computationally demanding. 
   This can impose unacceptable time delays in a production system</li>
 <li>In production, validation can cause the loss of critical health care data (e.g. one field 
    has an unexpected value due to poor data entry, so all data associated with the resource is lost)</li>
 <li>Validation may fail poor historical data that cannot be f