@prefix fhir: <http://hl7.org/fhir/> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix sct: <http://snomed.info/sct/> .

# - resource -------------------------------------------------------------------

[] a fhir:CodeSystem;
  fhir:Resource.id [ fhir:value "v3-ActRelationshipType"];
  fhir:Resource.language [ fhir:value "en"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ]
  ];
  fhir:CodeSystem.url [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ActRelationshipType"];
  fhir:CodeSystem.identifier [
     fhir:index 0;
     fhir:Identifier.system [ fhir:value "urn:ietf:rfc:3986" ];
     fhir:Identifier.value [ fhir:value "urn:oid:2.16.840.1.113883.5.1002" ]
  ];
  fhir:CodeSystem.version [ fhir:value "4.0.0"];
  fhir:CodeSystem.name [ fhir:value "ActRelationshipType"];
  fhir:CodeSystem.title [ fhir:value "ActRelationshipType"];
  fhir:CodeSystem.status [ fhir:value "active"];
  fhir:CodeSystem.experimental [ fhir:value "false"];
  fhir:CodeSystem.date [ fhir:value "2019-03-20"];
  fhir:CodeSystem.publisher [ fhir:value "Health Level Seven International"];
  fhir:CodeSystem.contact [
     fhir:index 0;
     fhir:ContactDetail.telecom [
       fhir:index 0;
       fhir:ContactPoint.system [ fhir:value "url" ];
       fhir:ContactPoint.value [ fhir:value "http://hl7.org" ]
     ], [
       fhir:index 1;
       fhir:ContactPoint.system [ fhir:value "email" ];
       fhir:ContactPoint.value [ fhir:value "hq@HL7.org" ]
     ]
  ];
  fhir:CodeSystem.description [ fhir:value "The source is an excerpt from the target."];
  fhir:CodeSystem.copyright [ fhir:value "This material derives from the HL7 Terminology THO. THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license"];
  fhir:CodeSystem.caseSensitive [ fhir:value "true"];
  fhir:CodeSystem.hierarchyMeaning [ fhir:value "is-a"];
  fhir:CodeSystem.content [ fhir:value "complete"];
  fhir:CodeSystem.property [
     fhir:index 0;
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-symmetry" ];
       fhir:Extension.value [ fhir:value "antisymmetric" ]
     ], [
       fhir:index 1;
       fhir:Extension.url [ fhir:value "http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-transitivity" ];
       fhir:Extension.value [ fhir:value "transitive" ]
     ], [
       fhir:index 2;
       fhir:Extension.url [ fhir:value "http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-reflexivity" ];
       fhir:Extension.value [ fhir:value "irreflexive" ]
     ], [
       fhir:index 3;
       fhir:Extension.url [ fhir:value "http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-isNavigable" ];
       fhir:Extension.value [ fhir:value "true" ]
     ], [
       fhir:index 4;
       fhir:Extension.url [ fhir:value "http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-relationshipKind" ];
       fhir:Extension.value [ fhir:value "Specializes" ]
     ], [
       fhir:index 5;
       fhir:Extension.url [ fhir:value "http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-inverseName" ];
       fhir:Extension.value [ fhir:value "Generalizes" ]
     ];
     fhir:CodeSystem.code [ fhir:value "Specializes" ];
     fhir:CodeSystem.description [ fhir:value "The child code is a more narrow version of the concept represented by the parent code.  I.e. Every child concept is also a valid parent concept.  Used to allow determination of subsumption.  Must be transitive, irreflexive, antisymmetric." ];
     fhir:CodeSystem.type [ fhir:value "Coding" ]
  ], [
     fhir:index 1;
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-symmetry" ];
       fhir:Extension.value [ fhir:value "antisymmetric" ]
     ], [
       fhir:index 1;
       fhir:Extension.url [ fhir:value "http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-transitivity" ];
       fhir:Extension.value [ fhir:value "transitive" ]
     ], [
       fhir:index 2;
       fhir:Extension.url [ fhir:value "http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-reflexivity" ];
       fhir:Extension.value [ fhir:value "irreflexive" ]
     ], [
       fhir:index 3;
       fhir:Extension.url [ fhir:value "http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-isNavigable" ];
       fhir:Extension.value [ fhir:value "true" ]
     ], [
       fhir:index 4;
       fhir:Extension.url [ fhir:value "http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-relationshipKind" ];
       fhir:Extension.value [ fhir:value "Generalizes" ]
     ], [
       fhir:index 5;
       fhir:Extension.url [ fhir:value "http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-inverseName" ];
       fhir:Extension.value [ fhir:value "Specializes" ]
     ];
     fhir:CodeSystem.code [ fhir:value "Generalizes" ];
     fhir:CodeSystem.description [ fhir:value "Inverse of Specializes.  Only included as a derived relationship." ];
     fhir:CodeSystem.type [ fhir:value "Coding" ]
  ], [
     fhir:index 2;
     fhir:CodeSystem.code [ fhir:value "internalId" ];
     fhir:CodeSystem.uri [ fhir:value "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v3-internal-id" ];
     fhir:CodeSystem.description [ fhir:value "The internal identifier for the concept in the HL7 Access database repository." ];
     fhir:CodeSystem.type [ fhir:value "code" ]
  ], [
     fhir:index 3;
     fhir:CodeSystem.code [ fhir:value "status" ];
     fhir:CodeSystem.uri [ fhir:value "http://hl7.org/fhir/concept-properties#status" ];
     fhir:CodeSystem.description [ fhir:value "Designation of a concept's state.  Normally is not populated unless the state is retired.." ];
     fhir:CodeSystem.type [ fhir:value "code" ]
  ], [
     fhir:index 4;
     fhir:CodeSystem.code [ fhir:value "conductible" ];
     fhir:CodeSystem.uri [ fhir:value "http://terminology.hl7.org/CodeSystem/utg-concept-properties#rim-conductible" ];
     fhir:CodeSystem.description [ fhir:value "If true, indicates that ActRelationships or Participations of the specified type (and any specializations thereof) will normally conduct. For more usage information, refer to the Core Principles specification." ];
     fhir:CodeSystem.type [ fhir:value "boolean" ]
  ], [
     fhir:index 5;
     fhir:CodeSystem.code [ fhir:value "isDocumentCharacteristic" ];
     fhir:CodeSystem.uri [ fhir:value "http://terminology.hl7.org/CodeSystem/utg-concept-properties#rim-document-characteristic" ];
     fhir:CodeSystem.description [ fhir:value "If true, indicates that the Act attribute or association (as represented by a typeCode for eaither ActRelationship or Pareticipation is a descriptor of the document (record) represented by the act object. If false, indicates the property is a descriptor of the action itself, actual, intended, or potential.  Applies to interpretation of attributes and associations with respect to changes in the value of Act.actionNegationInd and Act.moodCode. (See descriptions of these attributes for further discussion.) For example, in an order, the id attribute [isDocumentCharacteristic = true] is an identifier of the record of the order, not an identifier of the intended event.  On the other hand, the code attribute [isDocumentCharacteristic = false] describes a characteristic of the intended event." ];
     fhir:CodeSystem.type [ fhir:value "boolean" ]
  ], [
     fhir:index 6;
     fhir:CodeSystem.code [ fhir:value "Name:Act:inboundRelationship:ActRelationship" ];
     fhir:CodeSystem.uri [ fhir:value "http://terminology.hl7.org/CodeSystem/utg-concept-properties#rim-inbound-relationship" ];
     fhir:CodeSystem.description [ fhir:value "Name of inboundRelationship from Act to ActReln" ];
     fhir:CodeSystem.type [ fhir:value "code" ]
  ], [
     fhir:index 7;
     fhir:CodeSystem.code [ fhir:value "Name:Act:outboundRelationship:ActRelationship" ];
     fhir:CodeSystem.uri [ fhir:value "http://terminology.hl7.org/CodeSystem/utg-concept-properties#rim-outbound-relationship" ];
     fhir:CodeSystem.description [ fhir:value "Formal name of outboundRelationship from Act to ActReln" ];
     fhir:CodeSystem.type [ fhir:value "code" ]
  ], [
     fhir:index 8;
     fhir:CodeSystem.code [ fhir:value "Sort:Act:inboundRelationship:ActRelationship" ];
     fhir:CodeSystem.uri [ fhir:value "http://terminology.hl7.org/CodeSystem/utg-concept-properties#rim-Act-inbound-sort" ];
     fhir:CodeSystem.description [ fhir:value "Sort key for the inboundRelationship from Act to ActReln" ];
     fhir:CodeSystem.type [ fhir:value "code" ]
  ], [
     fhir:index 9;
     fhir:CodeSystem.code [ fhir:value "Sort:Act:outboundRelationship:ActRelationship" ];
     fhir:CodeSystem.uri [ fhir:value "http://terminology.hl7.org/CodeSystem/utg-concept-properties#rim-act-outbound-sort" ];
     fhir:CodeSystem.description [ fhir:value "Sort key for the outboundRelationship from Act to ActReln" ];
     fhir:CodeSystem.type [ fhir:value "code" ]
  ], [
     fhir:index 10;
     fhir:CodeSystem.code [ fhir:value "appliesTo" ];
     fhir:CodeSystem.uri [ fhir:value "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v3-applies-to" ];
     fhir:CodeSystem.description [ fhir:value "Haven't a clue!" ];
     fhir:CodeSystem.type [ fhir:value "string" ]
  ], [
     fhir:index 11;
     fhir:CodeSystem.code [ fhir:value "howApplies" ];
     fhir:CodeSystem.uri [ fhir:value "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v3-how-applies" ];
     fhir:CodeSystem.description [ fhir:value "Haven't a clue!" ];
     fhir:CodeSystem.type [ fhir:value "string" ]
  ], [
     fhir:index 12;
     fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
     fhir:CodeSystem.uri [ fhir:value "http://terminology.hl7.org/CodeSystem/utg-concept-properties#rim-ActRelationship-source" ];
     fhir:CodeSystem.description [ fhir:value "The name of the assciation from ActRelationship to the source Act" ];
     fhir:CodeSystem.type [ fhir:value "string" ]
  ], [
     fhir:index 13;
     fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
     fhir:CodeSystem.uri [ fhir:value "http://terminology.hl7.org/CodeSystem/utg-concept-properties#rim-ActRelationship-target" ];
     fhir:CodeSystem.description [ fhir:value "The name of the assciation from ActRelationship to the source Act" ];
     fhir:CodeSystem.type [ fhir:value "string" ]
  ], [
     fhir:index 14;
     fhir:CodeSystem.code [ fhir:value "notSelectable" ];
     fhir:CodeSystem.uri [ fhir:value "http://hl7.org/fhir/concept-properties#notSelectable" ];
     fhir:CodeSystem.description [ fhir:value "Indicates that the code is abstract - only intended to be used as a selector for other concepts" ];
     fhir:CodeSystem.type [ fhir:value "boolean" ]
  ], [
     fhir:index 15;
     fhir:CodeSystem.code [ fhir:value "synonymCode" ];
     fhir:CodeSystem.uri [ fhir:value "http://hl7.org/fhir/concept-properties#synonym" ];
     fhir:CodeSystem.description [ fhir:value "An additional concept code that was also attributed to a concept" ];
     fhir:CodeSystem.type [ fhir:value "code" ]
  ], [
     fhir:index 16;
     fhir:CodeSystem.code [ fhir:value "HL7usageNotes" ];
     fhir:CodeSystem.uri [ fhir:value "http://terminology.hl7.org/CodeSystem/utg-concept-properties#HL7usageNotes" ];
     fhir:CodeSystem.description [ fhir:value "HL7 Concept Usage Notes" ];
     fhir:CodeSystem.type [ fhir:value "string" ]
  ], [
     fhir:index 17;
     fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
     fhir:CodeSystem.uri [ fhir:value "http://hl7.org/fhir/concept-properties#parent" ];
     fhir:CodeSystem.description [ fhir:value "The concept code of a parent concept" ];
     fhir:CodeSystem.type [ fhir:value "code" ]
  ];
  fhir:CodeSystem.concept [
     fhir:index 0;
     fhir:CodeSystem.code [ fhir:value "ART" ];
     fhir:CodeSystem.display [ fhir:value "act relationship type" ];
     fhir:CodeSystem.definition [ fhir:value "**Description:** A directed association between a source Act and a target Act.\r\n\r\n**Usage Note:** This code should never be transmitted in an instance as the value of ActRelationship.typeCode (attribute)" ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "act relationship type" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "active" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "23252" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 1;
     fhir:CodeSystem.code [ fhir:value "CURE" ];
     fhir:CodeSystem.display [ fhir:value "curative indication" ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "curative indication" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "curative indication" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "retired" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "21642" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "isDocumentCharacteristic" ];
       fhir:CodeSystem.value [ fhir:value "true" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 2;
     fhir:CodeSystem.code [ fhir:value "CURE.ADJ" ];
     fhir:CodeSystem.display [ fhir:value "adjunct curative indication" ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "adjunct curative indication" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "adjunct curative indication" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "retired" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "21643" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "isDocumentCharacteristic" ];
       fhir:CodeSystem.value [ fhir:value "true" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 3;
     fhir:CodeSystem.code [ fhir:value "MTGT.ADJ" ];
     fhir:CodeSystem.display [ fhir:value "adjunct mitigation" ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "adjunct mitigation" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "adjunct mitigation" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "retired" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "21641" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "isDocumentCharacteristic" ];
       fhir:CodeSystem.value [ fhir:value "true" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 4;
     fhir:CodeSystem.code [ fhir:value "RACT" ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "retired" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "14892" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 5;
     fhir:CodeSystem.code [ fhir:value "SUGG" ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "retired" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "10322" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 6;
     fhir:CodeSystem.code [ fhir:value "_ActRelationshipTemporallyPertainsEnd" ];
     fhir:CodeSystem.display [ fhir:value "ActRelationshipTemporallyPertainsEnd" ];
     fhir:CodeSystem.definition [ fhir:value "A relationship that defines the relative time of the end source act based on the time of the target act." ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ActRelationshipTemporallyPertainsEnd" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ActRelationshipTemporallyPertainsEnd" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ActRelationshipTemporallyPertainsEnd" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ActRelationshipTemporallyPertainsEnd" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ActRelationshipTemporallyPertainsEnd" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ActRelationshipTemporallyPertainsEnd" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "notSelectable" ];
       fhir:CodeSystem.value [ fhir:value "true" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "active" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "23077" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "Name:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "endTemporallyRelatedTo" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "Name:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "temporallyRelatedEndInformation" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "_ActClassTemporallyPertains" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "TemporallyPertains" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.code [ fhir:value "isDocumentCharacteristic" ];
       fhir:CodeSystem.value [ fhir:value "true" ]
     ], [
       fhir:index 8;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 9;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 7;
     fhir:CodeSystem.code [ fhir:value "_ActRelationshipTemporallyPertainsStart" ];
     fhir:CodeSystem.display [ fhir:value "ActRelationshipTemporallyPertainsStart" ];
     fhir:CodeSystem.definition [ fhir:value "A relationship that defines the relative time of the start source act based on the time of the target act." ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ActRelationshipTemporallyPertainsStart" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ActRelationshipTemporallyPertainsStart" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ActRelationshipTemporallyPertainsStart" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ActRelationshipTemporallyPertainsStart" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ActRelationshipTemporallyPertainsStart" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ActRelationshipTemporallyPertainsStart" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ActRelationshipTemporallyPertainsStart" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "notSelectable" ];
       fhir:CodeSystem.value [ fhir:value "true" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "active" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "23075" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "Name:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "startTemporallyRelatedTo" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "Name:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "temporallyRelatedStartInformation" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "DNA______" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "DNA______" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "_ActClassTemporallyPertains" ]
     ], [
       fhir:index 8;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "TemporallyPertains" ]
     ], [
       fhir:index 9;
       fhir:CodeSystem.code [ fhir:value "isDocumentCharacteristic" ];
       fhir:CodeSystem.value [ fhir:value "true" ]
     ], [
       fhir:index 10;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 11;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 8;
     fhir:CodeSystem.code [ fhir:value "_ActRelationshipCostTracking" ];
     fhir:CodeSystem.display [ fhir:value "ActRelationshipCostTracking" ];
     fhir:CodeSystem.definition [ fhir:value "Expresses values for describing the relationship relationship between an InvoiceElement or InvoiceElementGroup and a billable act." ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ActRelationshipCostTracking" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ActRelationshipCostTracking" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ActRelationshipCostTracking" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ActRelationshipCostTracking" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ActRelationshipCostTracking" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ActRelationshipCostTracking" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ActRelationshipCostTracking" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "notSelectable" ];
       fhir:CodeSystem.value [ fhir:value "true" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "active" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "21360" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "isDocumentCharacteristic" ];
       fhir:CodeSystem.value [ fhir:value "true" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "Name:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "costTrackingOf" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.code [ fhir:value "Name:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "costTracking" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "DOB______" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "DOB______" ]
     ], [
       fhir:index 8;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "_ActRelationshipAccounting" ]
     ], [
       fhir:index 9;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "_ActRelationshipPosts" ]
     ], [
       fhir:index 10;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 11;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 9;
     fhir:CodeSystem.code [ fhir:value "_ActRelationshipPosting" ];
     fhir:CodeSystem.display [ fhir:value "ActRelationshipPosting" ];
     fhir:CodeSystem.definition [ fhir:value "Expresses values for describing the relationship between a FinancialTransaction and an Account." ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ActRelationshipPosting" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ActRelationshipPosting" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ActRelationshipPosting" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ActRelationshipPosting" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ActRelationshipPosting" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ActRelationshipPosting" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ActRelationshipPosting" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "notSelectable" ];
       fhir:CodeSystem.value [ fhir:value "true" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "active" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "21359" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "isDocumentCharacteristic" ];
       fhir:CodeSystem.value [ fhir:value "true" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "Name:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "postingTo" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.code [ fhir:value "Name:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "posting" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "DOA______" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "DOA______" ]
     ], [
       fhir:index 8;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "_ActRelationshipAccounting" ]
     ], [
       fhir:index 9;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "_ActRelationshipPosts" ]
     ], [
       fhir:index 10;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 11;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 10;
     fhir:CodeSystem.code [ fhir:value "CIND" ];
     fhir:CodeSystem.display [ fhir:value "has contra-indication" ];
     fhir:CodeSystem.definition [ fhir:value "A contraindication is just a negation of a reason, i.e. it gives a condition under which the action is not to be done. Both, source and target can be any kind of service; target service is in criterion mood. How the strength of a contraindication is expressed (e.g., relative, absolute) is left as an open issue. The priorityNumber attribute could be used." ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has contra-indication" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has contra-indication" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has contra-indication" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has contra-indication" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has contra-indication" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "active" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "10323" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "appliesTo" ];
       fhir:CodeSystem.value [ fhir:value "action" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "howApplies" ];
       fhir:CodeSystem.value [ fhir:value "contra-indication" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "isDocumentCharacteristic" ];
       fhir:CodeSystem.value [ fhir:value "true" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.code [ fhir:value "Name:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "contraindicationFor" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.code [ fhir:value "Name:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "contraindication" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "CC_______" ]
     ], [
       fhir:index 8;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "CC_______" ]
     ], [
       fhir:index 9;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "_ActRelationshipConditional" ]
     ], [
       fhir:index 10;
       fhir:CodeSystem.code [ fhir:value "conductible" ];
       fhir:CodeSystem.value [ fhir:value "true" ]
     ], [
       fhir:index 11;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 12;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 11;
     fhir:CodeSystem.code [ fhir:value "PRCN" ];
     fhir:CodeSystem.display [ fhir:value "has pre-condition" ];
     fhir:CodeSystem.definition [ fhir:value "A requirement to be true before a service is performed. The target can be any service in criterion mood. For multiple pre-conditions a conjunction attribute (AND, OR, XOR) is applicable." ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has pre-condition" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has pre-condition" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has pre-condition" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has pre-condition" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has pre-condition" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "active" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "10319" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "appliesTo" ];
       fhir:CodeSystem.value [ fhir:value "action" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "howApplies" ];
       fhir:CodeSystem.value [ fhir:value "pre-condition" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "isDocumentCharacteristic" ];
       fhir:CodeSystem.value [ fhir:value "true" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.code [ fhir:value "Name:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "preconditionFor" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.code [ fhir:value "Name:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "precondition" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "CD_______" ]
     ], [
       fhir:index 8;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "CD_______" ]
     ], [
       fhir:index 9;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "_ActRelationshipConditional" ]
     ], [
       fhir:index 10;
       fhir:CodeSystem.code [ fhir:value "conductible" ];
       fhir:CodeSystem.value [ fhir:value "true" ]
     ], [
       fhir:index 11;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 12;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 12;
     fhir:CodeSystem.code [ fhir:value "RSON" ];
     fhir:CodeSystem.display [ fhir:value "has reason" ];
     fhir:CodeSystem.definition [ fhir:value "**Description:** The reason or rationale for a service. A reason link is weaker than a trigger, it only suggests that some service may be or might have been a reason for some action, but not that this reason requires/required the action to be taken. Also, as opposed to the trigger, there is no strong timely relation between the reason and the action. As well as providing various types of information about the rationale for a service, the RSON act relationship is routinely used between a SBADM act and an OBS act to describe the indication for use of a medication. Child concepts may be used to describe types of indication.\r\n\r\n*Discussion:* In prior releases, the code \"SUGG\" (suggests) was expressed as \"an inversion of the reason link.\" That code has been retired in favor of the inversion indicator that is an attribute of ActRelationship." ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has reason" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has reason" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has reason" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has reason" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has reason" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "active" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "10321" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "appliesTo" ];
       fhir:CodeSystem.value [ fhir:value "action" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "howApplies" ];
       fhir:CodeSystem.value [ fhir:value "reason" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "isDocumentCharacteristic" ];
       fhir:CodeSystem.value [ fhir:value "true" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.code [ fhir:value "Name:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "reasonOf" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.code [ fhir:value "Name:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "reason" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "CA_______" ]
     ], [
       fhir:index 8;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "CA_______" ]
     ], [
       fhir:index 9;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "_ActRelationshipConditional" ]
     ], [
       fhir:index 10;
       fhir:CodeSystem.code [ fhir:value "conductible" ];
       fhir:CodeSystem.value [ fhir:value "true" ]
     ], [
       fhir:index 11;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 12;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 13;
     fhir:CodeSystem.code [ fhir:value "TRIG" ];
     fhir:CodeSystem.display [ fhir:value "has trigger" ];
     fhir:CodeSystem.definition [ fhir:value "A pre-condition that if true should result in the source Act being executed. The target is in typically in criterion mood. When reported after the fact (i.e. the criterion has been met) it may be in Event mood. A delay between the trigger and the triggered action can be specified.\r\n\r\n*Discussion:* This includes the concept of a required act for a service or financial instrument such as an insurance plan or policy. In such cases, the trigger is the occurrence of a specific condition such as coverage limits being exceeded." ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has trigger" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has trigger" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has trigger" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has trigger" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has trigger" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "active" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "10320" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "appliesTo" ];
       fhir:CodeSystem.value [ fhir:value "action" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "howApplies" ];
       fhir:CodeSystem.value [ fhir:value "trigger" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "isDocumentCharacteristic" ];
       fhir:CodeSystem.value [ fhir:value "true" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.code [ fhir:value "Name:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "triggerFor" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.code [ fhir:value "Name:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "trigger" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "CB_______" ]
     ], [
       fhir:index 8;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "CB_______" ]
     ], [
       fhir:index 9;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "_ActRelationshipConditional" ]
     ], [
       fhir:index 10;
       fhir:CodeSystem.code [ fhir:value "conductible" ];
       fhir:CodeSystem.value [ fhir:value "true" ]
     ], [
       fhir:index 11;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 12;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 14;
     fhir:CodeSystem.code [ fhir:value "CHRG" ];
     fhir:CodeSystem.display [ fhir:value "has charge" ];
     fhir:CodeSystem.definition [ fhir:value "A relationship that provides an ability to associate a financial transaction (target) as a charge to a clinical act (source). A clinical act may have a charge associated with the execution or delivery of the service.\r\n\r\nThe financial transaction will define the charge (bill) for delivery or performance of the service.\r\n\r\nCharges and costs are distinct terms. A charge defines what is charged or billed to another organization or entity within an organization. The cost defines what it costs an organization to perform or deliver a service or product." ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has charge" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has charge" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has charge" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has charge" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has charge" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has charge" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has charge" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has charge" ]
     ], [
       fhir:index 8;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has charge" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "active" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "14904" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "isDocumentCharacteristic" ];
       fhir:CodeSystem.value [ fhir:value "true" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "Name:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "chargeFor" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "Name:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "charge" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "DOBA_____" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "DOBA_____" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "_ActRelationshipCostTracking" ]
     ], [
       fhir:index 8;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 9;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 15;
     fhir:CodeSystem.code [ fhir:value "COST" ];
     fhir:CodeSystem.display [ fhir:value "has cost" ];
     fhir:CodeSystem.definition [ fhir:value "A relationship that provides an ability to associate a financial transaction (target) as a cost to a clinical act (source). A clinical act may have an inherit cost associated with the execution or delivery of the service.\r\n\r\nThe financial transaction will define the cost of delivery or performance of the service.\r\n\r\nCharges and costs are distinct terms. A charge defines what is charged or billed to another organization or entity within an organization. The cost defines what it costs an organization to perform or deliver a service or product." ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has cost" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has cost" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has cost" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has cost" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has cost" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has cost" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has cost" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has cost" ]
     ], [
       fhir:index 8;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has cost" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "active" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "14903" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "isDocumentCharacteristic" ];
       fhir:CodeSystem.value [ fhir:value "true" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "Name:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "costOf" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "Name:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "cost" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "DOBB_____" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "DOBB_____" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "_ActRelationshipCostTracking" ]
     ], [
       fhir:index 8;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 9;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 16;
     fhir:CodeSystem.code [ fhir:value "CREDIT" ];
     fhir:CodeSystem.display [ fhir:value "has credit" ];
     fhir:CodeSystem.definition [ fhir:value "A credit relationship ties a financial transaction (target) to an account (source). A credit, once applied (posted), may have either a positive or negative effect on the account balance, depending on the type of account. An asset account credit will decrease the account balance. A non-asset account credit will decrease the account balance." ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has credit" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has credit" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has credit" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has credit" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has credit" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has credit" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has credit" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has credit" ]
     ], [
       fhir:index 8;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has credit" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "active" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "14902" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "isDocumentCharacteristic" ];
       fhir:CodeSystem.value [ fhir:value "true" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "Name:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "creditTo" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "Name:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "credit" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "DOAA_____" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "DOAA_____" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "_ActRelationshipPosting" ]
     ], [
       fhir:index 8;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 9;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 17;
     fhir:CodeSystem.code [ fhir:value "DEBIT" ];
     fhir:CodeSystem.display [ fhir:value "has debit" ];
     fhir:CodeSystem.definition [ fhir:value "A debit relationship ties a financial transaction (target) to an account (source). A debit, once applied (posted), may have either a positive or negative effect on the account balance, depending on the type of account. An asset account debit will increase the account balance. A non-asset account debit will decrease the account balance." ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has debit" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has debit" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has debit" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has debit" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has debit" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has debit" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has debit" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has debit" ]
     ], [
       fhir:index 8;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has debit" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "active" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "14901" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "isDocumentCharacteristic" ];
       fhir:CodeSystem.value [ fhir:value "true" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "Name:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "debitTo" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "Name:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "debit" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "DOAB_____" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "DOAB_____" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "_ActRelationshipPosting" ]
     ], [
       fhir:index 8;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 9;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 18;
     fhir:CodeSystem.code [ fhir:value "_ActRelationshipTemporallyPertainsApproximates" ];
     fhir:CodeSystem.display [ fhir:value "ActRelationshipTemporallyPertainsApproximates" ];
     fhir:CodeSystem.definition [ fhir:value "Abstract collector for ActRelationship types that relate two acts by their approximate timing." ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ActRelationshipTemporallyPertainsApproximates" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ActRelationshipTemporallyPertainsApproximates" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ActRelationshipTemporallyPertainsApproximates" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ActRelationshipTemporallyPertainsApproximates" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "notSelectable" ];
       fhir:CodeSystem.value [ fhir:value "true" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "active" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "23637" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "_ActRelationshipTemporallyPertains" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 19;
     fhir:CodeSystem.code [ fhir:value "EAS" ];
     fhir:CodeSystem.display [ fhir:value "ends after start of" ];
     fhir:CodeSystem.definition [ fhir:value "A relationship in which the source act ends after the target act starts.\r\n\r\n*UsageNote:* Inverse code is **SBE**" ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends after start of" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends after start of" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends after start of" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends after start of" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends after start of" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends after start of" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends after start of" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends after start of" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "active" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "23079" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "Name:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "startsBeforeEndOf" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "Name:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "endsAfterStartOf" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "_ActRelationshipTemporallyPertains" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "EASORECWS" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 20;
     fhir:CodeSystem.code [ fhir:value "EASORECWS" ];
     fhir:CodeSystem.display [ fhir:value "ends after or concurrent with start of" ];
     fhir:CodeSystem.definition [ fhir:value "A relationship in which the source act's effective time ends after or concurrent with the start of the target act's effective time.\r\n\r\n*Usage Note:* Inverse code is EBSORECWS" ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends after or concurrent with start of" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends after or concurrent with start of" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends after or concurrent with start of" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends after or concurrent with start of" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "active" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "23645" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "Name:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "endsBeforeOrConcurrentWithStartOf" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "Name:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "endsAfterOrConcurrentWithStartOf" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "_ActRelationshipTemporallyPertains" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 21;
     fhir:CodeSystem.code [ fhir:value "INDEPENDENT" ];
     fhir:CodeSystem.display [ fhir:value "independent of time of" ];
     fhir:CodeSystem.definition [ fhir:value "The source Act is independent of the time of the target Act.\r\n\r\n*UsageNote:* This code is reflexive. Therefore its inverse code is itself." ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "independent of time of" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "independent of time of" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "independent of time of" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "independent of time of" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "active" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "23582" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "Name:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "independentOfTimeOf" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "Name:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "independentOfTimeOf" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "_ActRelationshipTemporallyPertains" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 22;
     fhir:CodeSystem.code [ fhir:value "SAEORSCWE" ];
     fhir:CodeSystem.display [ fhir:value "starts after or concurrent with end of" ];
     fhir:CodeSystem.definition [ fhir:value "A relationship in which the source act's effective time starts after or concurrent with the end of the target act's effective time.\r\n\r\n*Usage Note:* Inverse code is SBEORSCWE" ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts after or concurrent with end of" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts after or concurrent with end of" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts after or concurrent with end of" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts after or concurrent with end of" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "active" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "23644" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "Name:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "startsBeforeOrConcurrentWithEndOf" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "Name:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "startsAfterOrConcurrentWithEndOf" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "_ActRelationshipTemporallyPertains" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 23;
     fhir:CodeSystem.code [ fhir:value "SASORSCW" ];
     fhir:CodeSystem.display [ fhir:value "starts after or concurrent with start of" ];
     fhir:CodeSystem.definition [ fhir:value "A relationship in which the source act's effective time starts after or concurrent with the start of the target act's effective time.\r\n\r\n*Usage Note:* Inverse code is SBSORSCW" ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts after or concurrent with start of" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts after or concurrent with start of" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts after or concurrent with start of" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts after or concurrent with start of" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "active" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "23642" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "Name:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "startsBeforeOrConcurrentWithStartOf" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "Name:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "startsAfterOrConcurrentWithStartOf" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "_ActRelationshipTemporallyPertains" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 24;
     fhir:CodeSystem.code [ fhir:value "SBEORSCWE" ];
     fhir:CodeSystem.display [ fhir:value "starts before or concurrent with end of" ];
     fhir:CodeSystem.definition [ fhir:value "A relationship in which the source act's effective time starts before or concurrent with the end of the target act's effective time.\r\n\r\n*Usage Note:* Inverse code is SAEORSCWE" ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts before or concurrent with end of" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts before or concurrent with end of" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts before or concurrent with end of" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts before or concurrent with end of" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "active" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "23643" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "Name:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "startsAfterOrConcurrentWithStartOf" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "Name:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "startsBeforeOrConcurrentWithEndOf" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "_ActRelationshipTemporallyPertains" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 25;
     fhir:CodeSystem.code [ fhir:value "ENE" ];
     fhir:CodeSystem.display [ fhir:value "ends near end" ];
     fhir:CodeSystem.definition [ fhir:value "A relationship in which the source act's effective time ends near the end of the target act's effective time. Near is defined separately as a time interval.\r\n\r\n*Usage Note:* Inverse code is ENS" ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends near end" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends near end" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends near end" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends near end" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends near end" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends near end" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "active" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "23640" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "Name:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "endsNearStart" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "Name:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "endsNearEnd" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "_ActRelationshipTemporallyPertainsApproximates" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 26;
     fhir:CodeSystem.code [ fhir:value "ENS" ];
     fhir:CodeSystem.display [ fhir:value "ends near start" ];
     fhir:CodeSystem.definition [ fhir:value "A relationship in which the source act's effective time ends near the start of the target act's effective time. Near is defined separately as a time interval.\r\n\r\n*Usage Note:* Inverse code is ENE" ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends near start" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends near start" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends near start" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends near start" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends near start" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends near start" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "active" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "23641" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "Name:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "endsNearEnd" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "Name:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "endsNearStart" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "_ActRelationshipTemporallyPertainsApproximates" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 27;
     fhir:CodeSystem.code [ fhir:value "SNE" ];
     fhir:CodeSystem.display [ fhir:value "starts near end" ];
     fhir:CodeSystem.definition [ fhir:value "A relationship in which the source act's effective time starts near the end of the target act's effective time. Near is defined separately as a time interval.\r\n\r\n*Usage Note:* Inverse code is SNS" ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts near end" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts near end" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts near end" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts near end" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts near end" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts near end" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "active" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "23638" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "Name:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "startsNearStart" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "Name:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "startsNearEnd" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "_ActRelationshipTemporallyPertainsApproximates" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 28;
     fhir:CodeSystem.code [ fhir:value "SNS" ];
     fhir:CodeSystem.display [ fhir:value "starts near start" ];
     fhir:CodeSystem.definition [ fhir:value "A relationship in which the source act's effective time starts near the start of the target act's effective time. Near is defined separately as a time interval.\r\n\r\n*Usage Note:* Inverse code is SNE" ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts near start" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts near start" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts near start" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts near start" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts near start" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts near start" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "active" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "23639" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "Name:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "startsNearEnd" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "Name:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "startsNearStart" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "_ActRelationshipTemporallyPertainsApproximates" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 29;
     fhir:CodeSystem.code [ fhir:value "OBJC" ];
     fhir:CodeSystem.display [ fhir:value "has continuing objective" ];
     fhir:CodeSystem.definition [ fhir:value "A desired state that a service action aims to maintain. E.g., keep systolic blood pressure between 90 and 110 mm Hg. Source is an intervention service. Target must be an observation in criterion mood." ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has continuing objective" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has continuing objective" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has continuing objective" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has continuing objective" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has continuing objective" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has continuing objective" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has continuing objective" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "active" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "10327" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "appliesTo" ];
       fhir:CodeSystem.value [ fhir:value "service" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "howApplies" ];
       fhir:CodeSystem.value [ fhir:value "criterion" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "isDocumentCharacteristic" ];
       fhir:CodeSystem.value [ fhir:value "true" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.code [ fhir:value "Name:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "maintenanceGoalOf" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.code [ fhir:value "Name:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "maintenanceGoal" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "ACA______" ]
     ], [
       fhir:index 8;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "ACA______" ]
     ], [
       fhir:index 9;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "_ActRelationsipObjective" ]
     ], [
       fhir:index 10;
       fhir:CodeSystem.code [ fhir:value "conductible" ];
       fhir:CodeSystem.value [ fhir:value "false" ]
     ], [
       fhir:index 11;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 12;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 30;
     fhir:CodeSystem.code [ fhir:value "OBJF" ];
     fhir:CodeSystem.display [ fhir:value "has final objective" ];
     fhir:CodeSystem.definition [ fhir:value "A desired outcome that a service action aims to meet finally. Source is any service (typically an intervention). Target must be an observation in criterion mood." ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has final objective" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has final objective" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has final objective" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has final objective" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has final objective" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has final objective" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has final objective" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "active" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "10326" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "appliesTo" ];
       fhir:CodeSystem.value [ fhir:value "service" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "howApplies" ];
       fhir:CodeSystem.value [ fhir:value "criterion" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "isDocumentCharacteristic" ];
       fhir:CodeSystem.value [ fhir:value "true" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.code [ fhir:value "Name:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "finalGoalOf" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.code [ fhir:value "Name:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "finalGoal" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "ACB______" ]
     ], [
       fhir:index 8;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "ACB______" ]
     ], [
       fhir:index 9;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "_ActRelationsipObjective" ]
     ], [
       fhir:index 10;
       fhir:CodeSystem.code [ fhir:value "conductible" ];
       fhir:CodeSystem.value [ fhir:value "false" ]
     ], [
       fhir:index 11;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 12;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 31;
     fhir:CodeSystem.code [ fhir:value "_ActClassTemporallyPertains" ];
     fhir:CodeSystem.display [ fhir:value "ActClassTemporallyPertains" ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ActClassTemporallyPertains" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ActClassTemporallyPertains" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ActClassTemporallyPertains" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "notSelectable" ];
       fhir:CodeSystem.value [ fhir:value "true" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "active" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "synonymCode" ];
       fhir:CodeSystem.value [ fhir:value "TemporallyPertains" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "21307" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "isDocumentCharacteristic" ];
       fhir:CodeSystem.value [ fhir:value "true" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.code [ fhir:value "Name:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "temporallyRelatesTo" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.code [ fhir:value "Name:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "temporallyRelatedInformation" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "DN_______" ]
     ], [
       fhir:index 8;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "DN_______" ]
     ], [
       fhir:index 9;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "ART" ]
     ], [
       fhir:index 10;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 11;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 32;
     fhir:CodeSystem.code [ fhir:value "TemporallyPertains" ];
     fhir:CodeSystem.display [ fhir:value "ActClassTemporallyPertains" ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ActClassTemporallyPertains" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ActClassTemporallyPertains" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "notSelectable" ];
       fhir:CodeSystem.value [ fhir:value "true" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "retired" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "synonymCode" ];
       fhir:CodeSystem.value [ fhir:value "_ActClassTemporallyPertains" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "21307" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "isDocumentCharacteristic" ];
       fhir:CodeSystem.value [ fhir:value "true" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.code [ fhir:value "Name:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "temporallyRelatesTo" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.code [ fhir:value "Name:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "temporallyRelatedInformation" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "DN_______" ]
     ], [
       fhir:index 8;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "DN_______" ]
     ], [
       fhir:index 9;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "ART" ]
     ], [
       fhir:index 10;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 11;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 33;
     fhir:CodeSystem.code [ fhir:value "_ActRelationshipAccounting" ];
     fhir:CodeSystem.display [ fhir:value "ActRelationshipAccounting" ];
     fhir:CodeSystem.definition [ fhir:value "Codes that describe the relationship between an Act and a financial instrument such as a financial transaction, account or invoice element." ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ActRelationshipAccounting" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ActRelationshipAccounting" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ActRelationshipAccounting" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "notSelectable" ];
       fhir:CodeSystem.value [ fhir:value "true" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "active" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "synonymCode" ];
       fhir:CodeSystem.value [ fhir:value "_ActRelationshipPosts" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "20946" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "isDocumentCharacteristic" ];
       fhir:CodeSystem.value [ fhir:value "true" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.code [ fhir:value "Name:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "accountingFor" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.code [ fhir:value "Name:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "accounting" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "DO_______" ]
     ], [
       fhir:index 8;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "DO_______" ]
     ], [
       fhir:index 9;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "ART" ]
     ], [
       fhir:index 10;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 11;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 34;
     fhir:CodeSystem.code [ fhir:value "_ActRelationshipPosts" ];
     fhir:CodeSystem.display [ fhir:value "ActRelationshipAccounting" ];
     fhir:CodeSystem.definition [ fhir:value "Codes that describe the relationship between an Act and a financial instrument such as a financial transaction, account or invoice element." ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ActRelationshipAccounting" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ActRelationshipAccounting" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "notSelectable" ];
       fhir:CodeSystem.value [ fhir:value "true" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "retired" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "synonymCode" ];
       fhir:CodeSystem.value [ fhir:value "_ActRelationshipAccounting" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "20946" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "isDocumentCharacteristic" ];
       fhir:CodeSystem.value [ fhir:value "true" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.code [ fhir:value "Name:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "accountingFor" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.code [ fhir:value "Name:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "accounting" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "DO_______" ]
     ], [
       fhir:index 8;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "DO_______" ]
     ], [
       fhir:index 9;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "ART" ]
     ], [
       fhir:index 10;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 11;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 35;
     fhir:CodeSystem.code [ fhir:value "_ActRelationshipConditional" ];
     fhir:CodeSystem.display [ fhir:value "ActRelationshipConditional" ];
     fhir:CodeSystem.definition [ fhir:value "Specifies under what circumstances (target Act) the source-Act may, must, must not or has occurred" ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ActRelationshipConditional" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ActRelationshipConditional" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ActRelationshipConditional" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "notSelectable" ];
       fhir:CodeSystem.value [ fhir:value "true" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "active" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "20945" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "conductible" ];
       fhir:CodeSystem.value [ fhir:value "true" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "isDocumentCharacteristic" ];
       fhir:CodeSystem.value [ fhir:value "true" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.code [ fhir:value "Name:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "conditionedBy" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.code [ fhir:value "Name:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "conditions" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "C________" ]
     ], [
       fhir:index 8;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "C________" ]
     ], [
       fhir:index 9;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "ART" ]
     ], [
       fhir:index 10;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 11;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 36;
     fhir:CodeSystem.code [ fhir:value "_ActRelationshipTemporallyPertains" ];
     fhir:CodeSystem.display [ fhir:value "ActRelationshipTemporallyPertains" ];
     fhir:CodeSystem.definition [ fhir:value "Abstract collector for ActRelationhsip types that relate two acts by their timing." ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ActRelationshipTemporallyPertains" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ActRelationshipTemporallyPertains" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "notSelectable" ];
       fhir:CodeSystem.value [ fhir:value "true" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "active" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "23581" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "ART" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 37;
     fhir:CodeSystem.code [ fhir:value "AUTH" ];
     fhir:CodeSystem.display [ fhir:value "authorized by" ];
     fhir:CodeSystem.definition [ fhir:value "A relationship in which the target act authorizes or certifies the source act." ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "authorized by" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "authorized by" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "authorized by" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "active" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "14019" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "isDocumentCharacteristic" ];
       fhir:CodeSystem.value [ fhir:value "true" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "Name:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "authorizationOf" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "Name:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "authorization" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "DH_______" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "DH_______" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "ART" ]
     ], [
       fhir:index 8;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 9;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 38;
     fhir:CodeSystem.code [ fhir:value "CAUS" ];
     fhir:CodeSystem.display [ fhir:value "is etiology for" ];
     fhir:CodeSystem.definition [ fhir:value "**Description:** An assertion that an act was the cause of another act.This is stronger and more specific than the support link. The source (cause) is typically an observation, but may be any act, while the target may be any act.\r\n\r\n**Examples:**\r\n\r\n *  a growth of Staphylococcus aureus may be considered the cause of an abscess\r\n *  contamination of the infusion bag was deemed to be the cause of the infection that the patient experienced\r\n *  lack of staff on the shift was deemed to be a supporting factor (proximal factor) causing the patient safety incident where the patient fell out of bed because the bed-sides had not been put up which caused the night patient to fall out of bed" ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "is etiology for" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "is etiology for" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "is etiology for" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "active" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "10332" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "appliesTo" ];
       fhir:CodeSystem.value [ fhir:value "cause" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "howApplies" ];
       fhir:CodeSystem.value [ fhir:value "effect" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "isDocumentCharacteristic" ];
       fhir:CodeSystem.value [ fhir:value "true" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.code [ fhir:value "Name:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "cause" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.code [ fhir:value "Name:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "causeOf" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "DD_______" ]
     ], [
       fhir:index 8;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "DD_______" ]
     ], [
       fhir:index 9;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "ART" ]
     ], [
       fhir:index 10;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 11;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 39;
     fhir:CodeSystem.code [ fhir:value "COMP" ];
     fhir:CodeSystem.display [ fhir:value "has component" ];
     fhir:CodeSystem.definition [ fhir:value "The target act is a component of the source act, with no semantics regarding composition or aggregation implied." ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has component" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has component" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has component" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "active" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "10318" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "conductible" ];
       fhir:CodeSystem.value [ fhir:value "false" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "isDocumentCharacteristic" ];
       fhir:CodeSystem.value [ fhir:value "false" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "Name:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "componentOf" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.code [ fhir:value "Name:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "component" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "E________" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "E________" ]
     ], [
       fhir:index 8;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "ART" ]
     ], [
       fhir:index 9;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 10;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 40;
     fhir:CodeSystem.code [ fhir:value "COVBY" ];
     fhir:CodeSystem.display [ fhir:value "covered by" ];
     fhir:CodeSystem.definition [ fhir:value "A relationship in which the source act is covered by or is under the authority of a target act. A financial instrument such as an Invoice Element is covered by one or more specific instances of an Insurance Policy." ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "covered by" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "covered by" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "covered by" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "active" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "14894" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "isDocumentCharacteristic" ];
       fhir:CodeSystem.value [ fhir:value "true" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "Name:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "coverageOf" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "Name:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "coverage" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "DP_______" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "DP_______" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "ART" ]
     ], [
       fhir:index 8;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 9;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 41;
     fhir:CodeSystem.code [ fhir:value "DRIV" ];
     fhir:CodeSystem.display [ fhir:value "is derived from" ];
     fhir:CodeSystem.definition [ fhir:value "Associates a derived Act with its input parameters. E.G., an anion-gap observation can be associated as being derived from given sodium-, (potassium-,), chloride-, and bicarbonate-observations. The narrative content (Act.text) of a source act is wholly machine-derived from the collection of target acts." ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "is derived from" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "is derived from" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "is derived from" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "active" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "10334" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "appliesTo" ];
       fhir:CodeSystem.value [ fhir:value "output parameter" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "howApplies" ];
       fhir:CodeSystem.value [ fhir:value "input parameter" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "isDocumentCharacteristic" ];
       fhir:CodeSystem.value [ fhir:value "true" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.code [ fhir:value "Name:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "derivation" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.code [ fhir:value "Name:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "derivedFrom" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "DF_______" ]
     ], [
       fhir:index 8;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "DF_______" ]
     ], [
       fhir:index 9;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "ART" ]
     ], [
       fhir:index 10;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 11;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 42;
     fhir:CodeSystem.code [ fhir:value "ELNK" ];
     fhir:CodeSystem.display [ fhir:value "episodeLink" ];
     fhir:CodeSystem.definition [ fhir:value "Expresses an association that links two instances of the same act over time, indicating that the instance are part of the same episode, e.g. linking two condition nodes for episode of illness; linking two encounters for episode of encounter." ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "episodeLink" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "episodeLink" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "episodeLink" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "active" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "18865" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "isDocumentCharacteristic" ];
       fhir:CodeSystem.value [ fhir:value "true" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "Name:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "linkedBy" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "Name:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "links" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "BG_______" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "BG_______" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "ART" ]
     ], [
       fhir:index 8;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 9;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 43;
     fhir:CodeSystem.code [ fhir:value "EVID" ];
     fhir:CodeSystem.display [ fhir:value "provides evidence for" ];
     fhir:CodeSystem.definition [ fhir:value "Indicates that the target Act provides evidence in support of the action represented by the source Act. The target is not a 'reason' for the source act, but rather gives supporting information on why the source act is an appropriate course of action. Possible targets might be clinical trial results, journal articles, similar successful therapies, etc.\r\n\r\n*Rationale:* Provides a mechanism for conveying clinical justification for non-approved or otherwise non-traditional therapies." ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "provides evidence for" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "provides evidence for" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "provides evidence for" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "active" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "21572" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "isDocumentCharacteristic" ];
       fhir:CodeSystem.value [ fhir:value "true" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "ART" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 44;
     fhir:CodeSystem.code [ fhir:value "EXACBY" ];
     fhir:CodeSystem.display [ fhir:value "exacerbated by" ];
     fhir:CodeSystem.definition [ fhir:value "**Description:**The source act is aggravated by the target act. (Example \"chest pain\" EXACBY \"exercise\")" ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "exacerbated by" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "exacerbated by" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "exacerbated by" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "active" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "22827" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "ART" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 45;
     fhir:CodeSystem.code [ fhir:value "EXPL" ];
     fhir:CodeSystem.display [ fhir:value "has explanation" ];
     fhir:CodeSystem.definition [ fhir:value "This is the inversion of support. Used to indicate that a given observation is explained by another observation or condition." ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has explanation" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has explanation" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has explanation" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "active" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "10331" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "howApplies" ];
       fhir:CodeSystem.value [ fhir:value "explaining observation or condition" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "isDocumentCharacteristic" ];
       fhir:CodeSystem.value [ fhir:value "true" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "Name:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "explanationFor" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.code [ fhir:value "Name:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "explanation" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "DI_______" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "DI_______" ]
     ], [
       fhir:index 8;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "ART" ]
     ], [
       fhir:index 9;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 10;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 46;
     fhir:CodeSystem.code [ fhir:value "INTF" ];
     fhir:CodeSystem.display [ fhir:value "interfered by" ];
     fhir:CodeSystem.definition [ fhir:value "the target act documents a set of circumstances (events, risks) which prevent successful completion, or degradation of quality of, the source Act.\r\n\r\n*UsageNote:* This provides the semantics to document barriers to care" ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "interfered by" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "interfered by" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "interfered by" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "active" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "23597" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "appliesTo" ];
       fhir:CodeSystem.value [ fhir:value "any Act" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "Name:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "interferesWith" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "Name:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "interferedBy" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "G________" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "G________" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "ART" ]
     ], [
       fhir:index 8;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 9;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 47;
     fhir:CodeSystem.code [ fhir:value "ITEMSLOC" ];
     fhir:CodeSystem.display [ fhir:value "items located" ];
     fhir:CodeSystem.definition [ fhir:value "Items located" ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "items located" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "items located" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "items located" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "active" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "20841" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "isDocumentCharacteristic" ];
       fhir:CodeSystem.value [ fhir:value "true" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "Name:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "itemStorageFor" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "Name:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "itemStorage" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "DR_______" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "DR_______" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "ART" ]
     ], [
       fhir:index 8;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 9;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 48;
     fhir:CodeSystem.code [ fhir:value "LIMIT" ];
     fhir:CodeSystem.display [ fhir:value "limited by" ];
     fhir:CodeSystem.definition [ fhir:value "A relationship that limits or restricts the source act by the elements of the target act. For example, an authorization may be limited by a financial amount (up to $500). Target Act must be in EVN.CRIT mood." ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "limited by" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "limited by" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "limited by" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "active" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "14896" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "isDocumentCharacteristic" ];
       fhir:CodeSystem.value [ fhir:value "true" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "Name:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "limitationOf" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "Name:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "limitation" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "DQ_______" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "DQ_______" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "ART" ]
     ], [
       fhir:index 8;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 9;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 49;
     fhir:CodeSystem.code [ fhir:value "META" ];
     fhir:CodeSystem.display [ fhir:value "has metadata" ];
     fhir:CodeSystem.definition [ fhir:value "**Definition:** Indicates that the attributes and associations of the target act provide metadata (for example, identifiers, authorship, etc.) for the source act.\r\n\r\n**Constraint:**  Source act must have either a mood code that is not \"EVN\" (event) or its \"isCriterion\" attribute must set to \"true\". Target act must be an Act with a mood code of EVN and with isCriterionInd attribute set to \"true\"." ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has metadata" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has metadata" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has metadata" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "active" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "23111" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "conductible" ];
       fhir:CodeSystem.value [ fhir:value "false" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "isDocumentCharacteristic" ];
       fhir:CodeSystem.value [ fhir:value "true" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "Name:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "metadataFor" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.code [ fhir:value "Name:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "metadata" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "DZ_______" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "AA_______" ]
     ], [
       fhir:index 8;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "ART" ]
     ], [
       fhir:index 9;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 10;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 50;
     fhir:CodeSystem.code [ fhir:value "MFST" ];
     fhir:CodeSystem.display [ fhir:value "is manifestation of" ];
     fhir:CodeSystem.definition [ fhir:value "An assertion that a new observation may be the manifestation of another existing observation or action. This assumption is attributed to the same actor who asserts the manifestation. This is stronger and more specific than an inverted support link. For example, an agitated appearance can be asserted to be the manifestation (effect) of a known hyperthyroxia. This expresses that one might not have realized a symptom if it would not be a common manifestation of a known condition. The target (cause) may be any service, while the source (manifestation) must be an observation." ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "is manifestation of" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "is manifestation of" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "is manifestation of" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "active" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "10333" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "appliesTo" ];
       fhir:CodeSystem.value [ fhir:value "manifestation" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "howApplies" ];
       fhir:CodeSystem.value [ fhir:value "cause" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "isDocumentCharacteristic" ];
       fhir:CodeSystem.value [ fhir:value "true" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.code [ fhir:value "Name:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "manifestation" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.code [ fhir:value "Name:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "manifestationOf" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "DE_______" ]
     ], [
       fhir:index 8;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "DE_______" ]
     ], [
       fhir:index 9;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "ART" ]
     ], [
       fhir:index 10;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 11;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 51;
     fhir:CodeSystem.code [ fhir:value "NAME" ];
     fhir:CodeSystem.display [ fhir:value "assigns name" ];
     fhir:CodeSystem.definition [ fhir:value "Used to assign a \"name\" to a condition thread. Source is a condition node, target can be any service." ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "assigns name" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "assigns name" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "assigns name" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "active" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "10336" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "appliesTo" ];
       fhir:CodeSystem.value [ fhir:value "condition thread" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "howApplies" ];
       fhir:CodeSystem.value [ fhir:value "name" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "isDocumentCharacteristic" ];
       fhir:CodeSystem.value [ fhir:value "true" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.code [ fhir:value "Name:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "assignedConditionName" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.code [ fhir:value "Name:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "conditionNamed" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "DJ_______" ]
     ], [
       fhir:index 8;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "DJ_______" ]
     ], [
       fhir:index 9;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "ART" ]
     ], [
       fhir:index 10;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 11;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 52;
     fhir:CodeSystem.code [ fhir:value "OUTC" ];
     fhir:CodeSystem.display [ fhir:value "has outcome" ];
     fhir:CodeSystem.definition [ fhir:value "An observation that should follow or does actually follow as a result or consequence of a condition or action (sometimes called \"post-conditional\".) Target must be an observation as a goal, risk or any criterion. For complex outcomes a conjunction attribute (AND, OR, XOR) can be used. An outcome link is often inverted to describe an outcome assessment." ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has outcome" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has outcome" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has outcome" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "active" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "10324" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "appliesTo" ];
       fhir:CodeSystem.value [ fhir:value "condition or action" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "conductible" ];
       fhir:CodeSystem.value [ fhir:value "false" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "howApplies" ];
       fhir:CodeSystem.value [ fhir:value "outcome" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.code [ fhir:value "isDocumentCharacteristic" ];
       fhir:CodeSystem.value [ fhir:value "true" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.code [ fhir:value "Name:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "outcomeOf" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.code [ fhir:value "Name:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "outcome" ]
     ], [
       fhir:index 8;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "A________" ]
     ], [
       fhir:index 9;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "A________" ]
     ], [
       fhir:index 10;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "ART" ]
     ], [
       fhir:index 11;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 12;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 53;
     fhir:CodeSystem.code [ fhir:value "PERT" ];
     fhir:CodeSystem.display [ fhir:value "has pertinent information" ];
     fhir:CodeSystem.definition [ fhir:value "This is a very unspecific relationship from one item of clinical information to another. It does not judge about the role the pertinent information plays." ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has pertinent information" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has pertinent information" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has pertinent information" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "active" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "10329" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "appliesTo" ];
       fhir:CodeSystem.value [ fhir:value "any service" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "conductible" ];
       fhir:CodeSystem.value [ fhir:value "true" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "howApplies" ];
       fhir:CodeSystem.value [ fhir:value "any service" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.code [ fhir:value "isDocumentCharacteristic" ];
       fhir:CodeSystem.value [ fhir:value "true" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.code [ fhir:value "Name:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "pertainsTo" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.code [ fhir:value "Name:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "pertinentInformation" ]
     ], [
       fhir:index 8;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "D________" ]
     ], [
       fhir:index 9;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "D________" ]
     ], [
       fhir:index 10;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "ART" ]
     ], [
       fhir:index 11;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 12;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 54;
     fhir:CodeSystem.code [ fhir:value "PREV" ];
     fhir:CodeSystem.display [ fhir:value "has previous instance" ];
     fhir:CodeSystem.definition [ fhir:value "A relationship in which the target act is a predecessor instance to the source act. Generally each of these instances is similar, but no identical. In healthcare coverage it is used to link a claim item to a previous claim item that might have claimed for the same set of services." ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         a sct:900000000000013009;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
         fhir:Coding.code [ fhir:value "900000000000013009" ]
       ];
       fhir:CodeSystem.value [ fhir:value "Previous instance" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has previous instance" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has previous instance" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has previous instance" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "active" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "14018" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "isDocumentCharacteristic" ];
       fhir:CodeSystem.value [ fhir:value "true" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "Name:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "successor" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "Name:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "predecessor" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "DC_______" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "DC_______" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "ART" ]
     ], [
       fhir:index 8;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 9;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 55;
     fhir:CodeSystem.code [ fhir:value "REFR" ];
     fhir:CodeSystem.display [ fhir:value "refers to" ];
     fhir:CodeSystem.definition [ fhir:value "A relationship in which the target act is referred to by the source act. This permits a simple reference relationship that distinguishes between the referent and the referee." ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "refers to" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "refers to" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "refers to" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "active" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "14020" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "isDocumentCharacteristic" ];
       fhir:CodeSystem.value [ fhir:value "true" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "Name:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "referencedBy" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "Name:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "reference" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "DK_______" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "DK_______" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "ART" ]
     ], [
       fhir:index 8;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 9;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 56;
     fhir:CodeSystem.code [ fhir:value "REFV" ];
     fhir:CodeSystem.display [ fhir:value "has reference values" ];
     fhir:CodeSystem.definition [ fhir:value "Reference ranges are essentially descriptors of a class of result values assumed to be \"normal\", \"abnormal\", or \"critical.\" Those can vary by sex, age, or any other criterion. Source and target are observations, the target is in criterion mood. This link type can act as a trigger in case of alarms being triggered by critical results." ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has reference values" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has reference values" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has reference values" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "active" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "10335" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "howApplies" ];
       fhir:CodeSystem.value [ fhir:value "range" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "isDocumentCharacteristic" ];
       fhir:CodeSystem.value [ fhir:value "true" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "Name:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "referenceRangeFor" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.code [ fhir:value "Name:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "referenceRange" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "DL_______" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "DL_______" ]
     ], [
       fhir:index 8;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "ART" ]
     ], [
       fhir:index 9;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 10;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 57;
     fhir:CodeSystem.code [ fhir:value "RELVBY" ];
     fhir:CodeSystem.display [ fhir:value "relieved by" ];
     fhir:CodeSystem.definition [ fhir:value "**Description:**The source act is wholly or partially alleviated by the target act. (Example \"chest pain\" RELVBY \"sublingual nitroglycerin administration\")" ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "relieved by" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "relieved by" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "relieved by" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "active" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "22828" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "ART" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 58;
     fhir:CodeSystem.code [ fhir:value "SEQL" ];
     fhir:CodeSystem.display [ fhir:value "is sequel" ];
     fhir:CodeSystem.definition [ fhir:value "An act relationship indicating that the source act follows the target act. The source act should in principle represent the same kind of act as the target. Source and target need not have the same mood code (mood will often differ). The target of a sequel is called antecedent. Examples for sequel relationships are: revision, transformation, derivation from a prototype (as a specialization is a derivation of a generalization), followup, realization, instantiation." ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "is sequel" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "is sequel" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "is sequel" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "active" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "10337" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "conductible" ];
       fhir:CodeSystem.value [ fhir:value "false" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "isDocumentCharacteristic" ];
       fhir:CodeSystem.value [ fhir:value "true" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "Name:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "sequel" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.code [ fhir:value "Name:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "sequelTo" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "B________" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "B________" ]
     ], [
       fhir:index 8;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "ART" ]
     ], [
       fhir:index 9;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 10;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 59;
     fhir:CodeSystem.code [ fhir:value "SPRT" ];
     fhir:CodeSystem.display [ fhir:value "has support" ];
     fhir:CodeSystem.definition [ fhir:value "Used to indicate that an existing service is suggesting evidence for a new observation. The assumption of support is attributed to the same actor who asserts the observation. Source must be an observation, target may be any service (e.g., to indicate a status post)." ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has support" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has support" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has support" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "active" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "10330" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "howApplies" ];
       fhir:CodeSystem.value [ fhir:value "supporting evidence" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "isDocumentCharacteristic" ];
       fhir:CodeSystem.value [ fhir:value "true" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "Name:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "supportOf" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.code [ fhir:value "Name:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "support" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "DA_______" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "DA_______" ]
     ], [
       fhir:index 8;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "ART" ]
     ], [
       fhir:index 9;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 10;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 60;
     fhir:CodeSystem.code [ fhir:value "SUBJ" ];
     fhir:CodeSystem.display [ fhir:value "has subject" ];
     fhir:CodeSystem.definition [ fhir:value "Relates an Act to its subject Act that the first Act is primarily concerned with.\r\n\r\nExamples\r\n\r\n1.  The first Act may be a ControlAct manipulating the subject Act\r\n2.  The first act is a region of interest (ROI) that defines a region within the subject Act.\r\n3.  The first act is a reporting or notification Act, that echos the subject Act for a specific new purpose.\r\n\r\nConstraints\r\n\r\nAn Act may have multiple subject acts.\r\n\r\nRationale\r\n\r\nThe ActRelationshipType \"has subject\" is similar to the ParticipationType \"subject\", Acts that primarily operate on physical subjects use the Participation, those Acts that primarily operate on other Acts (other information) use the ActRelationship." ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has subject" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has subject" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has subject" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "active" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "13971" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "isDocumentCharacteristic" ];
       fhir:CodeSystem.value [ fhir:value "true" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "Name:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "subjectOf" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "Name:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "subject" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "DB_______" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "DB_______" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "ART" ]
     ], [
       fhir:index 8;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 9;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 61;
     fhir:CodeSystem.code [ fhir:value "SUMM" ];
     fhir:CodeSystem.display [ fhir:value "summarized by" ];
     fhir:CodeSystem.definition [ fhir:value "An act that contains summary values for a list or set of subordinate acts. For example, a summary of transactions for a particular accounting period." ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "summarized by" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "summarized by" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "summarized by" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "active" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "15988" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "isDocumentCharacteristic" ];
       fhir:CodeSystem.value [ fhir:value "true" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "Name:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "summaryOf" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "Name:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "summary" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "DM_______" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "DM_______" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "ART" ]
     ], [
       fhir:index 8;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 9;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 62;
     fhir:CodeSystem.code [ fhir:value "VALUE" ];
     fhir:CodeSystem.display [ fhir:value "has value" ];
     fhir:CodeSystem.definition [ fhir:value "**Description:**Indicates that the target Act represents the result of the source observation Act.\r\n\r\n**FormalConstraint:** Source Act must be an Observation or specialization there-of. Source Act must not have the value attribute specified\r\n\r\n**UsageNote:** This relationship allows the result of an observation to be fully expressed as RIM acts as opposed to being embedded in the value attribute. For example, sending a Document act as the result of an imaging observation, sending a list of Procedures and/or other acts as the result of a medical history observation.\r\n\r\nThe valueNegationInd attribute on the source Act has the same semantics of \"negated finding\" when it applies to the target of a VALUE ActRelationship as it does to the value attribute. On the other hand, if the ActRelationship.negationInd is true for a VALUE ActRelationship, that means the specified observation does not have the indicated value but does not imply a negated finding. Because the semantics are extremely close, it is recommended that Observation.valueNegationInd be used, not ActRelationship.negationInd.\r\n\r\n**OpenIssue:** The implications of negationInd on ActRelationship and the valueNegationind on Observation." ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has value" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has value" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has value" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "active" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "23319" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "ART" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 63;
     fhir:CodeSystem.code [ fhir:value "CTRLV" ];
     fhir:CodeSystem.display [ fhir:value "has control variable" ];
     fhir:CodeSystem.definition [ fhir:value "A relationship from an Act to a Control Variable. For example, if a Device makes an Observation, this relates the Observation to its Control Variables documenting the device's settings that influenced the observation." ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has control variable" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has control variable" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has control variable" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has control variable" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has control variable" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "active" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "17902" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "isDocumentCharacteristic" ];
       fhir:CodeSystem.value [ fhir:value "false" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "Name:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "controlVariableFor" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "Name:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "controlVariable" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "EA_______" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "EA_______" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "COMP" ]
     ], [
       fhir:index 8;
       fhir:CodeSystem.code [ fhir:value "conductible" ];
       fhir:CodeSystem.value [ fhir:value "false" ]
     ], [
       fhir:index 9;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 10;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 64;
     fhir:CodeSystem.code [ fhir:value "MBR" ];
     fhir:CodeSystem.display [ fhir:value "has member" ];
     fhir:CodeSystem.definition [ fhir:value "The target Acts are aggregated by the source Act. Target Acts may have independent existence, participate in multiple ActRelationships, and do not contribute to the meaning of the source.\r\n\r\n**UsageNotes:** This explicitly represents the conventional notion of aggregation. The target Act is part of a collection of Acts (no implication is made of cardinality, a source of Acts may contain zero, one, or more member target Acts).\r\n\r\nIt is expected that this will be primarily used with \\_ActClassRecordOrganizer, BATTERY, and LIST" ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has member" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has member" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has member" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has member" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has member" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "active" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "HL7usageNotes" ];
       fhir:CodeSystem.value [ fhir:value "This explicitly represents the conventional notion of aggregation.  The target Act is part of a collection of Acts (no implication is made of cardinality, a source of Acts may contain zero, one, or more member target Acts). It is expected that this will be primarily used with _ActClassRecordOrganizer, BATTERY, and LIST" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "23594" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "appliesTo" ];
       fhir:CodeSystem.value [ fhir:value "any Act" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "Name:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "memberOf" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.code [ fhir:value "Name:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "hasMember" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "EA_______" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "EA_______" ]
     ], [
       fhir:index 8;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "COMP" ]
     ], [
       fhir:index 9;
       fhir:CodeSystem.code [ fhir:value "conductible" ];
       fhir:CodeSystem.value [ fhir:value "false" ]
     ], [
       fhir:index 10;
       fhir:CodeSystem.code [ fhir:value "isDocumentCharacteristic" ];
       fhir:CodeSystem.value [ fhir:value "false" ]
     ], [
       fhir:index 11;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 12;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 65;
     fhir:CodeSystem.code [ fhir:value "PART" ];
     fhir:CodeSystem.display [ fhir:value "has part" ];
     fhir:CodeSystem.definition [ fhir:value "The source Act is a composite of the target Acts. The target Acts do not have an existence independent of the source Act.\r\n\r\n*UsageNote:* In UML 1.1, this is a \"composition\" defined as:  \r\n*\"A form of aggregation with strong ownership and coincident lifetime as part of the whole. Parts with non-fixed multiplicity may be created after the composite itself, but once created they live and die with it (i.e., they share lifetimes). Such parts can also be explicitly removed before the death of the composite. Composition may be recursive.\"*" ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has part" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has part" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has part" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has part" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has part" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "active" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "23596" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "appliesTo" ];
       fhir:CodeSystem.value [ fhir:value "any Act" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "Name:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "isPartOf" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "Name:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "hasPart" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "EB_______" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "EB_______" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "COMP" ]
     ], [
       fhir:index 8;
       fhir:CodeSystem.code [ fhir:value "conductible" ];
       fhir:CodeSystem.value [ fhir:value "false" ]
     ], [
       fhir:index 9;
       fhir:CodeSystem.code [ fhir:value "isDocumentCharacteristic" ];
       fhir:CodeSystem.value [ fhir:value "false" ]
     ], [
       fhir:index 10;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 11;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 66;
     fhir:CodeSystem.code [ fhir:value "SASEAE" ];
     fhir:CodeSystem.display [ fhir:value "starts after start of, ends after end of" ];
     fhir:CodeSystem.definition [ fhir:value "The source Act starts after start of the target Act and ends after end of the target Act.\r\n\r\n*UsageNote:* Inverse code is **SBSEBE**" ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts after start of, ends after end of" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts after start of, ends after end of" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts after start of, ends after end of" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts after start of, ends after end of" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts after start of, ends after end of" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts after start of, ends after end of" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts after start of, ends after end of" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts after start of, ends after end of" ]
     ], [
       fhir:index 8;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts after start of, ends after end of" ]
     ], [
       fhir:index 9;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts after start of, ends after end of" ]
     ], [
       fhir:index 10;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts after start of, ends after end of" ]
     ], [
       fhir:index 11;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts after start of, ends after end of" ]
     ], [
       fhir:index 12;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts after start of, ends after end of" ]
     ], [
       fhir:index 13;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts after start of, ends after end of" ]
     ], [
       fhir:index 14;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts after start of, ends after end of" ]
     ], [
       fhir:index 15;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts after start of, ends after end of" ]
     ], [
       fhir:index 16;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts after start of, ends after end of" ]
     ], [
       fhir:index 17;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts after start of, ends after end of" ]
     ], [
       fhir:index 18;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts after start of, ends after end of" ]
     ], [
       fhir:index 19;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts after start of, ends after end of" ]
     ], [
       fhir:index 20;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts after start of, ends after end of" ]
     ], [
       fhir:index 21;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts after start of, ends after end of" ]
     ], [
       fhir:index 22;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts after start of, ends after end of" ]
     ], [
       fhir:index 23;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts after start of, ends after end of" ]
     ], [
       fhir:index 24;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts after start of, ends after end of" ]
     ], [
       fhir:index 25;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts after start of, ends after end of" ]
     ], [
       fhir:index 26;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts after start of, ends after end of" ]
     ], [
       fhir:index 27;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts after start of, ends after end of" ]
     ], [
       fhir:index 28;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts after start of, ends after end of" ]
     ], [
       fhir:index 29;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts after start of, ends after end of" ]
     ], [
       fhir:index 30;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts after start of, ends after end of" ]
     ], [
       fhir:index 31;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts after start of, ends after end of" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "active" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "23583" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "Name:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "startsBeforeStartOfEndsBeforeEndOf" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "Name:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "startsAfterStartOfEndsAfterAndOf" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "EAE" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "SAS" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.code [ fhir:value "isDocumentCharacteristic" ];
       fhir:CodeSystem.value [ fhir:value "true" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 8;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 67;
     fhir:CodeSystem.code [ fhir:value "EAE" ];
     fhir:CodeSystem.display [ fhir:value "ends after end of" ];
     fhir:CodeSystem.definition [ fhir:value "A relationship in which the source act ends after the target act ends.\r\n\r\n*UsageNote:* Inverse code is **EBE**" ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends after end of" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends after end of" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends after end of" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends after end of" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends after end of" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends after end of" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends after end of" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends after end of" ]
     ], [
       fhir:index 8;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends after end of" ]
     ], [
       fhir:index 9;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends after end of" ]
     ], [
       fhir:index 10;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends after end of" ]
     ], [
       fhir:index 11;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends after end of" ]
     ], [
       fhir:index 12;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends after end of" ]
     ], [
       fhir:index 13;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends after end of" ]
     ], [
       fhir:index 14;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends after end of" ]
     ], [
       fhir:index 15;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends after end of" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "active" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "23081" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "Name:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "endsBeforeEndOf" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "Name:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "endsAfterEndOf" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "EAEORECW" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "EAS" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 68;
     fhir:CodeSystem.code [ fhir:value "ECW" ];
     fhir:CodeSystem.display [ fhir:value "ends concurrent with" ];
     fhir:CodeSystem.definition [ fhir:value "A relationship in which the source act's effective time ends with the end of the target act's effective time.\r\n\r\n*UsageNote:* This code is reflexive. Therefore its inverse code is itself." ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends concurrent with" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends concurrent with" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends concurrent with" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends concurrent with" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends concurrent with" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends concurrent with" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends concurrent with" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends concurrent with" ]
     ], [
       fhir:index 8;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends concurrent with" ]
     ], [
       fhir:index 9;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends concurrent with" ]
     ], [
       fhir:index 10;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends concurrent with" ]
     ], [
       fhir:index 11;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends concurrent with" ]
     ], [
       fhir:index 12;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends concurrent with" ]
     ], [
       fhir:index 13;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends concurrent with" ]
     ], [
       fhir:index 14;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends concurrent with" ]
     ], [
       fhir:index 15;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends concurrent with" ]
     ], [
       fhir:index 16;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends concurrent with" ]
     ], [
       fhir:index 17;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends concurrent with" ]
     ], [
       fhir:index 18;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends concurrent with" ]
     ], [
       fhir:index 19;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends concurrent with" ]
     ], [
       fhir:index 20;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends concurrent with" ]
     ], [
       fhir:index 21;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends concurrent with" ]
     ], [
       fhir:index 22;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends concurrent with" ]
     ], [
       fhir:index 23;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends concurrent with" ]
     ], [
       fhir:index 24;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends concurrent with" ]
     ], [
       fhir:index 25;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends concurrent with" ]
     ], [
       fhir:index 26;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends concurrent with" ]
     ], [
       fhir:index 27;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends concurrent with" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "active" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "23033" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "Name:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "endsConcurrentlyWith" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "Name:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "endsConcurrentlyWith" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "EAEORECW" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "EBEORECW" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "ENE" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "OVERLAP" ]
     ], [
       fhir:index 8;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 9;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 69;
     fhir:CodeSystem.code [ fhir:value "SAS" ];
     fhir:CodeSystem.display [ fhir:value "starts after start of" ];
     fhir:CodeSystem.definition [ fhir:value "The source Act starts after the start of the target Act (i.e. if we say \"ActOne SAS ActTwo\", it means that ActOne starts after the start of ActTwo, therefore ActOne is the source and ActTwo is the target).\r\n\r\n*UsageNote:* Inverse code is **SBS**" ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts after start of" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts after start of" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts after start of" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts after start of" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts after start of" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts after start of" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts after start of" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts after start of" ]
     ], [
       fhir:index 8;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts after start of" ]
     ], [
       fhir:index 9;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts after start of" ]
     ], [
       fhir:index 10;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts after start of" ]
     ], [
       fhir:index 11;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts after start of" ]
     ], [
       fhir:index 12;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts after start of" ]
     ], [
       fhir:index 13;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts after start of" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "active" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "21308" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "isDocumentCharacteristic" ];
       fhir:CodeSystem.value [ fhir:value "true" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "Name:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "startsBeforeStartOf" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "Name:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "startsAfterStartOf" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "EAS" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "SASORSCW" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 8;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 70;
     fhir:CodeSystem.code [ fhir:value "EAEORECW" ];
     fhir:CodeSystem.display [ fhir:value "ends after or concurrent with end of" ];
     fhir:CodeSystem.definition [ fhir:value "A relationship in which the source act's effective time ends after or concurrent with the end of the target act's effective time.\r\n\r\n*Usage Note:* Inverse code is EBEORECW" ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends after or concurrent with end of" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends after or concurrent with end of" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends after or concurrent with end of" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends after or concurrent with end of" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends after or concurrent with end of" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends after or concurrent with end of" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "active" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "23646" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "Name:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "endsBeforeOrConcurrentWithEndOf" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "Name:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "endsAfterOrConcurrentWithEndOf" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "EASORECWS" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 71;
     fhir:CodeSystem.code [ fhir:value "ECWS" ];
     fhir:CodeSystem.display [ fhir:value "ends concurrent with start of" ];
     fhir:CodeSystem.definition [ fhir:value "The source Act ends when the target act starts (i.e. if we say \"ActOne ECWS ActTwo\", it means that ActOne ends when ActTwo starts, therefore ActOne is the source and ActTwo is the target).\r\n\r\n*UsageNote:* Inverse code is **SCWE**" ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends concurrent with start of" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends concurrent with start of" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends concurrent with start of" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends concurrent with start of" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends concurrent with start of" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends concurrent with start of" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends concurrent with start of" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends concurrent with start of" ]
     ], [
       fhir:index 8;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends concurrent with start of" ]
     ], [
       fhir:index 9;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends concurrent with start of" ]
     ], [
       fhir:index 10;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends concurrent with start of" ]
     ], [
       fhir:index 11;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends concurrent with start of" ]
     ], [
       fhir:index 12;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends concurrent with start of" ]
     ], [
       fhir:index 13;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends concurrent with start of" ]
     ], [
       fhir:index 14;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends concurrent with start of" ]
     ], [
       fhir:index 15;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends concurrent with start of" ]
     ], [
       fhir:index 16;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends concurrent with start of" ]
     ], [
       fhir:index 17;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends concurrent with start of" ]
     ], [
       fhir:index 18;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends concurrent with start of" ]
     ], [
       fhir:index 19;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends concurrent with start of" ]
     ], [
       fhir:index 20;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends concurrent with start of" ]
     ], [
       fhir:index 21;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends concurrent with start of" ]
     ], [
       fhir:index 22;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends concurrent with start of" ]
     ], [
       fhir:index 23;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends concurrent with start of" ]
     ], [
       fhir:index 24;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends concurrent with start of" ]
     ], [
       fhir:index 25;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends concurrent with start of" ]
     ], [
       fhir:index 26;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends concurrent with start of" ]
     ], [
       fhir:index 27;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends concurrent with start of" ]
     ], [
       fhir:index 28;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends concurrent with start of" ]
     ], [
       fhir:index 29;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends concurrent with start of" ]
     ], [
       fhir:index 30;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends concurrent with start of" ]
     ], [
       fhir:index 31;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends concurrent with start of" ]
     ], [
       fhir:index 32;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends concurrent with start of" ]
     ], [
       fhir:index 33;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends concurrent with start of" ]
     ], [
       fhir:index 34;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends concurrent with start of" ]
     ], [
       fhir:index 35;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends concurrent with start of" ]
     ], [
       fhir:index 36;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends concurrent with start of" ]
     ], [
       fhir:index 37;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends concurrent with start of" ]
     ], [
       fhir:index 38;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends concurrent with start of" ]
     ], [
       fhir:index 39;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends concurrent with start of" ]
     ], [
       fhir:index 40;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends concurrent with start of" ]
     ], [
       fhir:index 41;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends concurrent with start of" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "active" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "23463" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "Name:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "startsConcurrentWithEndOf" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "Name:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "endsConcurrentWithStartOf" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "EASORECWS" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "EBSORECWS" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "ENS" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 8;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 72;
     fhir:CodeSystem.code [ fhir:value "SBSEBE" ];
     fhir:CodeSystem.display [ fhir:value "starts before start of, ends before end of" ];
     fhir:CodeSystem.definition [ fhir:value "The source Act starts before the start of the target Act, and ends before the end of the target Act.\r\n\r\n*UsageNote:* Inverse code is **SASEAE**" ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts before start of, ends before end of" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts before start of, ends before end of" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts before start of, ends before end of" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts before start of, ends before end of" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts before start of, ends before end of" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts before start of, ends before end of" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts before start of, ends before end of" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts before start of, ends before end of" ]
     ], [
       fhir:index 8;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts before start of, ends before end of" ]
     ], [
       fhir:index 9;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts before start of, ends before end of" ]
     ], [
       fhir:index 10;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts before start of, ends before end of" ]
     ], [
       fhir:index 11;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts before start of, ends before end of" ]
     ], [
       fhir:index 12;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts before start of, ends before end of" ]
     ], [
       fhir:index 13;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts before start of, ends before end of" ]
     ], [
       fhir:index 14;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts before start of, ends before end of" ]
     ], [
       fhir:index 15;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts before start of, ends before end of" ]
     ], [
       fhir:index 16;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts before start of, ends before end of" ]
     ], [
       fhir:index 17;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts before start of, ends before end of" ]
     ], [
       fhir:index 18;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts before start of, ends before end of" ]
     ], [
       fhir:index 19;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts before start of, ends before end of" ]
     ], [
       fhir:index 20;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts before start of, ends before end of" ]
     ], [
       fhir:index 21;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts before start of, ends before end of" ]
     ], [
       fhir:index 22;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts before start of, ends before end of" ]
     ], [
       fhir:index 23;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts before start of, ends before end of" ]
     ], [
       fhir:index 24;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts before start of, ends before end of" ]
     ], [
       fhir:index 25;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts before start of, ends before end of" ]
     ], [
       fhir:index 26;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts before start of, ends before end of" ]
     ], [
       fhir:index 27;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts before start of, ends before end of" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "active" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "23590" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "Name:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "startsAfterStartOfEndsAfterAndOf" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "Name:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "startsBeforeStartOfEndsBeforeEndOf" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "EBE" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "SBS" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 73;
     fhir:CodeSystem.code [ fhir:value "EBE" ];
     fhir:CodeSystem.display [ fhir:value "ends before end of" ];
     fhir:CodeSystem.definition [ fhir:value "The source Act ends before the end of the target Act (i.e. if we say \"ActOne EBE ActTwo\", it means that ActOne ends before the end of ActTwo, therefore ActOne is the source and ActTwo is the target).\r\n\r\n*UsageNote:* Inverse code is **EAE**" ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends before end of" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends before end of" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends before end of" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends before end of" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends before end of" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends before end of" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends before end of" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends before end of" ]
     ], [
       fhir:index 8;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends before end of" ]
     ], [
       fhir:index 9;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends before end of" ]
     ], [
       fhir:index 10;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends before end of" ]
     ], [
       fhir:index 11;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends before end of" ]
     ], [
       fhir:index 12;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends before end of" ]
     ], [
       fhir:index 13;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends before end of" ]
     ], [
       fhir:index 14;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends before end of" ]
     ], [
       fhir:index 15;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends before end of" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "active" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "23461" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "Name:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "endsAfterEndOf" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "Name:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "endsBeforeEndOf" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "EBEORECW" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "SBE" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 74;
     fhir:CodeSystem.code [ fhir:value "EBS" ];
     fhir:CodeSystem.display [ fhir:value "ends before start of" ];
     fhir:CodeSystem.definition [ fhir:value "A relationship in which the source act ends before the target act starts.\r\n\r\n*UsageNote:* Inverse code is **SAE**" ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends before start of" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends before start of" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends before start of" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends before start of" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends before start of" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends before start of" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends before start of" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends before start of" ]
     ], [
       fhir:index 8;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends before start of" ]
     ], [
       fhir:index 9;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends before start of" ]
     ], [
       fhir:index 10;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends before start of" ]
     ], [
       fhir:index 11;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends before start of" ]
     ], [
       fhir:index 12;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends before start of" ]
     ], [
       fhir:index 13;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends before start of" ]
     ], [
       fhir:index 14;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends before start of" ]
     ], [
       fhir:index 15;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends before start of" ]
     ], [
       fhir:index 16;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends before start of" ]
     ], [
       fhir:index 17;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends before start of" ]
     ], [
       fhir:index 18;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends before start of" ]
     ], [
       fhir:index 19;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends before start of" ]
     ], [
       fhir:index 20;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends before start of" ]
     ], [
       fhir:index 21;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends before start of" ]
     ], [
       fhir:index 22;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends before start of" ]
     ], [
       fhir:index 23;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends before start of" ]
     ], [
       fhir:index 24;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends before start of" ]
     ], [
       fhir:index 25;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends before start of" ]
     ], [
       fhir:index 26;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends before start of" ]
     ], [
       fhir:index 27;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends before start of" ]
     ], [
       fhir:index 28;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends before start of" ]
     ], [
       fhir:index 29;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends before start of" ]
     ], [
       fhir:index 30;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends before start of" ]
     ], [
       fhir:index 31;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends before start of" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "active" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "23078" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "Name:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "startsAfterEndOf" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "Name:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "endsBeforeStartOf" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "EBSORECWS" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 75;
     fhir:CodeSystem.code [ fhir:value "CONCURRENT" ];
     fhir:CodeSystem.display [ fhir:value "concurrent with" ];
     fhir:CodeSystem.definition [ fhir:value "A relationship in which the source act's effective time is the same as the target act's effective time.\r\n\r\n*UsageNote:* This code is reflexive. Therefore its inverse code is itself." ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "concurrent with" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "concurrent with" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "concurrent with" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "concurrent with" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "concurrent with" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "concurrent with" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "concurrent with" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "concurrent with" ]
     ], [
       fhir:index 8;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "concurrent with" ]
     ], [
       fhir:index 9;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "concurrent with" ]
     ], [
       fhir:index 10;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "concurrent with" ]
     ], [
       fhir:index 11;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "concurrent with" ]
     ], [
       fhir:index 12;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "concurrent with" ]
     ], [
       fhir:index 13;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "concurrent with" ]
     ], [
       fhir:index 14;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "concurrent with" ]
     ], [
       fhir:index 15;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "concurrent with" ]
     ], [
       fhir:index 16;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "concurrent with" ]
     ], [
       fhir:index 17;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "concurrent with" ]
     ], [
       fhir:index 18;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "concurrent with" ]
     ], [
       fhir:index 19;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "concurrent with" ]
     ], [
       fhir:index 20;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "concurrent with" ]
     ], [
       fhir:index 21;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "concurrent with" ]
     ], [
       fhir:index 22;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "concurrent with" ]
     ], [
       fhir:index 23;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "concurrent with" ]
     ], [
       fhir:index 24;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "concurrent with" ]
     ], [
       fhir:index 25;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "concurrent with" ]
     ], [
       fhir:index 26;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "concurrent with" ]
     ], [
       fhir:index 27;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "concurrent with" ]
     ], [
       fhir:index 28;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "concurrent with" ]
     ], [
       fhir:index 29;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "concurrent with" ]
     ], [
       fhir:index 30;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "concurrent with" ]
     ], [
       fhir:index 31;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "concurrent with" ]
     ], [
       fhir:index 32;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "concurrent with" ]
     ], [
       fhir:index 33;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "concurrent with" ]
     ], [
       fhir:index 34;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "concurrent with" ]
     ], [
       fhir:index 35;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "concurrent with" ]
     ], [
       fhir:index 36;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "concurrent with" ]
     ], [
       fhir:index 37;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "concurrent with" ]
     ], [
       fhir:index 38;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "concurrent with" ]
     ], [
       fhir:index 39;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "concurrent with" ]
     ], [
       fhir:index 40;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "concurrent with" ]
     ], [
       fhir:index 41;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "concurrent with" ]
     ], [
       fhir:index 42;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "concurrent with" ]
     ], [
       fhir:index 43;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "concurrent with" ]
     ], [
       fhir:index 44;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "concurrent with" ]
     ], [
       fhir:index 45;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "concurrent with" ]
     ], [
       fhir:index 46;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "concurrent with" ]
     ], [
       fhir:index 47;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "concurrent with" ]
     ], [
       fhir:index 48;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "concurrent with" ]
     ], [
       fhir:index 49;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "concurrent with" ]
     ], [
       fhir:index 50;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "concurrent with" ]
     ], [
       fhir:index 51;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "concurrent with" ]
     ], [
       fhir:index 52;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "concurrent with" ]
     ], [
       fhir:index 53;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "concurrent with" ]
     ], [
       fhir:index 54;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "concurrent with" ]
     ], [
       fhir:index 55;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "concurrent with" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "active" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "23032" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "Name:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "isConcurrentWith" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "Name:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "isConcurrentWith" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "ECW" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "SCW" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 76;
     fhir:CodeSystem.code [ fhir:value "SBSECWE" ];
     fhir:CodeSystem.display [ fhir:value "starts before start of, ends with" ];
     fhir:CodeSystem.definition [ fhir:value "The source Act starts before the start of the target Act, and ends with the target Act.\r\n\r\n*UsageNote:* Inverse code is **SASECWE**" ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts before start of, ends with" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts before start of, ends with" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts before start of, ends with" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts before start of, ends with" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts before start of, ends with" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts before start of, ends with" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts before start of, ends with" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts before start of, ends with" ]
     ], [
       fhir:index 8;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts before start of, ends with" ]
     ], [
       fhir:index 9;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts before start of, ends with" ]
     ], [
       fhir:index 10;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts before start of, ends with" ]
     ], [
       fhir:index 11;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts before start of, ends with" ]
     ], [
       fhir:index 12;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts before start of, ends with" ]
     ], [
       fhir:index 13;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts before start of, ends with" ]
     ], [
       fhir:index 14;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts before start of, ends with" ]
     ], [
       fhir:index 15;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts before start of, ends with" ]
     ], [
       fhir:index 16;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts before start of, ends with" ]
     ], [
       fhir:index 17;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts before start of, ends with" ]
     ], [
       fhir:index 18;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts before start of, ends with" ]
     ], [
       fhir:index 19;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts before start of, ends with" ]
     ], [
       fhir:index 20;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts before start of, ends with" ]
     ], [
       fhir:index 21;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts before start of, ends with" ]
     ], [
       fhir:index 22;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts before start of, ends with" ]
     ], [
       fhir:index 23;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts before start of, ends with" ]
     ], [
       fhir:index 24;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts before start of, ends with" ]
     ], [
       fhir:index 25;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts before start of, ends with" ]
     ], [
       fhir:index 26;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts before start of, ends with" ]
     ], [
       fhir:index 27;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts before start of, ends with" ]
     ], [
       fhir:index 28;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts before start of, ends with" ]
     ], [
       fhir:index 29;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts before start of, ends with" ]
     ], [
       fhir:index 30;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts before start of, ends with" ]
     ], [
       fhir:index 31;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts before start of, ends with" ]
     ], [
       fhir:index 32;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts before start of, ends with" ]
     ], [
       fhir:index 33;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts before start of, ends with" ]
     ], [
       fhir:index 34;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts before start of, ends with" ]
     ], [
       fhir:index 35;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts before start of, ends with" ]
     ], [
       fhir:index 36;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts before start of, ends with" ]
     ], [
       fhir:index 37;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts before start of, ends with" ]
     ], [
       fhir:index 38;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts before start of, ends with" ]
     ], [
       fhir:index 39;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts before start of, ends with" ]
     ], [
       fhir:index 40;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts before start of, ends with" ]
     ], [
       fhir:index 41;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts before start of, ends with" ]
     ], [
       fhir:index 42;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts before start of, ends with" ]
     ], [
       fhir:index 43;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts before start of, ends with" ]
     ], [
       fhir:index 44;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts before start of, ends with" ]
     ], [
       fhir:index 45;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts before start of, ends with" ]
     ], [
       fhir:index 46;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts before start of, ends with" ]
     ], [
       fhir:index 47;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts before start of, ends with" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "active" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "23591" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "Name:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "startsAfterStartOfEndsWith" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "Name:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "startsBeforeStartOfEndsWith" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "ECW" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "SBSEAS" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 77;
     fhir:CodeSystem.code [ fhir:value "SBSEASEBE" ];
     fhir:CodeSystem.display [ fhir:value "contains start of, ends before end of" ];
     fhir:CodeSystem.definition [ fhir:value "The source Act contains the start of the target Act, and ends before the end of the target Act.\r\n\r\n*UsageNote:* Inverse code is **SASSBEEAS**" ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains start of, ends before end of" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains start of, ends before end of" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains start of, ends before end of" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains start of, ends before end of" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains start of, ends before end of" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains start of, ends before end of" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains start of, ends before end of" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains start of, ends before end of" ]
     ], [
       fhir:index 8;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains start of, ends before end of" ]
     ], [
       fhir:index 9;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains start of, ends before end of" ]
     ], [
       fhir:index 10;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains start of, ends before end of" ]
     ], [
       fhir:index 11;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains start of, ends before end of" ]
     ], [
       fhir:index 12;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains start of, ends before end of" ]
     ], [
       fhir:index 13;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains start of, ends before end of" ]
     ], [
       fhir:index 14;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains start of, ends before end of" ]
     ], [
       fhir:index 15;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains start of, ends before end of" ]
     ], [
       fhir:index 16;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains start of, ends before end of" ]
     ], [
       fhir:index 17;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains start of, ends before end of" ]
     ], [
       fhir:index 18;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains start of, ends before end of" ]
     ], [
       fhir:index 19;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains start of, ends before end of" ]
     ], [
       fhir:index 20;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains start of, ends before end of" ]
     ], [
       fhir:index 21;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains start of, ends before end of" ]
     ], [
       fhir:index 22;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains start of, ends before end of" ]
     ], [
       fhir:index 23;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains start of, ends before end of" ]
     ], [
       fhir:index 24;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains start of, ends before end of" ]
     ], [
       fhir:index 25;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains start of, ends before end of" ]
     ], [
       fhir:index 26;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains start of, ends before end of" ]
     ], [
       fhir:index 27;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains start of, ends before end of" ]
     ], [
       fhir:index 28;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains start of, ends before end of" ]
     ], [
       fhir:index 29;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains start of, ends before end of" ]
     ], [
       fhir:index 30;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains start of, ends before end of" ]
     ], [
       fhir:index 31;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains start of, ends before end of" ]
     ], [
       fhir:index 32;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains start of, ends before end of" ]
     ], [
       fhir:index 33;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains start of, ends before end of" ]
     ], [
       fhir:index 34;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains start of, ends before end of" ]
     ], [
       fhir:index 35;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains start of, ends before end of" ]
     ], [
       fhir:index 36;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains start of, ends before end of" ]
     ], [
       fhir:index 37;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains start of, ends before end of" ]
     ], [
       fhir:index 38;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains start of, ends before end of" ]
     ], [
       fhir:index 39;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains start of, ends before end of" ]
     ], [
       fhir:index 40;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains start of, ends before end of" ]
     ], [
       fhir:index 41;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains start of, ends before end of" ]
     ], [
       fhir:index 42;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains start of, ends before end of" ]
     ], [
       fhir:index 43;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains start of, ends before end of" ]
     ], [
       fhir:index 44;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains start of, ends before end of" ]
     ], [
       fhir:index 45;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains start of, ends before end of" ]
     ], [
       fhir:index 46;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains start of, ends before end of" ]
     ], [
       fhir:index 47;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains start of, ends before end of" ]
     ], [
       fhir:index 48;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains start of, ends before end of" ]
     ], [
       fhir:index 49;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains start of, ends before end of" ]
     ], [
       fhir:index 50;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains start of, ends before end of" ]
     ], [
       fhir:index 51;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains start of, ends before end of" ]
     ], [
       fhir:index 52;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains start of, ends before end of" ]
     ], [
       fhir:index 53;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains start of, ends before end of" ]
     ], [
       fhir:index 54;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains start of, ends before end of" ]
     ], [
       fhir:index 55;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains start of, ends before end of" ]
     ], [
       fhir:index 56;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains start of, ends before end of" ]
     ], [
       fhir:index 57;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains start of, ends before end of" ]
     ], [
       fhir:index 58;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains start of, ends before end of" ]
     ], [
       fhir:index 59;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains start of, ends before end of" ]
     ], [
       fhir:index 60;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains start of, ends before end of" ]
     ], [
       fhir:index 61;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains start of, ends before end of" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "active" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "23589" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "Name:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "startAfterStartOfContainsEndOf" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "Name:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "containsStartOfEndsBeforeEndOf" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "EDU" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "SBE" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "SBSEAS" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "SBSEBE" ]
     ], [
       fhir:index 8;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 9;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 78;
     fhir:CodeSystem.code [ fhir:value "SCWSEBE" ];
     fhir:CodeSystem.display [ fhir:value "starts with. ends before end of" ];
     fhir:CodeSystem.definition [ fhir:value "The source Act starts with.the target Act and ends before the end of the target Act.\r\n\r\n*UsageNote:* Inverse code is **SCWSEAE**" ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts with. ends before end of" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts with. ends before end of" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts with. ends before end of" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts with. ends before end of" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts with. ends before end of" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts with. ends before end of" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts with. ends before end of" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts with. ends before end of" ]
     ], [
       fhir:index 8;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts with. ends before end of" ]
     ], [
       fhir:index 9;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts with. ends before end of" ]
     ], [
       fhir:index 10;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts with. ends before end of" ]
     ], [
       fhir:index 11;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts with. ends before end of" ]
     ], [
       fhir:index 12;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts with. ends before end of" ]
     ], [
       fhir:index 13;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts with. ends before end of" ]
     ], [
       fhir:index 14;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts with. ends before end of" ]
     ], [
       fhir:index 15;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts with. ends before end of" ]
     ], [
       fhir:index 16;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts with. ends before end of" ]
     ], [
       fhir:index 17;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts with. ends before end of" ]
     ], [
       fhir:index 18;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts with. ends before end of" ]
     ], [
       fhir:index 19;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts with. ends before end of" ]
     ], [
       fhir:index 20;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts with. ends before end of" ]
     ], [
       fhir:index 21;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts with. ends before end of" ]
     ], [
       fhir:index 22;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts with. ends before end of" ]
     ], [
       fhir:index 23;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts with. ends before end of" ]
     ], [
       fhir:index 24;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts with. ends before end of" ]
     ], [
       fhir:index 25;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts with. ends before end of" ]
     ], [
       fhir:index 26;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts with. ends before end of" ]
     ], [
       fhir:index 27;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts with. ends before end of" ]
     ], [
       fhir:index 28;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts with. ends before end of" ]
     ], [
       fhir:index 29;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts with. ends before end of" ]
     ], [
       fhir:index 30;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts with. ends before end of" ]
     ], [
       fhir:index 31;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts with. ends before end of" ]
     ], [
       fhir:index 32;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts with. ends before end of" ]
     ], [
       fhir:index 33;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts with. ends before end of" ]
     ], [
       fhir:index 34;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts with. ends before end of" ]
     ], [
       fhir:index 35;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts with. ends before end of" ]
     ], [
       fhir:index 36;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts with. ends before end of" ]
     ], [
       fhir:index 37;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts with. ends before end of" ]
     ], [
       fhir:index 38;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts with. ends before end of" ]
     ], [
       fhir:index 39;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts with. ends before end of" ]
     ], [
       fhir:index 40;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts with. ends before end of" ]
     ], [
       fhir:index 41;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts with. ends before end of" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "active" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "23593" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "Name:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "startsWithEndsAfterEndOf" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "Name:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "startsWithEndsBeforeEndOf" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "EDU" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "SBE" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "SCW" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 8;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 79;
     fhir:CodeSystem.code [ fhir:value "OCCR" ];
     fhir:CodeSystem.display [ fhir:value "occurrence" ];
     fhir:CodeSystem.definition [ fhir:value "The source act is a single occurrence of a repeatable target act. The source and target act can be in any mood on the \"completion track\" but the source act must be as far as or further along the track than the target act (i.e., the occurrence of an intent can be an event but not vice versa)." ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         a sct:900000000000013009;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
         fhir:Coding.code [ fhir:value "900000000000013009" ]
       ];
       fhir:CodeSystem.value [ fhir:value "is occurrence of" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "occurrence" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "occurrence" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "occurrence" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "occurrence" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "occurrence" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "occurrence" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "occurrence" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "active" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "11614" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "isDocumentCharacteristic" ];
       fhir:CodeSystem.value [ fhir:value "true" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "Name:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "occurrence" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "Name:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "occurrenceOf" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "BAA______" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "BAA______" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "FLFS" ]
     ], [
       fhir:index 8;
       fhir:CodeSystem.code [ fhir:value "conductible" ];
       fhir:CodeSystem.value [ fhir:value "false" ]
     ], [
       fhir:index 9;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 10;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 80;
     fhir:CodeSystem.code [ fhir:value "OREF" ];
     fhir:CodeSystem.display [ fhir:value "references order" ];
     fhir:CodeSystem.definition [ fhir:value "Relates either an appointment request or an appointment to the order for the service being scheduled." ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "references order" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "references order" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "references order" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "references order" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "references order" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "references order" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "references order" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "active" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "11628" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "appliesTo" ];
       fhir:CodeSystem.value [ fhir:value "ActMood = ARQ or APT and ActMood = ORD" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "isDocumentCharacteristic" ];
       fhir:CodeSystem.value [ fhir:value "true" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "Name:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "referencedBy" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.code [ fhir:value "Name:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "referencedOrder" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "BAB______" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "BAB______" ]
     ], [
       fhir:index 8;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "FLFS" ]
     ], [
       fhir:index 9;
       fhir:CodeSystem.code [ fhir:value "conductible" ];
       fhir:CodeSystem.value [ fhir:value "false" ]
     ], [
       fhir:index 10;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 11;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 81;
     fhir:CodeSystem.code [ fhir:value "SCH" ];
     fhir:CodeSystem.display [ fhir:value "schedules request" ];
     fhir:CodeSystem.definition [ fhir:value "Associates a specific time (and associated resources) with a scheduling request or other intent." ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         a sct:900000000000013009;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
         fhir:Coding.code [ fhir:value "900000000000013009" ]
       ];
       fhir:CodeSystem.value [ fhir:value "schedules" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "schedules request" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "schedules request" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "schedules request" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "schedules request" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "schedules request" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "schedules request" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "schedules request" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "active" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "11627" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "isDocumentCharacteristic" ];
       fhir:CodeSystem.value [ fhir:value "true" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "Name:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "requestedBy" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "Name:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "scheduleRequest" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "BAC______" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "BAC______" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "FLFS" ]
     ], [
       fhir:index 8;
       fhir:CodeSystem.code [ fhir:value "conductible" ];
       fhir:CodeSystem.value [ fhir:value "false" ]
     ], [
       fhir:index 9;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 10;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 82;
     fhir:CodeSystem.code [ fhir:value "ACTIMM" ];
     fhir:CodeSystem.display [ fhir:value "active immunization against" ];
     fhir:CodeSystem.definition [ fhir:value "**Description:** The source act is intended to provide active immunity against the effects of the target act (the target act describes an infectious disease)" ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "active immunization against" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "active immunization against" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "active immunization against" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "active immunization against" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "active immunization against" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "active immunization against" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "active immunization against" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "active immunization against" ]
     ], [
       fhir:index 8;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "active immunization against" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "active" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "23305" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "Name:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "activelyImmunizedAgainst" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "IMM" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "conductible" ];
       fhir:CodeSystem.value [ fhir:value "true" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.code [ fhir:value "isDocumentCharacteristic" ];
       fhir:CodeSystem.value [ fhir:value "true" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 83;
     fhir:CodeSystem.code [ fhir:value "PASSIMM" ];
     fhir:CodeSystem.display [ fhir:value "passive immunization against" ];
     fhir:CodeSystem.definition [ fhir:value "**Description:** The source act is intended to provide passive immunity against the effects of the target act (the target act describes an infectious disease)." ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "passive immunization against" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "passive immunization against" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "passive immunization against" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "passive immunization against" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "passive immunization against" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "passive immunization against" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "passive immunization against" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "passive immunization against" ]
     ], [
       fhir:index 8;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "passive immunization against" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "active" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "23306" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "Name:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "passivelyImmunizedAgainst" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "IMM" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "conductible" ];
       fhir:CodeSystem.value [ fhir:value "true" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.code [ fhir:value "isDocumentCharacteristic" ];
       fhir:CodeSystem.value [ fhir:value "true" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 84;
     fhir:CodeSystem.code [ fhir:value "STEP" ];
     fhir:CodeSystem.display [ fhir:value "has step" ];
     fhir:CodeSystem.definition [ fhir:value "A collection of sub-services as steps or subtasks performed for the source service. Services may be performed sequentially or concurrently.\r\n\r\n*UsageNotes:* Sequence of steps may be indicated by use of \\_ActRelationshipTemporallyPertains, as well as via ActRelationship.sequenceNumber, ActRelationship.pauseQuantity, Target.priorityCode.\r\n\r\n*OpenIssue:* Need Additional guidelines on when each approach should be used." ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has step" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has step" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has step" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has step" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has step" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has step" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has step" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "active" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "HL7usageNotes" ];
       fhir:CodeSystem.value [ fhir:value "Sequence of steps may be indicated by use of _ActRelationshipTemporallyPertains, as well as via  ActRelationship.sequenceNumber, ActRelationship.pauseQuantity, Target.priorityCode." ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "23595" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "appliesTo" ];
       fhir:CodeSystem.value [ fhir:value "any _ActMoodCompletionTrack" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "Name:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "isStepOf" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.code [ fhir:value "Name:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "hasStep" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "EAA______" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "EAA______" ]
     ], [
       fhir:index 8;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "MBR" ]
     ], [
       fhir:index 9;
       fhir:CodeSystem.code [ fhir:value "conductible" ];
       fhir:CodeSystem.value [ fhir:value "false" ]
     ], [
       fhir:index 10;
       fhir:CodeSystem.code [ fhir:value "isDocumentCharacteristic" ];
       fhir:CodeSystem.value [ fhir:value "false" ]
     ], [
       fhir:index 11;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 12;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 85;
     fhir:CodeSystem.code [ fhir:value "RCVY" ];
     fhir:CodeSystem.display [ fhir:value "recovers" ];
     fhir:CodeSystem.definition [ fhir:value "**Definition:** The source act is performed to recover from the effects of the target act." ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "recovers" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "recovers" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "recovers" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "recovers" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "recovers" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "recovers" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "recovers" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "recovers" ]
     ], [
       fhir:index 8;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "recovers" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "active" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "22189" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "isDocumentCharacteristic" ];
       fhir:CodeSystem.value [ fhir:value "true" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "Name:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "recoveredFrom" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "Name:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "recovers" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "MITGT" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.code [ fhir:value "conductible" ];
       fhir:CodeSystem.value [ fhir:value "true" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 8;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 86;
     fhir:CodeSystem.code [ fhir:value "_ActRelationsipObjective" ];
     fhir:CodeSystem.display [ fhir:value "Act Relationsip Objective" ];
     fhir:CodeSystem.definition [ fhir:value "The target act is a desired outcome of the source act. Source is any act (typically an intervention). Target must be an observation in criterion mood." ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "Act Relationsip Objective" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "Act Relationsip Objective" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "Act Relationsip Objective" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "Act Relationsip Objective" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "Act Relationsip Objective" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "notSelectable" ];
       fhir:CodeSystem.value [ fhir:value "true" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "active" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "21384" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "isDocumentCharacteristic" ];
       fhir:CodeSystem.value [ fhir:value "true" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "Name:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "goalOf" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.code [ fhir:value "Name:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "goal" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "AC_______" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "AC_______" ]
     ], [
       fhir:index 8;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "OUTC" ]
     ], [
       fhir:index 9;
       fhir:CodeSystem.code [ fhir:value "conductible" ];
       fhir:CodeSystem.value [ fhir:value "false" ]
     ], [
       fhir:index 10;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 11;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 87;
     fhir:CodeSystem.code [ fhir:value "GOAL" ];
     fhir:CodeSystem.display [ fhir:value "has goal" ];
     fhir:CodeSystem.definition [ fhir:value "A goal that one defines given a patient's health condition. Subsequently planned actions aim to meet that goal. Source is an observation or condition node, target must be an observation in goal mood." ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has goal" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has goal" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has goal" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has goal" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has goal" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "active" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "10325" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "appliesTo" ];
       fhir:CodeSystem.value [ fhir:value "observation, condition" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "howApplies" ];
       fhir:CodeSystem.value [ fhir:value "goal" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "isDocumentCharacteristic" ];
       fhir:CodeSystem.value [ fhir:value "true" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.code [ fhir:value "Name:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "goalOf" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.code [ fhir:value "Name:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "goal" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "AB_______" ]
     ], [
       fhir:index 8;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "AB_______" ]
     ], [
       fhir:index 9;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "OUTC" ]
     ], [
       fhir:index 10;
       fhir:CodeSystem.code [ fhir:value "conductible" ];
       fhir:CodeSystem.value [ fhir:value "false" ]
     ], [
       fhir:index 11;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 12;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 88;
     fhir:CodeSystem.code [ fhir:value "RISK" ];
     fhir:CodeSystem.display [ fhir:value "has risk" ];
     fhir:CodeSystem.definition [ fhir:value "A noteworthy undesired outcome of a patient's condition that is either likely enough to become an issue or is less likely but dangerous enough to be addressed." ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has risk" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has risk" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has risk" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has risk" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has risk" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "active" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "10328" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "appliesTo" ];
       fhir:CodeSystem.value [ fhir:value "observation, condition" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "howApplies" ];
       fhir:CodeSystem.value [ fhir:value "risk" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "isDocumentCharacteristic" ];
       fhir:CodeSystem.value [ fhir:value "true" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.code [ fhir:value "Name:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "riskOf" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.code [ fhir:value "Name:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "risk" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "AA_______" ]
     ], [
       fhir:index 8;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "AA_______" ]
     ], [
       fhir:index 9;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "OUTC" ]
     ], [
       fhir:index 10;
       fhir:CodeSystem.code [ fhir:value "conductible" ];
       fhir:CodeSystem.value [ fhir:value "false" ]
     ], [
       fhir:index 11;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 12;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 89;
     fhir:CodeSystem.code [ fhir:value "EDU" ];
     fhir:CodeSystem.display [ fhir:value "ends during" ];
     fhir:CodeSystem.definition [ fhir:value "A relationship in which the source act ends within the target act's effective time (including end points, as defined in the act's effective times)\r\n\r\n*UsageNote:* Inverse code is **SBEEAE**" ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends during" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends during" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends during" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends during" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends during" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends during" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends during" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends during" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "active" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "23080" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "Name:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "encompassesEndOf" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "Name:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "endsDuring" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "OVERLAP" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 90;
     fhir:CodeSystem.code [ fhir:value "SBEEAE" ];
     fhir:CodeSystem.display [ fhir:value "contains end of" ];
     fhir:CodeSystem.definition [ fhir:value "The source Act contains the end of the target Act.\r\n\r\n*UsageNote:* Inverse code is **EDU**" ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains end of" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains end of" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains end of" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains end of" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains end of" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains end of" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains end of" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains end of" ]
     ], [
       fhir:index 8;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains end of" ]
     ], [
       fhir:index 9;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains end of" ]
     ], [
       fhir:index 10;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains end of" ]
     ], [
       fhir:index 11;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains end of" ]
     ], [
       fhir:index 12;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains end of" ]
     ], [
       fhir:index 13;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains end of" ]
     ], [
       fhir:index 14;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains end of" ]
     ], [
       fhir:index 15;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains end of" ]
     ], [
       fhir:index 16;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains end of" ]
     ], [
       fhir:index 17;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains end of" ]
     ], [
       fhir:index 18;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains end of" ]
     ], [
       fhir:index 19;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains end of" ]
     ], [
       fhir:index 20;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains end of" ]
     ], [
       fhir:index 21;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains end of" ]
     ], [
       fhir:index 22;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains end of" ]
     ], [
       fhir:index 23;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains end of" ]
     ], [
       fhir:index 24;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains end of" ]
     ], [
       fhir:index 25;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains end of" ]
     ], [
       fhir:index 26;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains end of" ]
     ], [
       fhir:index 27;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains end of" ]
     ], [
       fhir:index 28;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains end of" ]
     ], [
       fhir:index 29;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains end of" ]
     ], [
       fhir:index 30;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains end of" ]
     ], [
       fhir:index 31;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains end of" ]
     ], [
       fhir:index 32;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains end of" ]
     ], [
       fhir:index 33;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains end of" ]
     ], [
       fhir:index 34;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains end of" ]
     ], [
       fhir:index 35;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains end of" ]
     ], [
       fhir:index 36;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains end of" ]
     ], [
       fhir:index 37;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains end of" ]
     ], [
       fhir:index 38;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains end of" ]
     ], [
       fhir:index 39;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains end of" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "active" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "23587" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "Name:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "endsDuring" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "Name:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "containsEndOf" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "OVERLAP" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "SASEAE" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.code [ fhir:value "isDocumentCharacteristic" ];
       fhir:CodeSystem.value [ fhir:value "true" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 8;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 91;
     fhir:CodeSystem.code [ fhir:value "SBSEAS" ];
     fhir:CodeSystem.display [ fhir:value "contains start of" ];
     fhir:CodeSystem.definition [ fhir:value "The source Act contains the start of the target Act.\r\n\r\n*UsageNote:* Inverse code is **SDU**" ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains start of" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains start of" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains start of" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains start of" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains start of" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains start of" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains start of" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains start of" ]
     ], [
       fhir:index 8;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains start of" ]
     ], [
       fhir:index 9;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains start of" ]
     ], [
       fhir:index 10;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains start of" ]
     ], [
       fhir:index 11;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains start of" ]
     ], [
       fhir:index 12;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains start of" ]
     ], [
       fhir:index 13;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains start of" ]
     ], [
       fhir:index 14;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains start of" ]
     ], [
       fhir:index 15;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains start of" ]
     ], [
       fhir:index 16;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains start of" ]
     ], [
       fhir:index 17;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains start of" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "active" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "23586" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "Name:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "startsDuring" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "Name:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "containsStartOf" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "OVERLAP" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "SBS" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 92;
     fhir:CodeSystem.code [ fhir:value "SCW" ];
     fhir:CodeSystem.display [ fhir:value "starts concurrent with" ];
     fhir:CodeSystem.definition [ fhir:value "A relationship in which the source act's effective time starts with the start of the target act's effective time.\r\n\r\n*UsageNote:* This code is reflexive. Therefore its inverse code is itself." ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts concurrent with" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts concurrent with" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts concurrent with" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts concurrent with" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts concurrent with" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts concurrent with" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts concurrent with" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts concurrent with" ]
     ], [
       fhir:index 8;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts concurrent with" ]
     ], [
       fhir:index 9;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts concurrent with" ]
     ], [
       fhir:index 10;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts concurrent with" ]
     ], [
       fhir:index 11;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts concurrent with" ]
     ], [
       fhir:index 12;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts concurrent with" ]
     ], [
       fhir:index 13;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts concurrent with" ]
     ], [
       fhir:index 14;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts concurrent with" ]
     ], [
       fhir:index 15;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts concurrent with" ]
     ], [
       fhir:index 16;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts concurrent with" ]
     ], [
       fhir:index 17;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts concurrent with" ]
     ], [
       fhir:index 18;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts concurrent with" ]
     ], [
       fhir:index 19;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts concurrent with" ]
     ], [
       fhir:index 20;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts concurrent with" ]
     ], [
       fhir:index 21;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts concurrent with" ]
     ], [
       fhir:index 22;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts concurrent with" ]
     ], [
       fhir:index 23;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts concurrent with" ]
     ], [
       fhir:index 24;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts concurrent with" ]
     ], [
       fhir:index 25;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts concurrent with" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "active" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "23036" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "Name:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "startsConcurrentlyWith" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "Name:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "startsConcurrentlyWith" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "OVERLAP" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "SASORSCW" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "SBSORSCW" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "SNS" ]
     ], [
       fhir:index 8;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 9;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 93;
     fhir:CodeSystem.code [ fhir:value "SCWE" ];
     fhir:CodeSystem.display [ fhir:value "starts concurrent with end of" ];
     fhir:CodeSystem.definition [ fhir:value "The source Act starts when the target act ends (i.e. if we say \"ActOne SCWE ActTwo\", it means that ActOne starts when ActTwo ends, therefore ActOne is the source and ActTwo is the target).\r\n\r\n*UsageNote:* Inverse code is **SBSECWS**" ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts concurrent with end of" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts concurrent with end of" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts concurrent with end of" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts concurrent with end of" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts concurrent with end of" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts concurrent with end of" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts concurrent with end of" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts concurrent with end of" ]
     ], [
       fhir:index 8;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts concurrent with end of" ]
     ], [
       fhir:index 9;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts concurrent with end of" ]
     ], [
       fhir:index 10;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts concurrent with end of" ]
     ], [
       fhir:index 11;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts concurrent with end of" ]
     ], [
       fhir:index 12;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts concurrent with end of" ]
     ], [
       fhir:index 13;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts concurrent with end of" ]
     ], [
       fhir:index 14;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts concurrent with end of" ]
     ], [
       fhir:index 15;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts concurrent with end of" ]
     ], [
       fhir:index 16;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts concurrent with end of" ]
     ], [
       fhir:index 17;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts concurrent with end of" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "active" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "23462" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "Name:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "endsConcurrentWithStartOf" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "Name:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "startsConcurrentWithEndOf" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "OVERLAP" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "SAEORSCWE" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "SNE" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 8;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 94;
     fhir:CodeSystem.code [ fhir:value "SDU" ];
     fhir:CodeSystem.display [ fhir:value "starts during" ];
     fhir:CodeSystem.definition [ fhir:value "A relationship in which the source act starts within the target act's effective time (including end points, as defined in the act's effective times)\r\n\r\n*UsageNote:* Inverse code is **SBSEAS**" ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts during" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts during" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts during" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts during" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts during" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts during" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts during" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts during" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "active" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "23082" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "Name:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "encompassesStartOf" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "Name:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "startsDuring" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "OVERLAP" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 95;
     fhir:CodeSystem.code [ fhir:value "USE" ];
     fhir:CodeSystem.display [ fhir:value "uses" ];
     fhir:CodeSystem.definition [ fhir:value "Indicates that the source act makes use of (or will make use of) the information content of the target act.\r\n\r\n*UsageNotes:* A usage relationship only makes sense if the target act is authored and occurs independently of the source act. Otherwise a simpler relationship such as COMP would be appropriate.\r\n\r\n*Rationale:* There is a need when defining a clinical trial protocol to indicate that the protocol makes use of other protocol or treatment specifications. This is stronger than the assertion of \"references\". References may exist without usage, and in a clinical trial protocol is common to assert both: what other specifications does this trial use and what other specifications does it merely reference." ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "uses" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "uses" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "uses" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "uses" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "uses" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "active" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "HL7usageNotes" ];
       fhir:CodeSystem.value [ fhir:value "A usage relationship only makes sense if the target act is authored and occurs independently of the source act.  Otherwise a simpler relationship such as COMP would be appropriate." ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "23102" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "Name:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "usedBy" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "Name:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "uses" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "DKA______" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "DKA______" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "REFR" ]
     ], [
       fhir:index 8;
       fhir:CodeSystem.code [ fhir:value "isDocumentCharacteristic" ];
       fhir:CodeSystem.value [ fhir:value "true" ]
     ], [
       fhir:index 9;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 10;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 96;
     fhir:CodeSystem.code [ fhir:value "BLOCK" ];
     fhir:CodeSystem.display [ fhir:value "blocks" ];
     fhir:CodeSystem.definition [ fhir:value "**Definition:** The source act is performed to block the effects of the target act. This act relationship should be used when describing near miss type incidents where potential harm could have occurred, but the action described in the source act blocked the potential harmful effects of the incident actually occurring." ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "blocks" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "blocks" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "blocks" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "blocks" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "blocks" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "blocks" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "blocks" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "active" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "22188" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "isDocumentCharacteristic" ];
       fhir:CodeSystem.value [ fhir:value "true" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "Name:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "blockedBy" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "Name:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "blocks" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "RSON" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.code [ fhir:value "conductible" ];
       fhir:CodeSystem.value [ fhir:value "true" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 8;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 97;
     fhir:CodeSystem.code [ fhir:value "DIAG" ];
     fhir:CodeSystem.display [ fhir:value "diagnoses" ];
     fhir:CodeSystem.definition [ fhir:value "**Description:** The source act is intended to help establish the presence of a (an adverse) situation described by the target act. This is not limited to diseases but can apply to any adverse situation or condition of medical or technical nature." ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "diagnoses" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "diagnoses" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "diagnoses" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "diagnoses" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "diagnoses" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "diagnoses" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "diagnoses" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "active" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "21644" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "isDocumentCharacteristic" ];
       fhir:CodeSystem.value [ fhir:value "true" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "Name:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "diagnosedBy" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "RSON" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.code [ fhir:value "conductible" ];
       fhir:CodeSystem.value [ fhir:value "true" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 98;
     fhir:CodeSystem.code [ fhir:value "IMM" ];
     fhir:CodeSystem.display [ fhir:value "immunization against" ];
     fhir:CodeSystem.definition [ fhir:value "**Description:** The source act is intented to provide immunity against the effects of the target act (the target act describes an infectious disease)" ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "immunization against" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "immunization against" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "immunization against" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "immunization against" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "immunization against" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "immunization against" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "immunization against" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "active" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "23304" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "Name:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "immunizedAgainst" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "RSON" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "conductible" ];
       fhir:CodeSystem.value [ fhir:value "true" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.code [ fhir:value "isDocumentCharacteristic" ];
       fhir:CodeSystem.value [ fhir:value "true" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 99;
     fhir:CodeSystem.code [ fhir:value "MITGT" ];
     fhir:CodeSystem.display [ fhir:value "mitigates" ];
     fhir:CodeSystem.definition [ fhir:value "The source act removes or lessens the occurrence or effect of the target act." ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "mitigates" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "mitigates" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "mitigates" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "mitigates" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "mitigates" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "mitigates" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "mitigates" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "active" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "19986" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "isDocumentCharacteristic" ];
       fhir:CodeSystem.value [ fhir:value "true" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "Name:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "mitigatedBy" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "Name:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "mitigates" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "CAA______" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "CAA______" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "RSON" ]
     ], [
       fhir:index 8;
       fhir:CodeSystem.code [ fhir:value "conductible" ];
       fhir:CodeSystem.value [ fhir:value "true" ]
     ], [
       fhir:index 9;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 10;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 100;
     fhir:CodeSystem.code [ fhir:value "PRYLX" ];
     fhir:CodeSystem.display [ fhir:value "prophylaxis of" ];
     fhir:CodeSystem.definition [ fhir:value "**Description:** The source act is intended to reduce the risk of of an adverse situation to emerge as described by the target act. This is not limited to diseases but can apply to any adverse situation or condition of medical or technical nature." ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "prophylaxis of" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "prophylaxis of" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "prophylaxis of" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "prophylaxis of" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "prophylaxis of" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "prophylaxis of" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "prophylaxis of" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "active" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "23303" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "Name:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "prophylaxisOf" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "RSON" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "conductible" ];
       fhir:CodeSystem.value [ fhir:value "true" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.code [ fhir:value "isDocumentCharacteristic" ];
       fhir:CodeSystem.value [ fhir:value "true" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 101;
     fhir:CodeSystem.code [ fhir:value "TREAT" ];
     fhir:CodeSystem.display [ fhir:value "treats" ];
     fhir:CodeSystem.definition [ fhir:value "**Description:** The source act is intended to improve a pre-existing adverse situation described by the target act. This is not limited to diseases but can apply to any adverse situation or condition of medical or technical nature." ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "treats" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "treats" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "treats" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "treats" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "treats" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "treats" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "treats" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "active" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "23307" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "Name:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "treatmentFor" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "RSON" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "conductible" ];
       fhir:CodeSystem.value [ fhir:value "true" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.code [ fhir:value "isDocumentCharacteristic" ];
       fhir:CodeSystem.value [ fhir:value "true" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 102;
     fhir:CodeSystem.code [ fhir:value "SAE" ];
     fhir:CodeSystem.display [ fhir:value "starts after end of" ];
     fhir:CodeSystem.definition [ fhir:value "A relationship in which the source act starts after the target act ends.\r\n\r\n*UsageNote:* Inverse code is **EBS**" ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts after end of" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts after end of" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts after end of" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts after end of" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts after end of" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts after end of" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts after end of" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts after end of" ]
     ], [
       fhir:index 8;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts after end of" ]
     ], [
       fhir:index 9;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts after end of" ]
     ], [
       fhir:index 10;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts after end of" ]
     ], [
       fhir:index 11;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts after end of" ]
     ], [
       fhir:index 12;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts after end of" ]
     ], [
       fhir:index 13;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts after end of" ]
     ], [
       fhir:index 14;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts after end of" ]
     ], [
       fhir:index 15;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts after end of" ]
     ], [
       fhir:index 16;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts after end of" ]
     ], [
       fhir:index 17;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts after end of" ]
     ], [
       fhir:index 18;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts after end of" ]
     ], [
       fhir:index 19;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts after end of" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "active" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "22043" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "isDocumentCharacteristic" ];
       fhir:CodeSystem.value [ fhir:value "true" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "Name:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "endsBeforeStartof" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "Name:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "startsAfterEndOf" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "SAEORSCWE" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "SAS" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 8;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 103;
     fhir:CodeSystem.code [ fhir:value "DURING" ];
     fhir:CodeSystem.display [ fhir:value "occurs during" ];
     fhir:CodeSystem.definition [ fhir:value "A relationship in which the source act's effective time is wholly within the target act's effective time (including end points, as defined in the act's effective times)\r\n\r\n*UsageNote:* Inverse code is **SBSEAE**" ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "occurs during" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "occurs during" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "occurs during" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "occurs during" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "occurs during" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "occurs during" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "occurs during" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "occurs during" ]
     ], [
       fhir:index 8;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "occurs during" ]
     ], [
       fhir:index 9;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "occurs during" ]
     ], [
       fhir:index 10;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "occurs during" ]
     ], [
       fhir:index 11;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "occurs during" ]
     ], [
       fhir:index 12;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "occurs during" ]
     ], [
       fhir:index 13;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "occurs during" ]
     ], [
       fhir:index 14;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "occurs during" ]
     ], [
       fhir:index 15;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "occurs during" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "active" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "23034" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "Name:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "spansOccurrenceOf" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "Name:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "occursDuring" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "SAS" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.code [ fhir:value "isDocumentCharacteristic" ];
       fhir:CodeSystem.value [ fhir:value "true" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 104;
     fhir:CodeSystem.code [ fhir:value "SASECWE" ];
     fhir:CodeSystem.display [ fhir:value "starts after start of, ends with" ];
     fhir:CodeSystem.definition [ fhir:value "The source Act starts after start of the target Act, and ends with the target Act.\r\n\r\n*UsageNote:* Inverse code is **SBSECWE**" ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts after start of, ends with" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts after start of, ends with" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts after start of, ends with" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts after start of, ends with" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts after start of, ends with" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts after start of, ends with" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts after start of, ends with" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts after start of, ends with" ]
     ], [
       fhir:index 8;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts after start of, ends with" ]
     ], [
       fhir:index 9;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts after start of, ends with" ]
     ], [
       fhir:index 10;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts after start of, ends with" ]
     ], [
       fhir:index 11;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts after start of, ends with" ]
     ], [
       fhir:index 12;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts after start of, ends with" ]
     ], [
       fhir:index 13;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts after start of, ends with" ]
     ], [
       fhir:index 14;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts after start of, ends with" ]
     ], [
       fhir:index 15;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts after start of, ends with" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "active" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "23584" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "Name:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "startsBeforeStartOfEndsWith" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "Name:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "startsAfterStartOfEndsWith" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "SAS" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.code [ fhir:value "isDocumentCharacteristic" ];
       fhir:CodeSystem.value [ fhir:value "true" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 105;
     fhir:CodeSystem.code [ fhir:value "SASSBEEAS" ];
     fhir:CodeSystem.display [ fhir:value "start after start of, contains end of" ];
     fhir:CodeSystem.definition [ fhir:value "The source Act start after the start of the target Act, and contains the end of the target Act.\r\n\r\n*UsageNote:* Inverse code is **SBSEASEBE**" ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "start after start of, contains end of" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "start after start of, contains end of" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "start after start of, contains end of" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "start after start of, contains end of" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "start after start of, contains end of" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "start after start of, contains end of" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "start after start of, contains end of" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "start after start of, contains end of" ]
     ], [
       fhir:index 8;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "start after start of, contains end of" ]
     ], [
       fhir:index 9;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "start after start of, contains end of" ]
     ], [
       fhir:index 10;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "start after start of, contains end of" ]
     ], [
       fhir:index 11;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "start after start of, contains end of" ]
     ], [
       fhir:index 12;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "start after start of, contains end of" ]
     ], [
       fhir:index 13;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "start after start of, contains end of" ]
     ], [
       fhir:index 14;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "start after start of, contains end of" ]
     ], [
       fhir:index 15;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "start after start of, contains end of" ]
     ], [
       fhir:index 16;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "start after start of, contains end of" ]
     ], [
       fhir:index 17;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "start after start of, contains end of" ]
     ], [
       fhir:index 18;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "start after start of, contains end of" ]
     ], [
       fhir:index 19;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "start after start of, contains end of" ]
     ], [
       fhir:index 20;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "start after start of, contains end of" ]
     ], [
       fhir:index 21;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "start after start of, contains end of" ]
     ], [
       fhir:index 22;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "start after start of, contains end of" ]
     ], [
       fhir:index 23;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "start after start of, contains end of" ]
     ], [
       fhir:index 24;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "start after start of, contains end of" ]
     ], [
       fhir:index 25;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "start after start of, contains end of" ]
     ], [
       fhir:index 26;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "start after start of, contains end of" ]
     ], [
       fhir:index 27;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "start after start of, contains end of" ]
     ], [
       fhir:index 28;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "start after start of, contains end of" ]
     ], [
       fhir:index 29;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "start after start of, contains end of" ]
     ], [
       fhir:index 30;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "start after start of, contains end of" ]
     ], [
       fhir:index 31;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "start after start of, contains end of" ]
     ], [
       fhir:index 32;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "start after start of, contains end of" ]
     ], [
       fhir:index 33;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "start after start of, contains end of" ]
     ], [
       fhir:index 34;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "start after start of, contains end of" ]
     ], [
       fhir:index 35;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "start after start of, contains end of" ]
     ], [
       fhir:index 36;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "start after start of, contains end of" ]
     ], [
       fhir:index 37;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "start after start of, contains end of" ]
     ], [
       fhir:index 38;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "start after start of, contains end of" ]
     ], [
       fhir:index 39;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "start after start of, contains end of" ]
     ], [
       fhir:index 40;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "start after start of, contains end of" ]
     ], [
       fhir:index 41;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "start after start of, contains end of" ]
     ], [
       fhir:index 42;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "start after start of, contains end of" ]
     ], [
       fhir:index 43;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "start after start of, contains end of" ]
     ], [
       fhir:index 44;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "start after start of, contains end of" ]
     ], [
       fhir:index 45;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "start after start of, contains end of" ]
     ], [
       fhir:index 46;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "start after start of, contains end of" ]
     ], [
       fhir:index 47;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "start after start of, contains end of" ]
     ], [
       fhir:index 48;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "start after start of, contains end of" ]
     ], [
       fhir:index 49;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "start after start of, contains end of" ]
     ], [
       fhir:index 50;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "start after start of, contains end of" ]
     ], [
       fhir:index 51;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "start after start of, contains end of" ]
     ], [
       fhir:index 52;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "start after start of, contains end of" ]
     ], [
       fhir:index 53;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "start after start of, contains end of" ]
     ], [
       fhir:index 54;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "start after start of, contains end of" ]
     ], [
       fhir:index 55;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "start after start of, contains end of" ]
     ], [
       fhir:index 56;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "start after start of, contains end of" ]
     ], [
       fhir:index 57;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "start after start of, contains end of" ]
     ], [
       fhir:index 58;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "start after start of, contains end of" ]
     ], [
       fhir:index 59;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "start after start of, contains end of" ]
     ], [
       fhir:index 60;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "start after start of, contains end of" ]
     ], [
       fhir:index 61;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "start after start of, contains end of" ]
     ], [
       fhir:index 62;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "start after start of, contains end of" ]
     ], [
       fhir:index 63;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "start after start of, contains end of" ]
     ], [
       fhir:index 64;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "start after start of, contains end of" ]
     ], [
       fhir:index 65;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "start after start of, contains end of" ]
     ], [
       fhir:index 66;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "start after start of, contains end of" ]
     ], [
       fhir:index 67;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "start after start of, contains end of" ]
     ], [
       fhir:index 68;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "start after start of, contains end of" ]
     ], [
       fhir:index 69;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "start after start of, contains end of" ]
     ], [
       fhir:index 70;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "start after start of, contains end of" ]
     ], [
       fhir:index 71;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "start after start of, contains end of" ]
     ], [
       fhir:index 72;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "start after start of, contains end of" ]
     ], [
       fhir:index 73;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "start after start of, contains end of" ]
     ], [
       fhir:index 74;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "start after start of, contains end of" ]
     ], [
       fhir:index 75;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "start after start of, contains end of" ]
     ], [
       fhir:index 76;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "start after start of, contains end of" ]
     ], [
       fhir:index 77;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "start after start of, contains end of" ]
     ], [
       fhir:index 78;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "start after start of, contains end of" ]
     ], [
       fhir:index 79;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "start after start of, contains end of" ]
     ], [
       fhir:index 80;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "start after start of, contains end of" ]
     ], [
       fhir:index 81;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "start after start of, contains end of" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "active" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "23585" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "Name:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "containsStartOfEndsBeforeEndOf" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "Name:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "startAfterStartOfContainsEndOf" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "SASEAE" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "SBEEAE" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "SDU" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.code [ fhir:value "isDocumentCharacteristic" ];
       fhir:CodeSystem.value [ fhir:value "true" ]
     ], [
       fhir:index 8;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 9;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 106;
     fhir:CodeSystem.code [ fhir:value "EBEORECW" ];
     fhir:CodeSystem.display [ fhir:value "ends before or concurrent with end of" ];
     fhir:CodeSystem.definition [ fhir:value "A relationship in which the source act's effective time ends before or concurrent with the end of the target act's effective time.\r\n\r\n*Usage Note:* Inverse code is EAEORECW" ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends before or concurrent with end of" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends before or concurrent with end of" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends before or concurrent with end of" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends before or concurrent with end of" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends before or concurrent with end of" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends before or concurrent with end of" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends before or concurrent with end of" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends before or concurrent with end of" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "active" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "23648" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "Name:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "endsAfterOrConcurrentWithEndOf" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "Name:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "endsBeforeOrConcurrentWithEndOf" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "SBE" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 107;
     fhir:CodeSystem.code [ fhir:value "SBSORSCW" ];
     fhir:CodeSystem.display [ fhir:value "starts before or concurrent with start of" ];
     fhir:CodeSystem.definition [ fhir:value "A relationship in which the source act's effective time starts before or concurrent with the start of the target act's effective time.\r\n\r\n*Usage Note:* Inverse code is SASORSCW" ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts before or concurrent with start of" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts before or concurrent with start of" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts before or concurrent with start of" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts before or concurrent with start of" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts before or concurrent with start of" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts before or concurrent with start of" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts before or concurrent with start of" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts before or concurrent with start of" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "active" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "23647" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "Name:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "startsAfterOrConcurrentWithStartOf" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "Name:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "startsBeforeOrConcurrentWithStartOf" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "SBE" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 108;
     fhir:CodeSystem.code [ fhir:value "SBSEAE" ];
     fhir:CodeSystem.display [ fhir:value "contains time of" ];
     fhir:CodeSystem.definition [ fhir:value "The source Act contains the time of the target Act.\r\n\r\n*UsageNote:* Inverse code is **DURING**" ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains time of" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains time of" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains time of" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains time of" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains time of" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains time of" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains time of" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains time of" ]
     ], [
       fhir:index 8;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains time of" ]
     ], [
       fhir:index 9;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains time of" ]
     ], [
       fhir:index 10;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains time of" ]
     ], [
       fhir:index 11;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains time of" ]
     ], [
       fhir:index 12;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains time of" ]
     ], [
       fhir:index 13;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains time of" ]
     ], [
       fhir:index 14;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains time of" ]
     ], [
       fhir:index 15;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains time of" ]
     ], [
       fhir:index 16;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains time of" ]
     ], [
       fhir:index 17;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains time of" ]
     ], [
       fhir:index 18;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains time of" ]
     ], [
       fhir:index 19;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains time of" ]
     ], [
       fhir:index 20;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains time of" ]
     ], [
       fhir:index 21;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains time of" ]
     ], [
       fhir:index 22;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains time of" ]
     ], [
       fhir:index 23;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains time of" ]
     ], [
       fhir:index 24;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains time of" ]
     ], [
       fhir:index 25;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains time of" ]
     ], [
       fhir:index 26;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains time of" ]
     ], [
       fhir:index 27;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains time of" ]
     ], [
       fhir:index 28;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains time of" ]
     ], [
       fhir:index 29;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains time of" ]
     ], [
       fhir:index 30;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains time of" ]
     ], [
       fhir:index 31;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains time of" ]
     ], [
       fhir:index 32;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains time of" ]
     ], [
       fhir:index 33;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains time of" ]
     ], [
       fhir:index 34;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains time of" ]
     ], [
       fhir:index 35;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains time of" ]
     ], [
       fhir:index 36;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains time of" ]
     ], [
       fhir:index 37;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains time of" ]
     ], [
       fhir:index 38;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains time of" ]
     ], [
       fhir:index 39;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains time of" ]
     ], [
       fhir:index 40;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains time of" ]
     ], [
       fhir:index 41;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains time of" ]
     ], [
       fhir:index 42;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains time of" ]
     ], [
       fhir:index 43;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains time of" ]
     ], [
       fhir:index 44;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains time of" ]
     ], [
       fhir:index 45;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains time of" ]
     ], [
       fhir:index 46;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains time of" ]
     ], [
       fhir:index 47;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains time of" ]
     ], [
       fhir:index 48;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains time of" ]
     ], [
       fhir:index 49;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains time of" ]
     ], [
       fhir:index 50;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains time of" ]
     ], [
       fhir:index 51;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains time of" ]
     ], [
       fhir:index 52;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains time of" ]
     ], [
       fhir:index 53;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains time of" ]
     ], [
       fhir:index 54;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains time of" ]
     ], [
       fhir:index 55;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains time of" ]
     ], [
       fhir:index 56;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains time of" ]
     ], [
       fhir:index 57;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains time of" ]
     ], [
       fhir:index 58;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains time of" ]
     ], [
       fhir:index 59;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "contains time of" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "active" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "23588" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "Name:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "occursDuring" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "Name:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "containsTimeOf" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "SBEEAE" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "SBSEAS" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.code [ fhir:value "isDocumentCharacteristic" ];
       fhir:CodeSystem.value [ fhir:value "true" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 8;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 109;
     fhir:CodeSystem.code [ fhir:value "SCWSEAE" ];
     fhir:CodeSystem.display [ fhir:value "starts with, ends after end of" ];
     fhir:CodeSystem.definition [ fhir:value "The source Act starts with the target Act, and ends after the end of the target Act." ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts with, ends after end of" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts with, ends after end of" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts with, ends after end of" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts with, ends after end of" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts with, ends after end of" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts with, ends after end of" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts with, ends after end of" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts with, ends after end of" ]
     ], [
       fhir:index 8;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts with, ends after end of" ]
     ], [
       fhir:index 9;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts with, ends after end of" ]
     ], [
       fhir:index 10;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts with, ends after end of" ]
     ], [
       fhir:index 11;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts with, ends after end of" ]
     ], [
       fhir:index 12;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts with, ends after end of" ]
     ], [
       fhir:index 13;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts with, ends after end of" ]
     ], [
       fhir:index 14;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts with, ends after end of" ]
     ], [
       fhir:index 15;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts with, ends after end of" ]
     ], [
       fhir:index 16;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts with, ends after end of" ]
     ], [
       fhir:index 17;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts with, ends after end of" ]
     ], [
       fhir:index 18;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts with, ends after end of" ]
     ], [
       fhir:index 19;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts with, ends after end of" ]
     ], [
       fhir:index 20;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts with, ends after end of" ]
     ], [
       fhir:index 21;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts with, ends after end of" ]
     ], [
       fhir:index 22;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts with, ends after end of" ]
     ], [
       fhir:index 23;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts with, ends after end of" ]
     ], [
       fhir:index 24;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts with, ends after end of" ]
     ], [
       fhir:index 25;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts with, ends after end of" ]
     ], [
       fhir:index 26;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts with, ends after end of" ]
     ], [
       fhir:index 27;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts with, ends after end of" ]
     ], [
       fhir:index 28;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts with, ends after end of" ]
     ], [
       fhir:index 29;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts with, ends after end of" ]
     ], [
       fhir:index 30;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts with, ends after end of" ]
     ], [
       fhir:index 31;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts with, ends after end of" ]
     ], [
       fhir:index 32;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts with, ends after end of" ]
     ], [
       fhir:index 33;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts with, ends after end of" ]
     ], [
       fhir:index 34;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts with, ends after end of" ]
     ], [
       fhir:index 35;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts with, ends after end of" ]
     ], [
       fhir:index 36;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts with, ends after end of" ]
     ], [
       fhir:index 37;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts with, ends after end of" ]
     ], [
       fhir:index 38;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts with, ends after end of" ]
     ], [
       fhir:index 39;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts with, ends after end of" ]
     ], [
       fhir:index 40;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts with, ends after end of" ]
     ], [
       fhir:index 41;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts with, ends after end of" ]
     ], [
       fhir:index 42;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts with, ends after end of" ]
     ], [
       fhir:index 43;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts with, ends after end of" ]
     ], [
       fhir:index 44;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts with, ends after end of" ]
     ], [
       fhir:index 45;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts with, ends after end of" ]
     ], [
       fhir:index 46;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts with, ends after end of" ]
     ], [
       fhir:index 47;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts with, ends after end of" ]
     ], [
       fhir:index 48;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts with, ends after end of" ]
     ], [
       fhir:index 49;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts with, ends after end of" ]
     ], [
       fhir:index 50;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts with, ends after end of" ]
     ], [
       fhir:index 51;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts with, ends after end of" ]
     ], [
       fhir:index 52;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts with, ends after end of" ]
     ], [
       fhir:index 53;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts with, ends after end of" ]
     ], [
       fhir:index 54;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts with, ends after end of" ]
     ], [
       fhir:index 55;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts with, ends after end of" ]
     ], [
       fhir:index 56;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts with, ends after end of" ]
     ], [
       fhir:index 57;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts with, ends after end of" ]
     ], [
       fhir:index 58;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts with, ends after end of" ]
     ], [
       fhir:index 59;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts with, ends after end of" ]
     ], [
       fhir:index 60;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts with, ends after end of" ]
     ], [
       fhir:index 61;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts with, ends after end of" ]
     ], [
       fhir:index 62;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts with, ends after end of" ]
     ], [
       fhir:index 63;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts with, ends after end of" ]
     ], [
       fhir:index 64;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts with, ends after end of" ]
     ], [
       fhir:index 65;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts with, ends after end of" ]
     ], [
       fhir:index 66;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts with, ends after end of" ]
     ], [
       fhir:index 67;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts with, ends after end of" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "active" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "23592" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "Name:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "startsWithEndsBeforeEndOf" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "Name:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "startsWithEndsAfterEndOf" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "SBEEAE" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "SCW" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.code [ fhir:value "isDocumentCharacteristic" ];
       fhir:CodeSystem.value [ fhir:value "true" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 8;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 110;
     fhir:CodeSystem.code [ fhir:value "OVERLAP" ];
     fhir:CodeSystem.display [ fhir:value "overlaps with" ];
     fhir:CodeSystem.definition [ fhir:value "A relationship in which the source act's effective time overlaps the target act's effective time in any way.\r\n\r\n*UsageNote:* This code is reflexive. Therefore its inverse code is itself." ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "overlaps with" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "overlaps with" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "overlaps with" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "overlaps with" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "overlaps with" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "overlaps with" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "active" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "23035" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "Name:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "overlapsWith" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "Name:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "overlapsWith" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "SBEORSCWE" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 111;
     fhir:CodeSystem.code [ fhir:value "SBE" ];
     fhir:CodeSystem.display [ fhir:value "starts before end of" ];
     fhir:CodeSystem.definition [ fhir:value "The source Act starts before the end of the target Act (i.e. if we say \"ActOne SBE ActTwo\", it means that ActOne starts before the end of ActTwo, therefore ActOne is the source and ActTwo is the target).\r\n\r\n*UsageNote:* Inverse code is **EAS**" ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts before end of" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts before end of" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts before end of" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts before end of" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts before end of" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts before end of" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "active" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "23460" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "Name:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "endsAfterStartOf" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "Name:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "startsBeforeEndOf" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "SBEORSCWE" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 112;
     fhir:CodeSystem.code [ fhir:value "EBSORECWS" ];
     fhir:CodeSystem.display [ fhir:value "ends before or concurrent with start of" ];
     fhir:CodeSystem.definition [ fhir:value "A relationship in which the source act's effective time ends before or concurrent with the start of the target act's effective time.\r\n\r\n*Usage Note:* Inverse code is EASORECWS" ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends before or concurrent with start of" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends before or concurrent with start of" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends before or concurrent with start of" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends before or concurrent with start of" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends before or concurrent with start of" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends before or concurrent with start of" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends before or concurrent with start of" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends before or concurrent with start of" ]
     ], [
       fhir:index 8;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends before or concurrent with start of" ]
     ], [
       fhir:index 9;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends before or concurrent with start of" ]
     ], [
       fhir:index 10;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends before or concurrent with start of" ]
     ], [
       fhir:index 11;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends before or concurrent with start of" ]
     ], [
       fhir:index 12;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends before or concurrent with start of" ]
     ], [
       fhir:index 13;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends before or concurrent with start of" ]
     ], [
       fhir:index 14;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends before or concurrent with start of" ]
     ], [
       fhir:index 15;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends before or concurrent with start of" ]
     ], [
       fhir:index 16;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends before or concurrent with start of" ]
     ], [
       fhir:index 17;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends before or concurrent with start of" ]
     ], [
       fhir:index 18;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends before or concurrent with start of" ]
     ], [
       fhir:index 19;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends before or concurrent with start of" ]
     ], [
       fhir:index 20;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends before or concurrent with start of" ]
     ], [
       fhir:index 21;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends before or concurrent with start of" ]
     ], [
       fhir:index 22;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends before or concurrent with start of" ]
     ], [
       fhir:index 23;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends before or concurrent with start of" ]
     ], [
       fhir:index 24;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends before or concurrent with start of" ]
     ], [
       fhir:index 25;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends before or concurrent with start of" ]
     ], [
       fhir:index 26;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends before or concurrent with start of" ]
     ], [
       fhir:index 27;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends before or concurrent with start of" ]
     ], [
       fhir:index 28;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends before or concurrent with start of" ]
     ], [
       fhir:index 29;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "ends before or concurrent with start of" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "active" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "23649" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "Name:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "endsAfterOrConcurrentWithStartOf" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "Name:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "endsBeforeOrConcurrentWithStartOf" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "SBSEBE" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 113;
     fhir:CodeSystem.code [ fhir:value "SBS" ];
     fhir:CodeSystem.display [ fhir:value "starts before start of" ];
     fhir:CodeSystem.definition [ fhir:value "A relationship in which the source act begins before the target act begins.\r\n\r\n*UsageNote:* Inverse code is **SAS**" ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts before start of" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts before start of" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts before start of" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts before start of" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts before start of" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts before start of" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts before start of" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts before start of" ]
     ], [
       fhir:index 8;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts before start of" ]
     ], [
       fhir:index 9;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "starts before start of" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "active" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "23076" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "Name:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "startsAfterStartOf" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "Name:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "startsBeforeStartOf" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "SBSORSCW" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 114;
     fhir:CodeSystem.code [ fhir:value "APND" ];
     fhir:CodeSystem.display [ fhir:value "is appendage" ];
     fhir:CodeSystem.definition [ fhir:value "An addendum (source) to an existing service object (target), containing supplemental information. The addendum is itself an original service object linked to the supplemented service object. The supplemented service object remains in place and its content and status are unaltered." ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "is appendage" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "is appendage" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "is appendage" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "is appendage" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "is appendage" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "active" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "10339" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "isDocumentCharacteristic" ];
       fhir:CodeSystem.value [ fhir:value "true" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "Name:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "appendageOf" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "Name:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "appendage" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "BJ_______" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "BJ_______" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "SEQL" ]
     ], [
       fhir:index 8;
       fhir:CodeSystem.code [ fhir:value "conductible" ];
       fhir:CodeSystem.value [ fhir:value "false" ]
     ], [
       fhir:index 9;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 10;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 115;
     fhir:CodeSystem.code [ fhir:value "BSLN" ];
     fhir:CodeSystem.display [ fhir:value "has baseline" ];
     fhir:CodeSystem.definition [ fhir:value "Indicates that the target observation(s) provide an initial reference for the source observation or observation group.\r\n\r\n*UsageConstraints:* Both source and target must be Observations or specializations thereof." ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has baseline" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has baseline" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has baseline" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has baseline" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has baseline" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "active" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "23101" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "Name:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "baselineFor" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "Name:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "baseline" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "BG_______" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "BG_______" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "SEQL" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.code [ fhir:value "conductible" ];
       fhir:CodeSystem.value [ fhir:value "false" ]
     ], [
       fhir:index 8;
       fhir:CodeSystem.code [ fhir:value "isDocumentCharacteristic" ];
       fhir:CodeSystem.value [ fhir:value "true" ]
     ], [
       fhir:index 9;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 10;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 116;
     fhir:CodeSystem.code [ fhir:value "COMPLY" ];
     fhir:CodeSystem.display [ fhir:value "complies with" ];
     fhir:CodeSystem.definition [ fhir:value "**Description:**The source act complies with, adheres to, conforms to, or is permissible under (in whole or in part) the policy, contract, agreement, law, conformance criteria, certification guidelines or requirement conveyed by the target act.\r\n\r\nExamples for compliance relationships are: audits of adherence with a security policy, certificate of conformance to system certification requirements, or consent directive in compliance with or permissible under a privacy policy." ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "complies with" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "complies with" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "complies with" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "complies with" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "complies with" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "active" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "22626" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "isDocumentCharacteristic" ];
       fhir:CodeSystem.value [ fhir:value "true" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "Name:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "compliesWith" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "Name:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "compliance" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "BO_______" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "BO_______" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "SEQL" ]
     ], [
       fhir:index 8;
       fhir:CodeSystem.code [ fhir:value "conductible" ];
       fhir:CodeSystem.value [ fhir:value "false" ]
     ], [
       fhir:index 9;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 10;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 117;
     fhir:CodeSystem.code [ fhir:value "DOC" ];
     fhir:CodeSystem.display [ fhir:value "documents" ];
     fhir:CodeSystem.definition [ fhir:value "The source act documents the target act." ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "documents" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "documents" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "documents" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "documents" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "documents" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "active" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "11609" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "isDocumentCharacteristic" ];
       fhir:CodeSystem.value [ fhir:value "true" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "Name:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "documentation" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "Name:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "documentationOf" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "BH_______" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "BH_______" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "SEQL" ]
     ], [
       fhir:index 8;
       fhir:CodeSystem.code [ fhir:value "conductible" ];
       fhir:CodeSystem.value [ fhir:value "false" ]
     ], [
       fhir:index 9;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 10;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 118;
     fhir:CodeSystem.code [ fhir:value "FLFS" ];
     fhir:CodeSystem.display [ fhir:value "fulfills" ];
     fhir:CodeSystem.definition [ fhir:value "The source act fulfills (in whole or in part) the target act. Source act must be in a mood equal or more actual than the target act." ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "fulfills" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "fulfills" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "fulfills" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "fulfills" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "fulfills" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "active" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "10342" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "isDocumentCharacteristic" ];
       fhir:CodeSystem.value [ fhir:value "true" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "Name:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "fulfillment" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "Name:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "inFulfillmentOf" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "BA_______" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "BA_______" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "SEQL" ]
     ], [
       fhir:index 8;
       fhir:CodeSystem.code [ fhir:value "conductible" ];
       fhir:CodeSystem.value [ fhir:value "false" ]
     ], [
       fhir:index 9;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 10;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 119;
     fhir:CodeSystem.code [ fhir:value "GEN" ];
     fhir:CodeSystem.display [ fhir:value "has generalization" ];
     fhir:CodeSystem.definition [ fhir:value "The generalization relationship can be used to express categorical knowledge about services (e.g., amilorid, triamterene, and spironolactone have the common generalization potassium sparing diuretic)." ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has generalization" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has generalization" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has generalization" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has generalization" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has generalization" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "active" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "10348" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "appliesTo" ];
       fhir:CodeSystem.value [ fhir:value "specialization" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "howApplies" ];
       fhir:CodeSystem.value [ fhir:value "generalization" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "isDocumentCharacteristic" ];
       fhir:CodeSystem.value [ fhir:value "true" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.code [ fhir:value "Name:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "specialization" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.code [ fhir:value "Name:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "generalization" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "BC_______" ]
     ], [
       fhir:index 8;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "BC_______" ]
     ], [
       fhir:index 9;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "SEQL" ]
     ], [
       fhir:index 10;
       fhir:CodeSystem.code [ fhir:value "conductible" ];
       fhir:CodeSystem.value [ fhir:value "false" ]
     ], [
       fhir:index 11;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 12;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 120;
     fhir:CodeSystem.code [ fhir:value "GEVL" ];
     fhir:CodeSystem.display [ fhir:value "evaluates (goal)" ];
     fhir:CodeSystem.definition [ fhir:value "A goal-evaluation links an observation (intent or actual) to a goal to indicate that the observation evaluates the goal. Given the goal and the observation, a \"goal distance\" (e.g., goal to observation) can be \"calculated\" and need not be sent explicitly." ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "evaluates (goal)" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "evaluates (goal)" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "evaluates (goal)" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "evaluates (goal)" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "evaluates (goal)" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "active" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "10346" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "appliesTo" ];
       fhir:CodeSystem.value [ fhir:value "evaluation" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "howApplies" ];
       fhir:CodeSystem.value [ fhir:value "goal" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "isDocumentCharacteristic" ];
       fhir:CodeSystem.value [ fhir:value "true" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.code [ fhir:value "Name:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "evaluation" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.code [ fhir:value "Name:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "evaluationOf" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "BD_______" ]
     ], [
       fhir:index 8;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "BD_______" ]
     ], [
       fhir:index 9;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "SEQL" ]
     ], [
       fhir:index 10;
       fhir:CodeSystem.code [ fhir:value "conductible" ];
       fhir:CodeSystem.value [ fhir:value "false" ]
     ], [
       fhir:index 11;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 12;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 121;
     fhir:CodeSystem.code [ fhir:value "INST" ];
     fhir:CodeSystem.display [ fhir:value "instantiates (master)" ];
     fhir:CodeSystem.definition [ fhir:value "Used to capture the link between a potential service (\"master\" or plan) and an actual service, where the actual service instantiates the potential service. The instantiation may override the master's defaults." ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "instantiates (master)" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "instantiates (master)" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "instantiates (master)" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "instantiates (master)" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "instantiates (master)" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "active" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "10341" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "appliesTo" ];
       fhir:CodeSystem.value [ fhir:value "instance" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "howApplies" ];
       fhir:CodeSystem.value [ fhir:value "master" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "isDocumentCharacteristic" ];
       fhir:CodeSystem.value [ fhir:value "true" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.code [ fhir:value "Name:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "instantiation" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.code [ fhir:value "Name:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "definition" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "BB_______" ]
     ], [
       fhir:index 8;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "BB_______" ]
     ], [
       fhir:index 9;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "SEQL" ]
     ], [
       fhir:index 10;
       fhir:CodeSystem.code [ fhir:value "conductible" ];
       fhir:CodeSystem.value [ fhir:value "false" ]
     ], [
       fhir:index 11;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 12;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 122;
     fhir:CodeSystem.code [ fhir:value "MOD" ];
     fhir:CodeSystem.display [ fhir:value "modifies" ];
     fhir:CodeSystem.definition [ fhir:value "Definition: Used to link a newer version or 'snapshot' of a business object (source) to an older version or 'snapshot' of the same business object (target).\r\n\r\n*Usage:*The identifier of the Act should be the same for both source and target. If the identifiers are distinct, RPLC should be used instead.\r\n\r\nName from source to target = \"modifiesPrior\"\r\n\r\nName from target to source = \"modifiesByNew\"" ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "modifies" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "modifies" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "modifies" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "modifies" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "modifies" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "active" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "21638" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "isDocumentCharacteristic" ];
       fhir:CodeSystem.value [ fhir:value "true" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "SEQL" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "conductible" ];
       fhir:CodeSystem.value [ fhir:value "false" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 123;
     fhir:CodeSystem.code [ fhir:value "MTCH" ];
     fhir:CodeSystem.display [ fhir:value "matches (trigger)" ];
     fhir:CodeSystem.definition [ fhir:value "A trigger-match links an actual service (e.g., an observation or procedure that took place) with a service in criterion mood. For example if the trigger is \"observation of pain\" and pain is actually observed, and if that pain-observation caused the trigger to fire, that pain-observation can be linked with the trigger." ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "matches (trigger)" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "matches (trigger)" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "matches (trigger)" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "matches (trigger)" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "matches (trigger)" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "active" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "10345" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "appliesTo" ];
       fhir:CodeSystem.value [ fhir:value "matching service" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "howApplies" ];
       fhir:CodeSystem.value [ fhir:value "trigger" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "isDocumentCharacteristic" ];
       fhir:CodeSystem.value [ fhir:value "true" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.code [ fhir:value "Name:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "match" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.code [ fhir:value "Name:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "matchOf" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "BF_______" ]
     ], [
       fhir:index 8;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "BF_______" ]
     ], [
       fhir:index 9;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "SEQL" ]
     ], [
       fhir:index 10;
       fhir:CodeSystem.code [ fhir:value "conductible" ];
       fhir:CodeSystem.value [ fhir:value "false" ]
     ], [
       fhir:index 11;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 12;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 124;
     fhir:CodeSystem.code [ fhir:value "OPTN" ];
     fhir:CodeSystem.display [ fhir:value "has option" ];
     fhir:CodeSystem.definition [ fhir:value "A relationship between a source Act that provides more detailed properties to the target Act.\r\n\r\nThe source act thus is a specialization of the target act, but instead of mentioning all the inherited properties it only mentions new property bindings or refinements.\r\n\r\nThe typical use case is to specify certain alternative variants of one kind of Act. The priorityNumber attribute is used to weigh refinements as preferred over other alternative refinements.\r\n\r\nExample: several routing options for a drug are specified as one SubstanceAdministration for the general treatment with attached refinements for the various routing options." ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has option" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has option" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has option" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has option" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has option" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "active" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "10347" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "isDocumentCharacteristic" ];
       fhir:CodeSystem.value [ fhir:value "true" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "Name:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "optionFor" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "Name:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "option" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "BN_______" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "BN_______" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "SEQL" ]
     ], [
       fhir:index 8;
       fhir:CodeSystem.code [ fhir:value "conductible" ];
       fhir:CodeSystem.value [ fhir:value "false" ]
     ], [
       fhir:index 9;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 10;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 125;
     fhir:CodeSystem.code [ fhir:value "RCHAL" ];
     fhir:CodeSystem.display [ fhir:value "re-challenge" ];
     fhir:CodeSystem.definition [ fhir:value "**Description:**A relationship in which the target act is carried out to determine whether an effect attributed to the source act can be recreated." ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "re-challenge" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "re-challenge" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "re-challenge" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "re-challenge" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "re-challenge" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "active" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "22044" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "isDocumentCharacteristic" ];
       fhir:CodeSystem.value [ fhir:value "true" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "SEQL" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "conductible" ];
       fhir:CodeSystem.value [ fhir:value "false" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 126;
     fhir:CodeSystem.code [ fhir:value "REV" ];
     fhir:CodeSystem.display [ fhir:value "reverses" ];
     fhir:CodeSystem.definition [ fhir:value "A relationship between a source Act that seeks to reverse or undo the action of the prior target Act.\r\n\r\nExample: A posted financial transaction (e.g., a debit transaction) was applied in error and must be reversed (e.g., by a credit transaction) the credit transaction is identified as an undo (or reversal) of the prior target transaction.\r\n\r\nConstraints: the \"completion track\" mood of the target Act must be equally or more \"actual\" than the source act. I.e., when the target act is EVN the source act can be EVN, or any INT. If the target act is INT, the source act can be INT." ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "reverses" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "reverses" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "reverses" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "reverses" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "reverses" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "active" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "14898" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "isDocumentCharacteristic" ];
       fhir:CodeSystem.value [ fhir:value "true" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "Name:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "reversal" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "Name:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "reversalOf" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "BK_______" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "BK_______" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "SEQL" ]
     ], [
       fhir:index 8;
       fhir:CodeSystem.code [ fhir:value "conductible" ];
       fhir:CodeSystem.value [ fhir:value "false" ]
     ], [
       fhir:index 9;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 10;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 127;
     fhir:CodeSystem.code [ fhir:value "RPLC" ];
     fhir:CodeSystem.display [ fhir:value "replaces" ];
     fhir:CodeSystem.definition [ fhir:value "A replacement source act replaces an existing target act. The state of the target act being replaced becomes obselete, but the act is typically still retained in the system for historical reference. The source and target must be of the same type." ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "replaces" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "replaces" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "replaces" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "replaces" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "replaces" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "active" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "10338" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "isDocumentCharacteristic" ];
       fhir:CodeSystem.value [ fhir:value "true" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "Name:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "replacement" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "Name:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "replacementOf" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "BI_______" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "BI_______" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "SEQL" ]
     ], [
       fhir:index 8;
       fhir:CodeSystem.code [ fhir:value "conductible" ];
       fhir:CodeSystem.value [ fhir:value "false" ]
     ], [
       fhir:index 9;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 10;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 128;
     fhir:CodeSystem.code [ fhir:value "SUCC" ];
     fhir:CodeSystem.display [ fhir:value "succeeds" ];
     fhir:CodeSystem.definition [ fhir:value "**Definition:** A new act that carries forward the intention of the original act, but does not completely replace it. The status of the predecessor act must be 'completed'. The original act is the target act and the successor is the source act." ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "succeeds" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "succeeds" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "succeeds" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "succeeds" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "succeeds" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "active" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "11616" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "isDocumentCharacteristic" ];
       fhir:CodeSystem.value [ fhir:value "true" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "Name:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "successor" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "Name:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "predecessor" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "BIA______" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "BIA______" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "SEQL" ]
     ], [
       fhir:index 8;
       fhir:CodeSystem.code [ fhir:value "conductible" ];
       fhir:CodeSystem.value [ fhir:value "false" ]
     ], [
       fhir:index 9;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 10;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 129;
     fhir:CodeSystem.code [ fhir:value "UPDT" ];
     fhir:CodeSystem.display [ fhir:value "updates (condition)" ];
     fhir:CodeSystem.definition [ fhir:value "A condition thread relationship specifically links condition nodes together to form a condition thread. The source is the new condition node and the target links to the most recent node of the existing condition thread." ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "updates (condition)" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "updates (condition)" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "updates (condition)" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "updates (condition)" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "updates (condition)" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "active" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "10340" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "appliesTo" ];
       fhir:CodeSystem.value [ fhir:value "new head of thread" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "howApplies" ];
       fhir:CodeSystem.value [ fhir:value "old head of thread" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "isDocumentCharacteristic" ];
       fhir:CodeSystem.value [ fhir:value "true" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.code [ fhir:value "Name:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "update" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.code [ fhir:value "Name:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "updateOf" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "BE_______" ]
     ], [
       fhir:index 8;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "BE_______" ]
     ], [
       fhir:index 9;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "SEQL" ]
     ], [
       fhir:index 10;
       fhir:CodeSystem.code [ fhir:value "conductible" ];
       fhir:CodeSystem.value [ fhir:value "false" ]
     ], [
       fhir:index 11;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 12;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 130;
     fhir:CodeSystem.code [ fhir:value "XCRPT" ];
     fhir:CodeSystem.display [ fhir:value "Excerpts" ];
     fhir:CodeSystem.definition [ fhir:value "The source is an excerpt from the target." ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "Excerpts" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "Excerpts" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "Excerpts" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "Excerpts" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "Excerpts" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "active" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "18660" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "isDocumentCharacteristic" ];
       fhir:CodeSystem.value [ fhir:value "true" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "Name:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "excerpt" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "Name:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "excerptFrom" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "BM_______" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "BM_______" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "SEQL" ]
     ], [
       fhir:index 8;
       fhir:CodeSystem.code [ fhir:value "conductible" ];
       fhir:CodeSystem.value [ fhir:value "false" ]
     ], [
       fhir:index 9;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 10;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 131;
     fhir:CodeSystem.code [ fhir:value "XFRM" ];
     fhir:CodeSystem.display [ fhir:value "transformation" ];
     fhir:CodeSystem.definition [ fhir:value "Used when the target Act is a transformation of the source Act. (For instance, used to show that a CDA document is a transformation of a DICOM SR document.)" ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "transformation" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "transformation" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "transformation" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "transformation" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "transformation" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "active" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "11624" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "isDocumentCharacteristic" ];
       fhir:CodeSystem.value [ fhir:value "true" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "Name:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "transformation" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "Name:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "transformationOf" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "BL_______" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "BL_______" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "SEQL" ]
     ], [
       fhir:index 8;
       fhir:CodeSystem.code [ fhir:value "conductible" ];
       fhir:CodeSystem.value [ fhir:value "false" ]
     ], [
       fhir:index 9;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 10;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 132;
     fhir:CodeSystem.code [ fhir:value "SPRTBND" ];
     fhir:CodeSystem.display [ fhir:value "has bounded support" ];
     fhir:CodeSystem.definition [ fhir:value "A specialization of \"has support\" (SPRT), used to relate a secondary observation to a Region of Interest on a multidimensional observation, if the ROI specifies the true boundaries of the secondary observation as opposed to only marking the approximate area. For example, if the start and end of an ST elevation episode is visible in an EKG, this relation would indicate the ROI bounds the \"ST elevation\" observation -- the ROI defines the true beginning and ending of the episode. Conversely, if a ROI simply contains ST elevation, but it does not define the bounds (start and end) of the episode, the more general \"has support\" relation is used. Likewise, if a ROI on an image defines the true bounds of a \"1st degree burn\", the relation \"has bounded support\" is used; but if the ROI only points to the approximate area of the burn, the general \"has support\" relation is used." ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has bounded support" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has bounded support" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has bounded support" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has bounded support" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has bounded support" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "active" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "17899" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "isDocumentCharacteristic" ];
       fhir:CodeSystem.value [ fhir:value "true" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "Name:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "boundedSupportOf" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "Name:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "boundedSupport" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "DAA______" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "DAA______" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "SPRT" ]
     ], [
       fhir:index 8;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 9;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 133;
     fhir:CodeSystem.code [ fhir:value "ARR" ];
     fhir:CodeSystem.display [ fhir:value "arrival" ];
     fhir:CodeSystem.definition [ fhir:value "The relationship that links to a Transportation Act (target) from another Act (source) indicating that the subject of the source Act entered into the source Act by means of the target Transportation act." ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "arrival" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "arrival" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "arrival" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "arrival" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "arrival" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "arrival" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "arrival" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "arrival" ]
     ], [
       fhir:index 8;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "arrival" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "active" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "17911" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "isDocumentCharacteristic" ];
       fhir:CodeSystem.value [ fhir:value "false" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "Name:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "arrivalFor" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "Name:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "arrivedBy" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "EAAB_____" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "EAAB_____" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "STEP" ]
     ], [
       fhir:index 8;
       fhir:CodeSystem.code [ fhir:value "conductible" ];
       fhir:CodeSystem.value [ fhir:value "false" ]
     ], [
       fhir:index 9;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 10;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 134;
     fhir:CodeSystem.code [ fhir:value "DEP" ];
     fhir:CodeSystem.display [ fhir:value "departure" ];
     fhir:CodeSystem.definition [ fhir:value "The relationship that links to a Transportation Act (target) from another Act (source) indicating that the subject of the source Act departed from the source Act by means of the target Transportation act." ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "departure" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "departure" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "departure" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "departure" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "departure" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "departure" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "departure" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "departure" ]
     ], [
       fhir:index 8;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "departure" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "active" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "17912" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "isDocumentCharacteristic" ];
       fhir:CodeSystem.value [ fhir:value "false" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "Name:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "departureFor" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "Name:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "departedBy" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "EAAC_____" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "EAAC_____" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "STEP" ]
     ], [
       fhir:index 8;
       fhir:CodeSystem.code [ fhir:value "conductible" ];
       fhir:CodeSystem.value [ fhir:value "false" ]
     ], [
       fhir:index 9;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 10;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 135;
     fhir:CodeSystem.code [ fhir:value "QUALF" ];
     fhir:CodeSystem.display [ fhir:value "has qualifier" ];
     fhir:CodeSystem.definition [ fhir:value "The target observation qualifies (refines) the semantics of the source observation.\r\n\r\n*UsageNote:* This is not intended to replace concept refinement and qualification via vocabulary. It is used when there are multiple components which together provide the complete understanding of the source Act." ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has qualifier" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has qualifier" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has qualifier" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has qualifier" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "has qualifier" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "active" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "23598" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "appliesTo" ];
       fhir:CodeSystem.value [ fhir:value "any Act" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "Name:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "qualifies" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "Name:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "hasQualifier" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "DBA______" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "DBA______" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "SUBJ" ]
     ], [
       fhir:index 8;
       fhir:CodeSystem.code [ fhir:value "isDocumentCharacteristic" ];
       fhir:CodeSystem.value [ fhir:value "true" ]
     ], [
       fhir:index 9;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 10;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 136;
     fhir:CodeSystem.code [ fhir:value "ADJUNCT" ];
     fhir:CodeSystem.display [ fhir:value "adjunctive treatment" ];
     fhir:CodeSystem.definition [ fhir:value "**Description:** The source act is intended to offer an additional treatment for the management or cure of a pre-existing adverse situation described by the target act. This is not limited to diseases but can apply to any adverse situation or condition of medical or technical nature. It is not a requirement that the non-adjunctive treatment is explicitly specified." ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "adjunctive treatment" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "adjunctive treatment" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "adjunctive treatment" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "adjunctive treatment" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "adjunctive treatment" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "adjunctive treatment" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "adjunctive treatment" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "adjunctive treatment" ]
     ], [
       fhir:index 8;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "adjunctive treatment" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "active" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "23310" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "Name:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "adjunctiveTreatmentFor" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "TREAT" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "conductible" ];
       fhir:CodeSystem.value [ fhir:value "true" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.code [ fhir:value "isDocumentCharacteristic" ];
       fhir:CodeSystem.value [ fhir:value "true" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 137;
     fhir:CodeSystem.code [ fhir:value "MTREAT" ];
     fhir:CodeSystem.display [ fhir:value "maintenance treatment" ];
     fhir:CodeSystem.definition [ fhir:value "**Description:** The source act is intended to provide long term maintenance improvement or management of a pre-existing adverse situation described by the target act. This is not limited to diseases but can apply to any adverse situation or condition of medical or technical nature." ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "maintenance treatment" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "maintenance treatment" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "maintenance treatment" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "maintenance treatment" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "maintenance treatment" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "maintenance treatment" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "maintenance treatment" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "maintenance treatment" ]
     ], [
       fhir:index 8;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "maintenance treatment" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "active" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "23308" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "Name:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "maintenanceTreatmentFor" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "TREAT" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "conductible" ];
       fhir:CodeSystem.value [ fhir:value "true" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.code [ fhir:value "isDocumentCharacteristic" ];
       fhir:CodeSystem.value [ fhir:value "true" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 138;
     fhir:CodeSystem.code [ fhir:value "PALLTREAT" ];
     fhir:CodeSystem.display [ fhir:value "palliates" ];
     fhir:CodeSystem.definition [ fhir:value "**Description:** The source act is intended to provide palliation for the effects of the target act." ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "palliates" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "palliates" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "palliates" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "palliates" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "palliates" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "palliates" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "palliates" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "palliates" ]
     ], [
       fhir:index 8;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "palliates" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "active" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "23309" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "Name:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "palliativeTreatmentFor" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "TREAT" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "conductible" ];
       fhir:CodeSystem.value [ fhir:value "true" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.code [ fhir:value "isDocumentCharacteristic" ];
       fhir:CodeSystem.value [ fhir:value "true" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 139;
     fhir:CodeSystem.code [ fhir:value "SYMP" ];
     fhir:CodeSystem.display [ fhir:value "symptomatic relief" ];
     fhir:CodeSystem.definition [ fhir:value "**Description:** The source act is intented to provide symptomatic relief for the effects of the target act." ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "symptomatic relief" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "symptomatic relief" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "symptomatic relief" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "symptomatic relief" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "symptomatic relief" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "symptomatic relief" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "symptomatic relief" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "symptomatic relief" ]
     ], [
       fhir:index 8;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "symptomatic relief" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "active" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "21645" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "isDocumentCharacteristic" ];
       fhir:CodeSystem.value [ fhir:value "true" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "Name:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "symptomaticTreatmentFor" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "TREAT" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.code [ fhir:value "conductible" ];
       fhir:CodeSystem.value [ fhir:value "true" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ], [
     fhir:index 140;
     fhir:CodeSystem.code [ fhir:value "VRXCRPT" ];
     fhir:CodeSystem.display [ fhir:value "Excerpt verbatim" ];
     fhir:CodeSystem.definition [ fhir:value "The source is a direct quote from the target." ];
     fhir:CodeSystem.designation [
       fhir:index 0;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "Excerpt verbatim" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "Excerpt verbatim" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "Excerpt verbatim" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "Excerpt verbatim" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "Excerpt verbatim" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "Excerpt verbatim" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.language [ fhir:value "en" ];
       fhir:CodeSystem.use [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
         fhir:Coding.code [ fhir:value "display" ]
       ];
       fhir:CodeSystem.value [ fhir:value "Excerpt verbatim" ]
     ];
     fhir:CodeSystem.property [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "status" ];
       fhir:CodeSystem.value [ fhir:value "active" ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "internalId" ];
       fhir:CodeSystem.value [ fhir:value "18661" ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "isDocumentCharacteristic" ];
       fhir:CodeSystem.value [ fhir:value "true" ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "Name:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "verbatimExcerpt" ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "Name:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "verbatimExcerptFrom" ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:inboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "BMA______" ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.code [ fhir:value "Sort:Act:outboundRelationship:ActRelationship" ];
       fhir:CodeSystem.value [ fhir:value "BMA______" ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.value [ fhir:value "XCRPT" ]
     ], [
       fhir:index 8;
       fhir:CodeSystem.code [ fhir:value "conductible" ];
       fhir:CodeSystem.value [ fhir:value "false" ]
     ], [
       fhir:index 9;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:source:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ], [
       fhir:index 10;
       fhir:CodeSystem.code [ fhir:value "Name:ActRelationship:target:Act" ];
       fhir:CodeSystem.value [ fhir:value "&" ]
     ]
  ] .

# -------------------------------------------------------------------------------------

