diff --git a/cc/google/fhir/json_printer.cc b/cc/google/fhir/json_printer.cc
index 798708fa7..c07796ec1 100644
--- a/cc/google/fhir/json_printer.cc
+++ b/cc/google/fhir/json_printer.cc
@@ -163,13 +163,16 @@ class Printer {
     }
 
     OpenJsonObject();
+    std::vector<const FieldDescriptor*> set_fields;
+    reflection->ListFields(proto, &set_fields);
     if (IsResource(descriptor) && json_format_ == kFormatPure) {
       absl::StrAppend(&output_, "\"resourceType\": \"", descriptor->name(),
-                      "\",");
-      AddNewline();
+                      "\"");
+      if (!set_fields.empty()) {
+        absl::StrAppend(&output_, ",");
+        AddNewline();
+      }
     }
-    std::vector<const FieldDescriptor*> set_fields;
-    reflection->ListFields(proto, &set_fields);
     for (size_t i = 0; i < set_fields.size(); i++) {
       const FieldDescriptor* field = set_fields[i];
       if (json_format_ == kFormatAnalytic && field->name() == "id" &&
diff --git a/cc/google/fhir/r4/json_format_test.cc b/cc/google/fhir/r4/json_format_test.cc
index 28cde87c7..0a77e146c 100644
--- a/cc/google/fhir/r4/json_format_test.cc
+++ b/cc/google/fhir/r4/json_format_test.cc
@@ -189,8 +189,9 @@ namespace r4 {
 
 namespace {
 
-using namespace google::fhir::r4::core;  // NOLINT
-using google::protobuf::FieldDescriptor;
+using namespace ::google::fhir::r4::core;  // NOLINT
+using ::google::protobuf::FieldDescriptor;
+using ::testing::Eq;
 
 static const char* const kTimeZoneString = "Australia/Sydney";
 
@@ -479,6 +480,19 @@ TEST(JsonFormatR4Test, PrintForAnalyticsWithContained) {
   }
 }
 
+TEST(JsonFormatR4Test, WithEmptyContainedResourcePrintsValidJson) {
+  const Parameters proto = ReadProto<Parameters>(
+      "testdata/r4/examples/Parameters-empty-resource.prototxt");
+  absl::StatusOr<std::string> from_proto_status =
+      PrettyPrintFhirToJsonString(proto);
+  ASSERT_TRUE(from_proto_status.ok());
+  std::string expected =
+      ReadFile("testdata/r4/examples/Parameters-empty-resource.json");
+  ASSERT_THAT(expected.back(), Eq('\n'));
+  expected = expected.substr(0, expected.length() - 1);
+  ASSERT_THAT(*from_proto_status, Eq(expected));
+}
+
 TEST(JsonFormatR4Test, TestAccount) {
   std::vector<std::string> files{"Account-ewg", "Account-example"};
   TestPair<Account>(files);
diff --git a/cc/google/fhir/stu3/json_format_test.cc b/cc/google/fhir/stu3/json_format_test.cc
index 430711198..5830476f6 100644
--- a/cc/google/fhir/stu3/json_format_test.cc
+++ b/cc/google/fhir/stu3/json_format_test.cc
@@ -35,9 +35,10 @@ namespace stu3 {
 
 namespace {
 
-using namespace google::fhir::stu3::proto;  // NOLINT
+using namespace ::google::fhir::stu3::proto;  // NOLINT
 
-using google::fhir::stu3::proto::Condition;
+using ::google::fhir::stu3::proto::Condition;
+using ::testing::Eq;
 
 static const char* const kTimeZoneString = "Australia/Sydney";
 
@@ -111,7 +112,7 @@ void TestPrintForAnalytics(const std::string& proto_filepath,
                            const std::string& json_filepath, bool pretty) {
   R proto = ReadProto<R>(proto_filepath);
   if (IsProfile(R::descriptor())) {
-    proto = NormalizeR4(proto).value();
+    proto = NormalizeStu3(proto).value();
   }
   auto result = pretty ? PrettyPrintFhirToJsonStringForAnalytics(proto)
                        : PrintFhirToJsonStringForAnalytics(proto);
@@ -202,6 +203,19 @@ TEST(JsonFormatStu3Test, PrintAnalyticsElementIdsDropped) {
       "testdata/jsonformat/location_element_with_ids_analytic.json");
 }
 
+TEST(JsonFormatStu3Test, WithEmptyContainedResourcePrintsValidJson) {
+  const Parameters proto = ReadProto<Parameters>(
+      "testdata/stu3/examples/Parameters-empty-resource.prototxt");
+  absl::StatusOr<std::string> from_proto_status =
+      PrettyPrintFhirToJsonString(proto);
+  ASSERT_TRUE(from_proto_status.ok());
+  std::string expected =
+      ReadFile("testdata/stu3/examples/Parameters-empty-resource.json");
+  ASSERT_THAT(expected.back(), Eq('\n'));
+  expected = expected.substr(0, expected.length() - 1);
+  ASSERT_THAT(*from_proto_status, Eq(expected));
+}
+
 /* Resource tests start here. */
 
 /** Test parsing of the Account FHIR resource. */
@@ -2206,19 +2220,19 @@ TEST(JsonFormatTest, InvalidControlCharactersReturnsError) {
   ASSERT_FALSE(PrettyPrintFhirToJsonString(proto).ok());
 }
 
-TEST(JsonFormatR4Test, PadsThreeDigitYearToFourCharacters) {
+TEST(JsonFormatStu3Test, PadsThreeDigitYearToFourCharacters) {
   TestPairWithFilePaths<Observation>(
       "testdata/jsonformat/observation_three_digit_year.prototxt",
       "testdata/jsonformat/observation_three_digit_year.json");
 }
 
-TEST(JsonFormatR4Test, DecimalCornerCases) {
+TEST(JsonFormatStu3Test, DecimalCornerCases) {
   TestPairWithFilePaths<Observation>(
       "testdata/jsonformat/observation_decimal_corner_cases.prototxt",
       "testdata/jsonformat/observation_decimal_corner_cases.json");
 }
 
-TEST(JsonFormatR4Test, NdjsonLocation) {
+TEST(JsonFormatStu3Test, NdjsonLocation) {
   TestPairWithFilePaths<Location>(
       "testdata/jsonformat/location_ndjson.prototxt",
       "testdata/jsonformat/location_ndjson.json");