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

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

[] a fhir:CodeSystem;
  fhir:Resource.id [ fhir:value "v3-Ethnicity"];
  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-Ethnicity"];
  fhir:CodeSystem.identifier [
     fhir:index 0;
     fhir:Identifier.system [ fhir:value "urn:ietf:rfc:3986" ];
     fhir:Identifier.value [ fhir:value "urn:oid:2.16.840.1.113883.5.50" ]
  ];
  fhir:CodeSystem.version [ fhir:value "4.0.0"];
  fhir:CodeSystem.name [ fhir:value "Ethnicity"];
  fhir:CodeSystem.title [ fhir:value "Ethnicity"];
  fhir:CodeSystem.status [ fhir:value "active"];
  fhir:CodeSystem.experimental [ fhir:value "false"];
  fhir:CodeSystem.date [ fhir:value "2022-01-30"];
  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 "**Deprecation Information:** Deprecated due to UP-265. This code system in NOT the acknowledged source of truth for Ethnicity concepts and codes. It should no longer be used. https://terminology.hl7.org/CodeSystem-CDCREC.html should be used in its place. In the United States, federal standards for classifying data on ethnicity determine the categories used by federal agencies and exert a strong influence on categorization by state and local agencies and private sector organizations. The federal standards do not conceptually define ethnicity, and they recognize the absence of an anthropological or scientific basis for ethnicity classification. Instead, the federal standards acknowledge that ethnicity is a social-political construct in which an individual's own identification with a particular ethnicity is preferred to observer identification. The standards specify two minimum ethnicity categories: Hispanic or Latino, and Not Hispanic or Latino. The standards define a Hispanic or Latino as a person of \"Mexican, Puerto Rican, Cuban, South or Central America, or other Spanish culture or origin, regardless of race.\" The standards stipulate that ethnicity data need not be limited to the two minimum categories, but any expansion must be collapsible to those categories. In addition, the standards stipulate that an individual can be Hispanic or Latino or can be Not Hispanic or Latino, but cannot be both."];
  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:CodeSystem.concept [
     fhir:index 0;
     fhir:CodeSystem.code [ fhir:value "2135-2" ];
     fhir:CodeSystem.display [ fhir:value "Hispanic or Latino" ];
     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 "Hispanic or Latino" ]
     ], [
       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 "Hispanic or Latino" ]
     ];
     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 "15837" ]
     ];
     fhir:CodeSystem.concept [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "2137-8" ];
       fhir:CodeSystem.display [ fhir:value "Spaniard" ];
       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 "Spaniard" ]
       ], [
         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 "Spaniard" ]
       ], [
         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 "Spaniard" ]
       ];
       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 "15838" ]
       ];
       fhir:CodeSystem.concept [
         fhir:index 0;
         fhir:CodeSystem.code [ fhir:value "2138-6" ];
         fhir:CodeSystem.display [ fhir:value "Andalusian" ];
         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 "Andalusian" ]
         ], [
           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 "Andalusian" ]
         ], [
           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 "Andalusian" ]
         ];
         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 "15839" ]
         ]
       ], [
         fhir:index 1;
         fhir:CodeSystem.code [ fhir:value "2139-4" ];
         fhir:CodeSystem.display [ fhir:value "Asturian" ];
         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 "Asturian" ]
         ], [
           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 "Asturian" ]
         ], [
           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 "Asturian" ]
         ];
         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 "15840" ]
         ]
       ], [
         fhir:index 2;
         fhir:CodeSystem.code [ fhir:value "2140-2" ];
         fhir:CodeSystem.display [ fhir:value "Castillian" ];
         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 "Castillian" ]
         ], [
           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 "Castillian" ]
         ], [
           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 "Castillian" ]
         ];
         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 "15841" ]
         ]
       ], [
         fhir:index 3;
         fhir:CodeSystem.code [ fhir:value "2141-0" ];
         fhir:CodeSystem.display [ fhir:value "Catalonian" ];
         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 "Catalonian" ]
         ], [
           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 "Catalonian" ]
         ], [
           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 "Catalonian" ]
         ];
         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 "15842" ]
         ]
       ], [
         fhir:index 4;
         fhir:CodeSystem.code [ fhir:value "2142-8" ];
         fhir:CodeSystem.display [ fhir:value "Belearic Islander" ];
         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 "Belearic Islander" ]
         ], [
           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 "Belearic Islander" ]
         ], [
           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 "Belearic Islander" ]
         ];
         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 "15843" ]
         ]
       ], [
         fhir:index 5;
         fhir:CodeSystem.code [ fhir:value "2143-6" ];
         fhir:CodeSystem.display [ fhir:value "Gallego" ];
         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 "Gallego" ]
         ], [
           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 "Gallego" ]
         ], [
           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 "Gallego" ]
         ];
         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 "15844" ]
         ]
       ], [
         fhir:index 6;
         fhir:CodeSystem.code [ fhir:value "2144-4" ];
         fhir:CodeSystem.display [ fhir:value "Valencian" ];
         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 "Valencian" ]
         ], [
           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 "Valencian" ]
         ], [
           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 "Valencian" ]
         ];
         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 "15845" ]
         ]
       ], [
         fhir:index 7;
         fhir:CodeSystem.code [ fhir:value "2145-1" ];
         fhir:CodeSystem.display [ fhir:value "Canarian" ];
         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 "Canarian" ]
         ], [
           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 "Canarian" ]
         ], [
           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 "Canarian" ]
         ];
         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 "15846" ]
         ]
       ], [
         fhir:index 8;
         fhir:CodeSystem.code [ fhir:value "2146-9" ];
         fhir:CodeSystem.display [ fhir:value "Spanish Basque" ];
         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 "Spanish Basque" ]
         ], [
           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 "Spanish Basque" ]
         ], [
           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 "Spanish Basque" ]
         ];
         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 "15847" ]
         ]
       ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "2148-5" ];
       fhir:CodeSystem.display [ fhir:value "Mexican" ];
       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 "Mexican" ]
       ], [
         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 "Mexican" ]
       ], [
         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 "Mexican" ]
       ];
       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 "15848" ]
       ];
       fhir:CodeSystem.concept [
         fhir:index 0;
         fhir:CodeSystem.code [ fhir:value "2149-3" ];
         fhir:CodeSystem.display [ fhir:value "Mexican American" ];
         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 "Mexican American" ]
         ], [
           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 "Mexican American" ]
         ], [
           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 "Mexican American" ]
         ];
         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 "15849" ]
         ]
       ], [
         fhir:index 1;
         fhir:CodeSystem.code [ fhir:value "2150-1" ];
         fhir:CodeSystem.display [ fhir:value "Mexicano" ];
         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 "Mexicano" ]
         ], [
           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 "Mexicano" ]
         ], [
           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 "Mexicano" ]
         ];
         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 "15850" ]
         ]
       ], [
         fhir:index 2;
         fhir:CodeSystem.code [ fhir:value "2151-9" ];
         fhir:CodeSystem.display [ fhir:value "Chicano" ];
         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 "Chicano" ]
         ], [
           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 "Chicano" ]
         ], [
           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 "Chicano" ]
         ];
         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 "15851" ]
         ]
       ], [
         fhir:index 3;
         fhir:CodeSystem.code [ fhir:value "2152-7" ];
         fhir:CodeSystem.display [ fhir:value "La Raza" ];
         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 "La Raza" ]
         ], [
           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 "La Raza" ]
         ], [
           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 "La Raza" ]
         ];
         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 "15852" ]
         ]
       ], [
         fhir:index 4;
         fhir:CodeSystem.code [ fhir:value "2153-5" ];
         fhir:CodeSystem.display [ fhir:value "Mexican American Indian" ];
         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 "Mexican American Indian" ]
         ], [
           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 "Mexican American Indian" ]
         ], [
           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 "Mexican American Indian" ]
         ];
         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 "15853" ]
         ]
       ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "2155-0" ];
       fhir:CodeSystem.display [ fhir:value "Central American" ];
       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 "Central American" ]
       ], [
         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 "Central American" ]
       ], [
         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 "Central American" ]
       ];
       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 "15854" ]
       ];
       fhir:CodeSystem.concept [
         fhir:index 0;
         fhir:CodeSystem.code [ fhir:value "2156-8" ];
         fhir:CodeSystem.display [ fhir:value "Costa Rican" ];
         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 "Costa Rican" ]
         ], [
           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 "Costa Rican" ]
         ], [
           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 "Costa Rican" ]
         ];
         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 "15855" ]
         ]
       ], [
         fhir:index 1;
         fhir:CodeSystem.code [ fhir:value "2157-6" ];
         fhir:CodeSystem.display [ fhir:value "Guatemalan" ];
         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 "Guatemalan" ]
         ], [
           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 "Guatemalan" ]
         ], [
           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 "Guatemalan" ]
         ];
         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 "15856" ]
         ]
       ], [
         fhir:index 2;
         fhir:CodeSystem.code [ fhir:value "2158-4" ];
         fhir:CodeSystem.display [ fhir:value "Honduran" ];
         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 "Honduran" ]
         ], [
           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 "Honduran" ]
         ], [
           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 "Honduran" ]
         ];
         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 "15857" ]
         ]
       ], [
         fhir:index 3;
         fhir:CodeSystem.code [ fhir:value "2159-2" ];
         fhir:CodeSystem.display [ fhir:value "Nicaraguan" ];
         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 "Nicaraguan" ]
         ], [
           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 "Nicaraguan" ]
         ], [
           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 "Nicaraguan" ]
         ];
         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 "15858" ]
         ]
       ], [
         fhir:index 4;
         fhir:CodeSystem.code [ fhir:value "2160-0" ];
         fhir:CodeSystem.display [ fhir:value "Panamanian" ];
         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 "Panamanian" ]
         ], [
           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 "Panamanian" ]
         ], [
           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 "Panamanian" ]
         ];
         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 "15859" ]
         ]
       ], [
         fhir:index 5;
         fhir:CodeSystem.code [ fhir:value "2161-8" ];
         fhir:CodeSystem.display [ fhir:value "Salvadoran" ];
         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 "Salvadoran" ]
         ], [
           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 "Salvadoran" ]
         ], [
           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 "Salvadoran" ]
         ];
         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 "15860" ]
         ]
       ], [
         fhir:index 6;
         fhir:CodeSystem.code [ fhir:value "2162-6" ];
         fhir:CodeSystem.display [ fhir:value "Central American Indian" ];
         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 "Central American Indian" ]
         ], [
           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 "Central American Indian" ]
         ], [
           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 "Central American Indian" ]
         ];
         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 "15861" ]
         ]
       ], [
         fhir:index 7;
         fhir:CodeSystem.code [ fhir:value "2163-4" ];
         fhir:CodeSystem.display [ fhir:value "Canal Zone" ];
         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 "Canal Zone" ]
         ], [
           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 "Canal Zone" ]
         ], [
           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 "Canal Zone" ]
         ];
         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 "15862" ]
         ]
       ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "2165-9" ];
       fhir:CodeSystem.display [ fhir:value "South American" ];
       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 "South American" ]
       ], [
         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 "South American" ]
       ], [
         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 "South American" ]
       ];
       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 "15863" ]
       ];
       fhir:CodeSystem.concept [
         fhir:index 0;
         fhir:CodeSystem.code [ fhir:value "2166-7" ];
         fhir:CodeSystem.display [ fhir:value "Argentinean" ];
         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 "Argentinean" ]
         ], [
           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 "Argentinean" ]
         ], [
           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 "Argentinean" ]
         ];
         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 "15864" ]
         ]
       ], [
         fhir:index 1;
         fhir:CodeSystem.code [ fhir:value "2167-5" ];
         fhir:CodeSystem.display [ fhir:value "Bolivian" ];
         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 "Bolivian" ]
         ], [
           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 "Bolivian" ]
         ], [
           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 "Bolivian" ]
         ];
         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 "15865" ]
         ]
       ], [
         fhir:index 2;
         fhir:CodeSystem.code [ fhir:value "2168-3" ];
         fhir:CodeSystem.display [ fhir:value "Chilean" ];
         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 "Chilean" ]
         ], [
           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 "Chilean" ]
         ], [
           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 "Chilean" ]
         ];
         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 "15866" ]
         ]
       ], [
         fhir:index 3;
         fhir:CodeSystem.code [ fhir:value "2169-1" ];
         fhir:CodeSystem.display [ fhir:value "Colombian" ];
         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 "Colombian" ]
         ], [
           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 "Colombian" ]
         ], [
           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 "Colombian" ]
         ];
         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 "15867" ]
         ]
       ], [
         fhir:index 4;
         fhir:CodeSystem.code [ fhir:value "2170-9" ];
         fhir:CodeSystem.display [ fhir:value "Ecuadorian" ];
         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 "Ecuadorian" ]
         ], [
           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 "Ecuadorian" ]
         ], [
           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 "Ecuadorian" ]
         ];
         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 "15868" ]
         ]
       ], [
         fhir:index 5;
         fhir:CodeSystem.code [ fhir:value "2171-7" ];
         fhir:CodeSystem.display [ fhir:value "Paraguayan" ];
         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 "Paraguayan" ]
         ], [
           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 "Paraguayan" ]
         ], [
           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 "Paraguayan" ]
         ];
         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 "15869" ]
         ]
       ], [
         fhir:index 6;
         fhir:CodeSystem.code [ fhir:value "2172-5" ];
         fhir:CodeSystem.display [ fhir:value "Peruvian" ];
         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 "Peruvian" ]
         ], [
           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 "Peruvian" ]
         ], [
           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 "Peruvian" ]
         ];
         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 "15870" ]
         ]
       ], [
         fhir:index 7;
         fhir:CodeSystem.code [ fhir:value "2173-3" ];
         fhir:CodeSystem.display [ fhir:value "Uruguayan" ];
         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 "Uruguayan" ]
         ], [
           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 "Uruguayan" ]
         ], [
           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 "Uruguayan" ]
         ];
         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 "15871" ]
         ]
       ], [
         fhir:index 8;
         fhir:CodeSystem.code [ fhir:value "2174-1" ];
         fhir:CodeSystem.display [ fhir:value "Venezuelan" ];
         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 "Venezuelan" ]
         ], [
           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 "Venezuelan" ]
         ], [
           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 "Venezuelan" ]
         ];
         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 "15872" ]
         ]
       ], [
         fhir:index 9;
         fhir:CodeSystem.code [ fhir:value "2175-8" ];
         fhir:CodeSystem.display [ fhir:value "South American Indian" ];
         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 "South American Indian" ]
         ], [
           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 "South American Indian" ]
         ], [
           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 "South American Indian" ]
         ];
         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 "15873" ]
         ]
       ], [
         fhir:index 10;
         fhir:CodeSystem.code [ fhir:value "2176-6" ];
         fhir:CodeSystem.display [ fhir:value "Criollo" ];
         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 "Criollo" ]
         ], [
           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 "Criollo" ]
         ], [
           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 "Criollo" ]
         ];
         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 "15874" ]
         ]
       ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "2178-2" ];
       fhir:CodeSystem.display [ fhir:value "Latin American" ];
       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 "Latin American" ]
       ], [
         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 "Latin American" ]
       ];
       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 "15875" ]
       ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.code [ fhir:value "2180-8" ];
       fhir:CodeSystem.display [ fhir:value "Puerto Rican" ];
       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 "Puerto Rican" ]
       ], [
         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 "Puerto Rican" ]
       ];
       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 "15876" ]
       ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.code [ fhir:value "2182-4" ];
       fhir:CodeSystem.display [ fhir:value "Cuban" ];
       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 "Cuban" ]
       ], [
         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 "Cuban" ]
       ];
       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 "15877" ]
       ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.code [ fhir:value "2184-0" ];
       fhir:CodeSystem.display [ fhir:value "Dominican" ];
       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 "Dominican" ]
       ], [
         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 "Dominican" ]
       ];
       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 "15878" ]
       ]
     ]
  ], [
     fhir:index 1;
     fhir:CodeSystem.code [ fhir:value "2186-5" ];
     fhir:CodeSystem.display [ fhir:value "Not Hispanic or Latino" ];
     fhir:CodeSystem.definition [ fhir:value "Note that this term remains in the table for completeness, even though within HL7, the notion of \"not otherwise coded\" term is deprecated." ];
     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 "15879" ]
     ]
  ] .

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

