Ct2002 P21 warning

Please provide more details. Your screen shots do not work

I have uploaded my SDTMs to P21 and created the define file. In the SDTM issues I am getting a warning that VSTESTCD value not found in Vital signs Text Code extensible codelist.

Here is what it lists:

image.png

When I go to the terms in my define, the term is listed as follows:

image.png

Why is P21 giving me this message?