@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-ParticipationType"];
  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-ParticipationType"];
  fhir:CodeSystem.identifier [
     fhir:index 0;
     fhir:Identifier.system [ fhir:value "urn:ietf:rfc:3986" ];
     fhir:Identifier.value [ fhir:value "urn:oid:2.16.840.1.113883.5.90" ]
  ];
  fhir:CodeSystem.version [ fhir:value "5.0.0"];
  fhir:CodeSystem.name [ fhir:value "ParticipationType"];
  fhir:CodeSystem.title [ fhir:value "ParticipationType"];
  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 "A code specifying the meaning and purpose of every Participation instance. Each of its values implies specific constraints on the Roles undertaking the participation."];
  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 "Name:Act:participation:Participation" ];
     fhir:CodeSystem.uri [ fhir:value "http://terminology.hl7.org/CodeSystem/utg-concept-properties#rim-participation" ];
     fhir:CodeSystem.description [ fhir:value "Name of relationship from Act to Participation" ];
     fhir:CodeSystem.type [ fhir:value "code" ]
  ], [
     fhir:index 6;
     fhir:CodeSystem.code [ fhir:value "Name:Role:participation:Participation" ];
     fhir:CodeSystem.uri [ fhir:value "http://terminology.hl7.org/CodeSystem/utg-concept-properties#rim-Role-participation" ];
     fhir:CodeSystem.description [ fhir:value "Name of relationship from Role to Participation" ];
     fhir:CodeSystem.type [ fhir:value "code" ]
  ], [
     fhir:index 7;
     fhir:CodeSystem.code [ fhir:value "Sort:Act:participation:Participation" ];
     fhir:CodeSystem.uri [ fhir:value "http://terminology.hl7.org/CodeSystem/utg-concept-properties#rim-Act-participation-sort" ];
     fhir:CodeSystem.description [ fhir:value "Sort key for relationship from Act to Participation" ];
     fhir:CodeSystem.type [ fhir:value "code" ]
  ], [
     fhir:index 8;
     fhir:CodeSystem.code [ fhir:value "Sort:Role:participation:Participation" ];
     fhir:CodeSystem.uri [ fhir:value "http://terminology.hl7.org/CodeSystem/utg-concept-properties#rim-Role-participation-sort" ];
     fhir:CodeSystem.description [ fhir:value "Sort key for relationship from Role to Participation" ];
     fhir:CodeSystem.type [ fhir:value "code" ]
  ], [
     fhir:index 9;
     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 10;
     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 11;
     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:CodeSystem.concept [
     fhir:index 0;
     fhir:CodeSystem.code [ fhir:value "PART" ];
     fhir:CodeSystem.display [ fhir:value "Participation" ];
     fhir:CodeSystem.definition [ fhir:value "Indicates that the target of the participation is involved in some manner in the act, but does not qualify how." ];
     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 "Participation" ]
     ], [
       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 "Participation" ]
     ];
     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 "21573" ]
     ];
     fhir:CodeSystem.concept [
       fhir:index 0;
       fhir:CodeSystem.code [ fhir:value "_ParticipationAncillary" ];
       fhir:CodeSystem.display [ fhir:value "ParticipationAncillary" ];
       fhir:CodeSystem.definition [ fhir:value "Participations related, but not primary to an act. The Referring, Admitting, and Discharging practitioners must be the same person as those authoring the ControlAct event for their respective trigger events." ];
       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 "ParticipationAncillary" ]
       ], [
         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 "ParticipationAncillary" ]
       ], [
         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 "ParticipationAncillary" ]
       ];
       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 "21110" ]
       ], [
         fhir:index 3;
         fhir:CodeSystem.code [ fhir:value "conductible" ];
         fhir:CodeSystem.value [ fhir:value "false" ]
       ], [
         fhir:index 4;
         fhir:CodeSystem.code [ fhir:value "Name:Act:participation:Participation" ];
         fhir:CodeSystem.value [ fhir:value "ancillaryRole" ]
       ], [
         fhir:index 5;
         fhir:CodeSystem.code [ fhir:value "Name:Role:participation:Participation" ];
         fhir:CodeSystem.value [ fhir:value "participation" ]
       ], [
         fhir:index 6;
         fhir:CodeSystem.code [ fhir:value "Sort:Act:participation:Participation" ];
         fhir:CodeSystem.value [ fhir:value "F________" ]
       ], [
         fhir:index 7;
         fhir:CodeSystem.code [ fhir:value "Sort:Role:participation:Participation" ];
         fhir:CodeSystem.value [ fhir:value "F________" ]
       ];
       fhir:CodeSystem.concept [
         fhir:index 0;
         fhir:CodeSystem.code [ fhir:value "ADM" ];
         fhir:CodeSystem.display [ fhir:value "admitter" ];
         fhir:CodeSystem.definition [ fhir:value "The practitioner who is responsible for admitting a patient to a patient 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 "admitter" ]
         ], [
           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 "admitter" ]
         ], [
           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 "admitter" ]
         ], [
           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 "admitter" ]
         ];
         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 "16845" ]
         ], [
           fhir:index 2;
           fhir:CodeSystem.code [ fhir:value "Name:Act:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "admitter" ]
         ], [
           fhir:index 3;
           fhir:CodeSystem.code [ fhir:value "Name:Role:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "admission" ]
         ], [
           fhir:index 4;
           fhir:CodeSystem.code [ fhir:value "Sort:Act:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "FA_______" ]
         ], [
           fhir:index 5;
           fhir:CodeSystem.code [ fhir:value "Sort:Role:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "FA_______" ]
         ], [
           fhir:index 6;
           fhir:CodeSystem.code [ fhir:value "conductible" ];
           fhir:CodeSystem.value [ fhir:value "false" ]
         ]
       ], [
         fhir:index 1;
         fhir:CodeSystem.code [ fhir:value "ATND" ];
         fhir:CodeSystem.display [ fhir:value "attender" ];
         fhir:CodeSystem.definition [ fhir:value "The practitioner that has responsibility for overseeing a patient's care during a patient 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 "attender" ]
         ], [
           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 "attender" ]
         ], [
           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 "attender" ]
         ], [
           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 "attender" ]
         ];
         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 "16843" ]
         ], [
           fhir:index 2;
           fhir:CodeSystem.code [ fhir:value "Name:Act:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "attender" ]
         ], [
           fhir:index 3;
           fhir:CodeSystem.code [ fhir:value "Name:Role:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "attenderOf" ]
         ], [
           fhir:index 4;
           fhir:CodeSystem.code [ fhir:value "Sort:Act:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "FB_______" ]
         ], [
           fhir:index 5;
           fhir:CodeSystem.code [ fhir:value "Sort:Role:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "FB_______" ]
         ], [
           fhir:index 6;
           fhir:CodeSystem.code [ fhir:value "conductible" ];
           fhir:CodeSystem.value [ fhir:value "false" ]
         ]
       ], [
         fhir:index 2;
         fhir:CodeSystem.code [ fhir:value "CALLBCK" ];
         fhir:CodeSystem.display [ fhir:value "callback contact" ];
         fhir:CodeSystem.definition [ fhir:value "A person or organization who should be contacted for follow-up questions about the act in place of the author." ];
         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 "callback contact" ]
         ], [
           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 "callback contact" ]
         ], [
           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 "callback contact" ]
         ], [
           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 "callback contact" ]
         ];
         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 "21385" ]
         ], [
           fhir:index 2;
           fhir:CodeSystem.code [ fhir:value "Name:Act:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "callBackContact" ]
         ], [
           fhir:index 3;
           fhir:CodeSystem.code [ fhir:value "Name:Role:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "callBackAvailability" ]
         ], [
           fhir:index 4;
           fhir:CodeSystem.code [ fhir:value "Sort:Act:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "FF_______" ]
         ], [
           fhir:index 5;
           fhir:CodeSystem.code [ fhir:value "Sort:Role:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "FF_______" ]
         ], [
           fhir:index 6;
           fhir:CodeSystem.code [ fhir:value "conductible" ];
           fhir:CodeSystem.value [ fhir:value "false" ]
         ]
       ], [
         fhir:index 3;
         fhir:CodeSystem.code [ fhir:value "CON" ];
         fhir:CodeSystem.display [ fhir:value "consultant" ];
         fhir:CodeSystem.definition [ fhir:value "An advisor participating in the service by performing evaluations and making recommendations." ];
         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 "consultant" ]
         ], [
           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 "consultant" ]
         ], [
           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 "consultant" ]
         ], [
           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 "consultant" ]
         ];
         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 "10256" ]
         ], [
           fhir:index 2;
           fhir:CodeSystem.code [ fhir:value "Name:Act:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "consultant" ]
         ], [
           fhir:index 3;
           fhir:CodeSystem.code [ fhir:value "Name:Role:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "consultation" ]
         ], [
           fhir:index 4;
           fhir:CodeSystem.code [ fhir:value "Sort:Act:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "FE_______" ]
         ], [
           fhir:index 5;
           fhir:CodeSystem.code [ fhir:value "Sort:Role:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "FE_______" ]
         ], [
           fhir:index 6;
           fhir:CodeSystem.code [ fhir:value "conductible" ];
           fhir:CodeSystem.value [ fhir:value "false" ]
         ]
       ], [
         fhir:index 4;
         fhir:CodeSystem.code [ fhir:value "DIS" ];
         fhir:CodeSystem.display [ fhir:value "discharger" ];
         fhir:CodeSystem.definition [ fhir:value "The practitioner who is responsible for the discharge of a patient from a patient 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 "discharger" ]
         ], [
           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 "discharger" ]
         ], [
           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 "discharger" ]
         ], [
           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 "discharger" ]
         ];
         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 "16844" ]
         ], [
           fhir:index 2;
           fhir:CodeSystem.code [ fhir:value "Name:Act:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "discharger" ]
         ], [
           fhir:index 3;
           fhir:CodeSystem.code [ fhir:value "Name:Role:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "discharge" ]
         ], [
           fhir:index 4;
           fhir:CodeSystem.code [ fhir:value "Sort:Act:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "FC_______" ]
         ], [
           fhir:index 5;
           fhir:CodeSystem.code [ fhir:value "Sort:Role:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "FC_______" ]
         ], [
           fhir:index 6;
           fhir:CodeSystem.code [ fhir:value "conductible" ];
           fhir:CodeSystem.value [ fhir:value "false" ]
         ]
       ], [
         fhir:index 5;
         fhir:CodeSystem.code [ fhir:value "ESC" ];
         fhir:CodeSystem.display [ fhir:value "escort" ];
         fhir:CodeSystem.definition [ fhir:value "Only with Transportation services. A person who escorts the patient." ];
         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 "escort" ]
         ], [
           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 "escort" ]
         ], [
           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 "escort" ]
         ], [
           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 "escort" ]
         ];
         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 "10250" ]
         ], [
           fhir:index 2;
           fhir:CodeSystem.code [ fhir:value "Name:Act:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "escort" ]
         ], [
           fhir:index 3;
           fhir:CodeSystem.code [ fhir:value "Name:Role:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "escort" ]
         ], [
           fhir:index 4;
           fhir:CodeSystem.code [ fhir:value "Sort:Act:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "FG_______" ]
         ], [
           fhir:index 5;
           fhir:CodeSystem.code [ fhir:value "Sort:Role:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "FG_______" ]
         ], [
           fhir:index 6;
           fhir:CodeSystem.code [ fhir:value "conductible" ];
           fhir:CodeSystem.value [ fhir:value "false" ]
         ]
       ], [
         fhir:index 6;
         fhir:CodeSystem.code [ fhir:value "REF" ];
         fhir:CodeSystem.display [ fhir:value "referrer" ];
         fhir:CodeSystem.definition [ fhir:value "A person having referred the subject of the service to the performer (referring physician). Typically, a referring physician will receive a report." ];
         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 "referrer" ]
         ], [
           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 "referrer" ]
         ], [
           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 "referrer" ]
         ], [
           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 "referrer" ]
         ];
         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 "10264" ]
         ], [
           fhir:index 2;
           fhir:CodeSystem.code [ fhir:value "Name:Act:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "referrer" ]
         ], [
           fhir:index 3;
           fhir:CodeSystem.code [ fhir:value "Name:Role:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "referral" ]
         ], [
           fhir:index 4;
           fhir:CodeSystem.code [ fhir:value "Sort:Act:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "FD_______" ]
         ], [
           fhir:index 5;
           fhir:CodeSystem.code [ fhir:value "Sort:Role:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "FD_______" ]
         ], [
           fhir:index 6;
           fhir:CodeSystem.code [ fhir:value "conductible" ];
           fhir:CodeSystem.value [ fhir:value "false" ]
         ]
       ]
     ], [
       fhir:index 1;
       fhir:CodeSystem.code [ fhir:value "_ParticipationInformationGenerator" ];
       fhir:CodeSystem.display [ fhir:value "ParticipationInformationGenerator" ];
       fhir:CodeSystem.definition [ fhir:value "Parties that may or should contribute or have contributed information to the Act. Such information includes information leading to the decision to perform the Act and how to perform the Act (e.g., consultant), information that the Act itself seeks to reveal (e.g., informant of clinical history), or information about what Act was performed (e.g., informant witness)." ];
       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 "ParticipationInformationGenerator" ]
       ], [
         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 "ParticipationInformationGenerator" ]
       ], [
         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 "ParticipationInformationGenerator" ]
       ];
       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 "21111" ]
       ], [
         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:participation:Participation" ];
         fhir:CodeSystem.value [ fhir:value "informationOriginator" ]
       ], [
         fhir:index 6;
         fhir:CodeSystem.code [ fhir:value "Name:Role:participation:Participation" ];
         fhir:CodeSystem.value [ fhir:value "origination" ]
       ], [
         fhir:index 7;
         fhir:CodeSystem.code [ fhir:value "Sort:Act:participation:Participation" ];
         fhir:CodeSystem.value [ fhir:value "E________" ]
       ], [
         fhir:index 8;
         fhir:CodeSystem.code [ fhir:value "Sort:Role:participation:Participation" ];
         fhir:CodeSystem.value [ fhir:value "E________" ]
       ];
       fhir:CodeSystem.concept [
         fhir:index 0;
         fhir:CodeSystem.code [ fhir:value "AUT" ];
         fhir:CodeSystem.display [ fhir:value "author (originator)" ];
         fhir:CodeSystem.definition [ fhir:value "**Definition:** A party that originates the Act and therefore has responsibility for the information given in the Act and ownership of this Act.\r\n\r\n**Example:** the report writer, the person writing the act definition, the guideline author, the placer of an order, the EKG cart (device) creating a report etc. Every Act should have an author. Authorship is regardless of mood always actual authorship.\r\n\r\nExamples of such policies might include:\r\n\r\n *  The author and anyone they explicitly delegate may update the report;\r\n *  All administrators within the same clinic may cancel and reschedule appointments created by other administrators within that clinic;\r\n\r\nA party that is neither an author nor a party who is extended authorship maintenance rights by policy, may only amend, reverse, override, replace, or follow up in other ways on this Act, whereby the Act remains intact and is linked to another Act authored by that other party." ];
         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 "author (originator)" ]
         ], [
           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 "author (originator)" ]
         ], [
           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 "author (originator)" ]
         ], [
           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 "author (originator)" ]
         ];
         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 "10252" ]
         ], [
           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:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "author" ]
         ], [
           fhir:index 4;
           fhir:CodeSystem.code [ fhir:value "Name:Role:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "origination" ]
         ], [
           fhir:index 5;
           fhir:CodeSystem.code [ fhir:value "Sort:Act:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "EA_______" ]
         ], [
           fhir:index 6;
           fhir:CodeSystem.code [ fhir:value "Sort:Role:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "EA_______" ]
         ], [
           fhir:index 7;
           fhir:CodeSystem.code [ fhir:value "conductible" ];
           fhir:CodeSystem.value [ fhir:value "true" ]
         ]
       ], [
         fhir:index 1;
         fhir:CodeSystem.code [ fhir:value "INF" ];
         fhir:CodeSystem.display [ fhir:value "informant" ];
         fhir:CodeSystem.definition [ fhir:value "A source of reported information (e.g., a next of kin who answers questions about the patient's history). For history questions, the patient is logically an informant, yet the informant of history questions is implicitly the subject." ];
         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 "informant" ]
         ], [
           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 "informant" ]
         ], [
           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 "informant" ]
         ], [
           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 "informant" ]
         ];
         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 "10254" ]
         ], [
           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:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "informant" ]
         ], [
           fhir:index 4;
           fhir:CodeSystem.code [ fhir:value "Name:Role:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "informationGiven" ]
         ], [
           fhir:index 5;
           fhir:CodeSystem.code [ fhir:value "Sort:Act:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "EC_______" ]
         ], [
           fhir:index 6;
           fhir:CodeSystem.code [ fhir:value "Sort:Role:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "EC_______" ]
         ], [
           fhir:index 7;
           fhir:CodeSystem.code [ fhir:value "conductible" ];
           fhir:CodeSystem.value [ fhir:value "true" ]
         ]
       ], [
         fhir:index 2;
         fhir:CodeSystem.code [ fhir:value "TRANS" ];
         fhir:CodeSystem.display [ fhir:value "Transcriber" ];
         fhir:CodeSystem.definition [ fhir:value "An entity entering the data into the originating system. The data entry entity is collected optionally for internal quality control purposes. This includes the transcriptionist for dictated text transcribed into electronic form." ];
         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 "Transcriber" ]
         ], [
           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 "Transcriber" ]
         ], [
           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 "Transcriber" ]
         ], [
           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 "Transcriber" ]
         ];
         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 "21463" ]
         ], [
           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:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "transcriber" ]
         ], [
           fhir:index 4;
           fhir:CodeSystem.code [ fhir:value "Name:Role:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "transcription" ]
         ], [
           fhir:index 5;
           fhir:CodeSystem.code [ fhir:value "Sort:Act:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "EB_______" ]
         ], [
           fhir:index 6;
           fhir:CodeSystem.code [ fhir:value "Sort:Role:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "EB_______" ]
         ], [
           fhir:index 7;
           fhir:CodeSystem.code [ fhir:value "conductible" ];
           fhir:CodeSystem.value [ fhir:value "true" ]
         ];
         fhir:CodeSystem.concept [
           fhir:index 0;
           fhir:CodeSystem.code [ fhir:value "ENT" ];
           fhir:CodeSystem.display [ fhir:value "data entry person" ];
           fhir:CodeSystem.definition [ fhir:value "A person entering the data into the originating system. The data entry person is collected optionally for internal quality control purposes. This includes the transcriptionist for dictated text." ];
           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 "data entry person" ]
           ], [
             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 "data entry person" ]
           ], [
             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 "data entry person" ]
           ], [
             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 "data entry person" ]
           ], [
             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 "data entry person" ]
           ];
           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 "10253" ]
           ], [
             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:participation:Participation" ];
             fhir:CodeSystem.value [ fhir:value "dataEnterer" ]
           ], [
             fhir:index 4;
             fhir:CodeSystem.code [ fhir:value "Name:Role:participation:Participation" ];
             fhir:CodeSystem.value [ fhir:value "dataEntry" ]
           ], [
             fhir:index 5;
             fhir:CodeSystem.code [ fhir:value "Sort:Act:participation:Participation" ];
             fhir:CodeSystem.value [ fhir:value "EBB______" ]
           ], [
             fhir:index 6;
             fhir:CodeSystem.code [ fhir:value "Sort:Role:participation:Participation" ];
             fhir:CodeSystem.value [ fhir:value "EBB______" ]
           ], [
             fhir:index 7;
             fhir:CodeSystem.code [ fhir:value "conductible" ];
             fhir:CodeSystem.value [ fhir:value "true" ]
           ]
         ]
       ], [
         fhir:index 3;
         fhir:CodeSystem.code [ fhir:value "WIT" ];
         fhir:CodeSystem.display [ fhir:value "witness" ];
         fhir:CodeSystem.definition [ fhir:value "Only with service events. A person witnessing the action happening without doing anything. A witness is not necessarily aware, much less approves of anything stated in the service event. Example for a witness is students watching an operation or an advanced directive witness." ];
         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 "witness" ]
         ], [
           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 "witness" ]
         ], [
           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 "witness" ]
         ], [
           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 "witness" ]
         ];
         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 "10260" ]
         ], [
           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:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "witness" ]
         ], [
           fhir:index 4;
           fhir:CodeSystem.code [ fhir:value "Name:Role:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "witness" ]
         ], [
           fhir:index 5;
           fhir:CodeSystem.code [ fhir:value "Sort:Act:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "ED_______" ]
         ], [
           fhir:index 6;
           fhir:CodeSystem.code [ fhir:value "Sort:Role:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "ED_______" ]
         ], [
           fhir:index 7;
           fhir:CodeSystem.code [ fhir:value "conductible" ];
           fhir:CodeSystem.value [ fhir:value "true" ]
         ]
       ], [
         fhir:index 4;
         fhir:CodeSystem.code [ fhir:value "NOTARY" ];
         fhir:CodeSystem.display [ fhir:value "notary" ];
         fhir:CodeSystem.definition [ fhir:value "The entity (person or organization) who legally attests that the information present in the Act is a true replica of an original." ];
         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 "notary" ]
         ], [
           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 "notary" ]
         ], [
           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 "notary" ]
         ];
         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 "110260" ]
         ], [
           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:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "notary" ]
         ], [
           fhir:index 4;
           fhir:CodeSystem.code [ fhir:value "Name:Role:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "notarization" ]
         ], [
           fhir:index 5;
           fhir:CodeSystem.code [ fhir:value "Sort:Act:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "EE_______" ]
         ], [
           fhir:index 6;
           fhir:CodeSystem.code [ fhir:value "Sort:Role:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "EE_______" ]
         ], [
           fhir:index 7;
           fhir:CodeSystem.code [ fhir:value "conductible" ];
           fhir:CodeSystem.value [ fhir:value "true" ]
         ]
       ]
     ], [
       fhir:index 2;
       fhir:CodeSystem.code [ fhir:value "CST" ];
       fhir:CodeSystem.display [ fhir:value "custodian" ];
       fhir:CodeSystem.definition [ fhir:value "An entity (person, organization or device) that is in charge of maintaining the information of this act (e.g., who maintains the report or the master service catalog item, etc.)." ];
       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 "custodian" ]
       ], [
         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 "custodian" ]
       ], [
         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 "custodian" ]
       ];
       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 "10266" ]
       ], [
         fhir:index 2;
         fhir:CodeSystem.code [ fhir:value "conductible" ];
         fhir:CodeSystem.value [ fhir:value "true" ]
       ], [
         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:participation:Participation" ];
         fhir:CodeSystem.value [ fhir:value "custodian" ]
       ], [
         fhir:index 5;
         fhir:CodeSystem.code [ fhir:value "Name:Role:participation:Participation" ];
         fhir:CodeSystem.value [ fhir:value "custodianship" ]
       ], [
         fhir:index 6;
         fhir:CodeSystem.code [ fhir:value "Sort:Act:participation:Participation" ];
         fhir:CodeSystem.value [ fhir:value "G________" ]
       ], [
         fhir:index 7;
         fhir:CodeSystem.code [ fhir:value "Sort:Role:participation:Participation" ];
         fhir:CodeSystem.value [ fhir:value "G________" ]
       ]
     ], [
       fhir:index 3;
       fhir:CodeSystem.code [ fhir:value "DIR" ];
       fhir:CodeSystem.display [ fhir:value "direct target" ];
       fhir:CodeSystem.definition [ fhir:value "Target participant that is substantially present in the act and which is directly involved in the action (includes consumed material, devices, etc.)." ];
       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 "direct target" ]
       ], [
         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 "direct target" ]
       ], [
         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 "direct target" ]
       ];
       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 "10286" ]
       ], [
         fhir:index 2;
         fhir:CodeSystem.code [ fhir:value "conductible" ];
         fhir:CodeSystem.value [ fhir:value "true" ]
       ], [
         fhir:index 3;
         fhir:CodeSystem.code [ fhir:value "Name:Act:participation:Participation" ];
         fhir:CodeSystem.value [ fhir:value "directTarget" ]
       ], [
         fhir:index 4;
         fhir:CodeSystem.code [ fhir:value "Name:Role:participation:Participation" ];
         fhir:CodeSystem.value [ fhir:value "directTargetOf" ]
       ], [
         fhir:index 5;
         fhir:CodeSystem.code [ fhir:value "Sort:Act:participation:Participation" ];
         fhir:CodeSystem.value [ fhir:value "A________" ]
       ], [
         fhir:index 6;
         fhir:CodeSystem.code [ fhir:value "Sort:Role:participation:Participation" ];
         fhir:CodeSystem.value [ fhir:value "A________" ]
       ];
       fhir:CodeSystem.concept [
         fhir:index 0;
         fhir:CodeSystem.code [ fhir:value "ALY" ];
         fhir:CodeSystem.display [ fhir:value "analyte" ];
         fhir:CodeSystem.definition [ fhir:value "The target of an Observation action. Links an observation to a Role whose player is the substance or most specific component entity (material, micro-organism, etc.) being measured within the subject.\r\n\r\n*Examples:* A \"plasma porcelain substance concentration\" has analyte a Role with player substance Entity \"porcelain\".\r\n\r\n*UsageNotes:* The Role that this participation connects to may be any Role whose player is that substance measured. Very often, the scoper may indicate the system in which the component is being measured. E.g., for \"plasma porcelain\" the scoper could be \"Plasma\"." ];
         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 "analyte" ]
         ], [
           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 "analyte" ]
         ], [
           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 "analyte" ]
         ], [
           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 "analyte" ]
         ];
         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 "The Role that this participation connects to may be any Role whose player is that substance measured. Very often, the scoper may indicate the system in which the component is being measured. E.g., for \"plasma porcelain\" the scoper could be \"Plasma\"." ]
         ], [
           fhir:index 2;
           fhir:CodeSystem.code [ fhir:value "internalId" ];
           fhir:CodeSystem.value [ fhir:value "23093" ]
         ], [
           fhir:index 3;
           fhir:CodeSystem.code [ fhir:value "Name:Act:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "analyte" ]
         ], [
           fhir:index 4;
           fhir:CodeSystem.code [ fhir:value "Name:Role:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "analyzedBy" ]
         ], [
           fhir:index 5;
           fhir:CodeSystem.code [ fhir:value "Sort:Act:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "AAB______" ]
         ], [
           fhir:index 6;
           fhir:CodeSystem.code [ fhir:value "Sort:Role:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "AAB______" ]
         ], [
           fhir:index 7;
           fhir:CodeSystem.code [ fhir:value "conductible" ];
           fhir:CodeSystem.value [ fhir:value "true" ]
         ]
       ], [
         fhir:index 1;
         fhir:CodeSystem.code [ fhir:value "BBY" ];
         fhir:CodeSystem.display [ fhir:value "baby" ];
         fhir:CodeSystem.definition [ fhir:value "In an obstetric service, the baby." ];
         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 "baby" ]
         ], [
           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 "baby" ]
         ], [
           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 "baby" ]
         ], [
           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 "baby" ]
         ];
         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 "10293" ]
         ], [
           fhir:index 2;
           fhir:CodeSystem.code [ fhir:value "Name:Act:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "baby" ]
         ], [
           fhir:index 3;
           fhir:CodeSystem.code [ fhir:value "Name:Role:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "babyOf" ]
         ], [
           fhir:index 4;
           fhir:CodeSystem.code [ fhir:value "Sort:Act:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "AB_______" ]
         ], [
           fhir:index 5;
           fhir:CodeSystem.code [ fhir:value "Sort:Role:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "AB_______" ]
         ], [
           fhir:index 6;
           fhir:CodeSystem.code [ fhir:value "conductible" ];
           fhir:CodeSystem.value [ fhir:value "true" ]
         ]
       ], [
         fhir:index 2;
         fhir:CodeSystem.code [ fhir:value "CAT" ];
         fhir:CodeSystem.display [ fhir:value "catalyst" ];
         fhir:CodeSystem.definition [ fhir:value "The catalyst of a chemical reaction, such as an enzyme or a platinum surface. In biochemical reactions, connects the enzyme with the molecular interaction" ];
         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 "catalyst" ]
         ], [
           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 "catalyst" ]
         ], [
           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 "catalyst" ]
         ], [
           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 "catalyst" ]
         ];
         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 "23094" ]
         ], [
           fhir:index 2;
           fhir:CodeSystem.code [ fhir:value "Name:Act:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "catalyst" ]
         ], [
           fhir:index 3;
           fhir:CodeSystem.code [ fhir:value "Name:Role:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "catalystOf" ]
         ], [
           fhir:index 4;
           fhir:CodeSystem.code [ fhir:value "Sort:Act:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "AA_______" ]
         ], [
           fhir:index 5;
           fhir:CodeSystem.code [ fhir:value "Sort:Role:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "AA_______" ]
         ], [
           fhir:index 6;
           fhir:CodeSystem.code [ fhir:value "conductible" ];
           fhir:CodeSystem.value [ fhir:value "true" ]
         ]
       ], [
         fhir:index 3;
         fhir:CodeSystem.code [ fhir:value "CSM" ];
         fhir:CodeSystem.display [ fhir:value "consumable" ];
         fhir:CodeSystem.definition [ fhir:value "Participant material that is taken up, diminished, altered, or disappears in the 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 "consumable" ]
         ], [
           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 "consumable" ]
         ], [
           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 "consumable" ]
         ], [
           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 "consumable" ]
         ];
         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 "10296" ]
         ], [
           fhir:index 2;
           fhir:CodeSystem.code [ fhir:value "Name:Act:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "consumable" ]
         ], [
           fhir:index 3;
           fhir:CodeSystem.code [ fhir:value "Name:Role:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "consumedIn" ]
         ], [
           fhir:index 4;
           fhir:CodeSystem.code [ fhir:value "Sort:Act:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "AE_______" ]
         ], [
           fhir:index 5;
           fhir:CodeSystem.code [ fhir:value "Sort:Role:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "AE_______" ]
         ], [
           fhir:index 6;
           fhir:CodeSystem.code [ fhir:value "conductible" ];
           fhir:CodeSystem.value [ fhir:value "true" ]
         ];
         fhir:CodeSystem.concept [
           fhir:index 0;
           fhir:CodeSystem.code [ fhir:value "TPA" ];
           fhir:CodeSystem.display [ fhir:value "therapeutic agent" ];
           fhir:CodeSystem.definition [ fhir:value "Something incorporated in the subject of a therapy service to achieve a physiologic effect (e.g., heal, relieve, provoke a condition, etc.) on the subject. In an administration service the therapeutic agent is a consumable, in a preparation or dispense service, it is a product. Thus, consumable or product must be specified in accordance with the kind of 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 "therapeutic agent" ]
           ], [
             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 "therapeutic agent" ]
           ], [
             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 "therapeutic agent" ]
           ], [
             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 "therapeutic agent" ]
           ];
           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 "10297" ]
           ], [
             fhir:index 2;
             fhir:CodeSystem.code [ fhir:value "conductible" ];
             fhir:CodeSystem.value [ fhir:value "true" ]
           ]
         ]
       ], [
         fhir:index 4;
         fhir:CodeSystem.code [ fhir:value "DEV" ];
         fhir:CodeSystem.display [ fhir:value "device" ];
         fhir:CodeSystem.definition [ fhir:value "Participant used in performing the act without being substantially affected by the act (i.e. durable or inert with respect to that particular service).\r\n\r\n*Examples:* monitoring equipment, tools, but also access/drainage lines, prostheses, pace maker, etc." ];
         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 "device" ]
         ], [
           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 "device" ]
         ], [
           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 "device" ]
         ], [
           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 "device" ]
         ];
         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 "10298" ]
         ], [
           fhir:index 2;
           fhir:CodeSystem.code [ fhir:value "Name:Act:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "device" ]
         ], [
           fhir:index 3;
           fhir:CodeSystem.code [ fhir:value "Name:Role:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "deviceOf" ]
         ], [
           fhir:index 4;
           fhir:CodeSystem.code [ fhir:value "Sort:Act:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "AD_______" ]
         ], [
           fhir:index 5;
           fhir:CodeSystem.code [ fhir:value "Sort:Role:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "AD_______" ]
         ], [
           fhir:index 6;
           fhir:CodeSystem.code [ fhir:value "conductible" ];
           fhir:CodeSystem.value [ fhir:value "true" ]
         ];
         fhir:CodeSystem.concept [
           fhir:index 0;
           fhir:CodeSystem.code [ fhir:value "NRD" ];
           fhir:CodeSystem.display [ fhir:value "non-reuseable device" ];
           fhir:CodeSystem.definition [ fhir:value "A device that changes ownership due to the service, e.g., a pacemaker, a prosthesis, an insulin injection equipment (pen), etc. Such material may need to be restocked after he 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 "non-reuseable device" ]
           ], [
             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 "non-reuseable device" ]
           ], [
             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 "non-reuseable device" ]
           ], [
             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 "non-reuseable device" ]
           ], [
             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 "non-reuseable device" ]
           ];
           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 "10299" ]
           ], [
             fhir:index 2;
             fhir:CodeSystem.code [ fhir:value "Name:Act:participation:Participation" ];
             fhir:CodeSystem.value [ fhir:value "nonReusableDevice" ]
           ], [
             fhir:index 3;
             fhir:CodeSystem.code [ fhir:value "Name:Role:participation:Participation" ];
             fhir:CodeSystem.value [ fhir:value "nonReusableDeviceOf" ]
           ], [
             fhir:index 4;
             fhir:CodeSystem.code [ fhir:value "Sort:Act:participation:Participation" ];
             fhir:CodeSystem.value [ fhir:value "ADB______" ]
           ], [
             fhir:index 5;
             fhir:CodeSystem.code [ fhir:value "Sort:Role:participation:Participation" ];
             fhir:CodeSystem.value [ fhir:value "ADB______" ]
           ], [
             fhir:index 6;
             fhir:CodeSystem.code [ fhir:value "conductible" ];
             fhir:CodeSystem.value [ fhir:value "true" ]
           ]
         ], [
           fhir:index 1;
           fhir:CodeSystem.code [ fhir:value "RDV" ];
           fhir:CodeSystem.display [ fhir:value "reusable device" ];
           fhir:CodeSystem.definition [ fhir:value "A device that does not change ownership due to the service, i.e., a surgical instrument or tool or an endoscope. The distinction between reuseable and non-reuseable must be made in order to know whether material must be re-stocked." ];
           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 "reusable device" ]
           ], [
             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 "reusable device" ]
           ], [
             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 "reusable device" ]
           ], [
             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 "reusable device" ]
           ], [
             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 "reusable device" ]
           ];
           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 "10300" ]
           ], [
             fhir:index 2;
             fhir:CodeSystem.code [ fhir:value "Name:Act:participation:Participation" ];
             fhir:CodeSystem.value [ fhir:value "reusableDevice" ]
           ], [
             fhir:index 3;
             fhir:CodeSystem.code [ fhir:value "Name:Role:participation:Participation" ];
             fhir:CodeSystem.value [ fhir:value "reusableDeviceOf" ]
           ], [
             fhir:index 4;
             fhir:CodeSystem.code [ fhir:value "Sort:Act:participation:Participation" ];
             fhir:CodeSystem.value [ fhir:value "ADA______" ]
           ], [
             fhir:index 5;
             fhir:CodeSystem.code [ fhir:value "Sort:Role:participation:Participation" ];
             fhir:CodeSystem.value [ fhir:value "ADA______" ]
           ], [
             fhir:index 6;
             fhir:CodeSystem.code [ fhir:value "conductible" ];
             fhir:CodeSystem.value [ fhir:value "true" ]
           ]
         ]
       ], [
         fhir:index 5;
         fhir:CodeSystem.code [ fhir:value "DON" ];
         fhir:CodeSystem.display [ fhir:value "donor" ];
         fhir:CodeSystem.definition [ fhir:value "In some organ transplantation services and rarely in transfusion services a donor will be a target participant in the service. However, in most cases transplantation is decomposed in three services: explantation, transport, and implantation. The identity of the donor (recipient) is often irrelevant for the explantation (implantation) 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 "donor" ]
         ], [
           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 "donor" ]
         ], [
           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 "donor" ]
         ], [
           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 "donor" ]
         ];
         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 "10291" ]
         ], [
           fhir:index 2;
           fhir:CodeSystem.code [ fhir:value "Name:Act:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "organDonor" ]
         ], [
           fhir:index 3;
           fhir:CodeSystem.code [ fhir:value "Name:Role:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "organDonation" ]
         ], [
           fhir:index 4;
           fhir:CodeSystem.code [ fhir:value "Sort:Act:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "AC_______" ]
         ], [
           fhir:index 5;
           fhir:CodeSystem.code [ fhir:value "Sort:Role:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "AC_______" ]
         ], [
           fhir:index 6;
           fhir:CodeSystem.code [ fhir:value "conductible" ];
           fhir:CodeSystem.value [ fhir:value "true" ]
         ]
       ], [
         fhir:index 6;
         fhir:CodeSystem.code [ fhir:value "EXPAGNT" ];
         fhir:CodeSystem.display [ fhir:value "ExposureAgent" ];
         fhir:CodeSystem.definition [ fhir:value "**Description:** The entity playing the associated role is the physical (including energy), chemical or biological substance that is participating in the exposure. For example in communicable diseases, the associated playing entity is the disease causing pathogen." ];
         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 "ExposureAgent" ]
         ], [
           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 "ExposureAgent" ]
         ], [
           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 "ExposureAgent" ]
         ], [
           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 "ExposureAgent" ]
         ];
         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 "22347" ]
         ], [
           fhir:index 2;
           fhir:CodeSystem.code [ fhir:value "conductible" ];
           fhir:CodeSystem.value [ fhir:value "true" ]
         ]
       ], [
         fhir:index 7;
         fhir:CodeSystem.code [ fhir:value "EXPART" ];
         fhir:CodeSystem.display [ fhir:value "ExposureParticipation" ];
         fhir:CodeSystem.definition [ fhir:value "**Description:**Direct participation in an exposure act where it is unknown that the participant is the source or subject of the exposure. If the participant is known to be the contact of an exposure then the SBJ participation type should be used. If the participant is known to be the source then the EXSRC participation type 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 "ExposureParticipation" ]
         ], [
           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 "ExposureParticipation" ]
         ], [
           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 "ExposureParticipation" ]
         ], [
           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 "ExposureParticipation" ]
         ];
         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 "21978" ]
         ], [
           fhir:index 2;
           fhir:CodeSystem.code [ fhir:value "conductible" ];
           fhir:CodeSystem.value [ fhir:value "true" ]
         ];
         fhir:CodeSystem.concept [
           fhir:index 0;
           fhir:CodeSystem.code [ fhir:value "EXPTRGT" ];
           fhir:CodeSystem.display [ fhir:value "ExposureTarget" ];
           fhir:CodeSystem.definition [ fhir:value "**Description:** The entity playing the associated role is the target (contact) of exposure." ];
           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 "ExposureTarget" ]
           ], [
             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 "ExposureTarget" ]
           ], [
             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 "ExposureTarget" ]
           ], [
             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 "ExposureTarget" ]
           ], [
             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 "ExposureTarget" ]
           ];
           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 "22346" ]
           ], [
             fhir:index 2;
             fhir:CodeSystem.code [ fhir:value "conductible" ];
             fhir:CodeSystem.value [ fhir:value "true" ]
           ]
         ], [
           fhir:index 1;
           fhir:CodeSystem.code [ fhir:value "EXSRC" ];
           fhir:CodeSystem.display [ fhir:value "ExposureSource" ];
           fhir:CodeSystem.definition [ fhir:value "**Description:**The entity playing the associated role is the source of exposure." ];
           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 "ExposureSource" ]
           ], [
             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 "ExposureSource" ]
           ], [
             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 "ExposureSource" ]
           ], [
             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 "ExposureSource" ]
           ], [
             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 "ExposureSource" ]
           ];
           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 "21979" ]
           ], [
             fhir:index 2;
             fhir:CodeSystem.code [ fhir:value "conductible" ];
             fhir:CodeSystem.value [ fhir:value "true" ]
           ]
         ]
       ], [
         fhir:index 8;
         fhir:CodeSystem.code [ fhir:value "PRD" ];
         fhir:CodeSystem.display [ fhir:value "product" ];
         fhir:CodeSystem.definition [ fhir:value "Participant material that is brought forth (produced) in the act (e.g., specimen in a specimen collection, access or drainage in a placement service, medication package in a dispense service). It does not matter whether the material produced had existence prior to the service, or whether it is created in the service (e.g., in supply services the product is taken from a stock)." ];
         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 "product" ]
         ], [
           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 "product" ]
         ], [
           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 "product" ]
         ], [
           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 "product" ]
         ];
         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 "10295" ]
         ], [
           fhir:index 2;
           fhir:CodeSystem.code [ fhir:value "Name:Act:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "product" ]
         ], [
           fhir:index 3;
           fhir:CodeSystem.code [ fhir:value "Name:Role:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "productOf" ]
         ], [
           fhir:index 4;
           fhir:CodeSystem.code [ fhir:value "Sort:Act:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "AF_______" ]
         ], [
           fhir:index 5;
           fhir:CodeSystem.code [ fhir:value "Sort:Role:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "AF_______" ]
         ], [
           fhir:index 6;
           fhir:CodeSystem.code [ fhir:value "conductible" ];
           fhir:CodeSystem.value [ fhir:value "true" ]
         ]
       ], [
         fhir:index 9;
         fhir:CodeSystem.code [ fhir:value "SBJ" ];
         fhir:CodeSystem.display [ fhir:value "subject" ];
         fhir:CodeSystem.definition [ fhir:value "The principle target on which the action happens.\r\n\r\n*Examples:* The patient in physical examination, a specimen in a lab observation. May also be a patient's family member (teaching) or a device or room (cleaning, disinfecting, housekeeping).\r\n\r\n*UsageNotes:* Not all direct targets are subjects. Consumables and devices used as tools for an act are not subjects. However, a device may be a subject of a maintenance action." ];
         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 "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 "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 "subject" ]
         ], [
           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 "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 "HL7usageNotes" ];
           fhir:CodeSystem.value [ fhir:value "Not all direct targets are subjects. Consumables and devices used as tools for an act are not subjects. However, a device may be a subject of a maintenance action." ]
         ], [
           fhir:index 2;
           fhir:CodeSystem.code [ fhir:value "internalId" ];
           fhir:CodeSystem.value [ fhir:value "10287" ]
         ], [
           fhir:index 3;
           fhir:CodeSystem.code [ fhir:value "Name:Act:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "subject" ]
         ], [
           fhir:index 4;
           fhir:CodeSystem.code [ fhir:value "Name:Role:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "subjectOf" ]
         ], [
           fhir:index 5;
           fhir:CodeSystem.code [ fhir:value "Sort:Act:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "AA_______" ]
         ], [
           fhir:index 6;
           fhir:CodeSystem.code [ fhir:value "Sort:Role:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "AA_______" ]
         ], [
           fhir:index 7;
           fhir:CodeSystem.code [ fhir:value "conductible" ];
           fhir:CodeSystem.value [ fhir:value "true" ]
         ];
         fhir:CodeSystem.concept [
           fhir:index 0;
           fhir:CodeSystem.code [ fhir:value "SPC" ];
           fhir:CodeSystem.display [ fhir:value "specimen" ];
           fhir:CodeSystem.definition [ fhir:value "The subject of non-clinical (e.g. laboratory) observation services is a specimen." ];
           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 "specimen" ]
           ], [
             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 "specimen" ]
           ], [
             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 "specimen" ]
           ], [
             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 "specimen" ]
           ], [
             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 "specimen" ]
           ];
           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 "10294" ]
           ], [
             fhir:index 2;
             fhir:CodeSystem.code [ fhir:value "Name:Act:participation:Participation" ];
             fhir:CodeSystem.value [ fhir:value "specimen" ]
           ], [
             fhir:index 3;
             fhir:CodeSystem.code [ fhir:value "Name:Role:participation:Participation" ];
             fhir:CodeSystem.value [ fhir:value "specimenOf" ]
           ], [
             fhir:index 4;
             fhir:CodeSystem.code [ fhir:value "Sort:Act:participation:Participation" ];
             fhir:CodeSystem.value [ fhir:value "AAA______" ]
           ], [
             fhir:index 5;
             fhir:CodeSystem.code [ fhir:value "Sort:Role:participation:Participation" ];
             fhir:CodeSystem.value [ fhir:value "AAA______" ]
           ], [
             fhir:index 6;
             fhir:CodeSystem.code [ fhir:value "conductible" ];
             fhir:CodeSystem.value [ fhir:value "true" ]
           ]
         ]
       ]
     ], [
       fhir:index 4;
       fhir:CodeSystem.code [ fhir:value "IND" ];
       fhir:CodeSystem.display [ fhir:value "indirect target" ];
       fhir:CodeSystem.definition [ fhir:value "Target that is not substantially present in the act and which is not directly affected by the act, but which will be a focus of the record or documentation of the 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 "indirect target" ]
       ], [
         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 "indirect target" ]
       ], [
         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 "indirect target" ]
       ];
       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 "19032" ]
       ], [
         fhir:index 2;
         fhir:CodeSystem.code [ fhir:value "conductible" ];
         fhir:CodeSystem.value [ fhir:value "true" ]
       ], [
         fhir:index 3;
         fhir:CodeSystem.code [ fhir:value "Name:Act:participation:Participation" ];
         fhir:CodeSystem.value [ fhir:value "indirectTarget" ]
       ], [
         fhir:index 4;
         fhir:CodeSystem.code [ fhir:value "Name:Role:participation:Participation" ];
         fhir:CodeSystem.value [ fhir:value "indirectTargetOf" ]
       ], [
         fhir:index 5;
         fhir:CodeSystem.code [ fhir:value "Sort:Act:participation:Participation" ];
         fhir:CodeSystem.value [ fhir:value "B________" ]
       ], [
         fhir:index 6;
         fhir:CodeSystem.code [ fhir:value "Sort:Role:participation:Participation" ];
         fhir:CodeSystem.value [ fhir:value "B________" ]
       ];
       fhir:CodeSystem.concept [
         fhir:index 0;
         fhir:CodeSystem.code [ fhir:value "BEN" ];
         fhir:CodeSystem.display [ fhir:value "beneficiary" ];
         fhir:CodeSystem.definition [ fhir:value "Target on behalf of whom the service happens, but that is not necessarily present in the service. Can occur together with direct target to indicate that a target is both, as in the case where the patient is the indirect beneficiary of a service rendered to a family member, e.g. counseling or given home care instructions. This concept includes a participant, such as a covered party, who derives benefits from a service act covered by a coverage act.\r\n\r\nNote that the semantic role of the intended recipient who benefits from the happening denoted by the verb in the clause. Thus, a patient who has no coverage under a policy or program may be a beneficiary of a health service while not being the beneficiary of coverage for that 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 "beneficiary" ]
         ], [
           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 "beneficiary" ]
         ], [
           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 "beneficiary" ]
         ], [
           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 "beneficiary" ]
         ];
         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 "10288" ]
         ], [
           fhir:index 2;
           fhir:CodeSystem.code [ fhir:value "Name:Act:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "beneficiary" ]
         ], [
           fhir:index 3;
           fhir:CodeSystem.code [ fhir:value "Name:Role:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "beneficiaryOf" ]
         ], [
           fhir:index 4;
           fhir:CodeSystem.code [ fhir:value "Sort:Act:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "BC_______" ]
         ], [
           fhir:index 5;
           fhir:CodeSystem.code [ fhir:value "Sort:Role:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "BC_______" ]
         ], [
           fhir:index 6;
           fhir:CodeSystem.code [ fhir:value "conductible" ];
           fhir:CodeSystem.value [ fhir:value "true" ]
         ]
       ], [
         fhir:index 1;
         fhir:CodeSystem.code [ fhir:value "CAGNT" ];
         fhir:CodeSystem.display [ fhir:value "causative agent" ];
         fhir:CodeSystem.definition [ fhir:value "Definition: A factor, such as a microorganism, chemical substance, or form of radiation, whose presence, excessive presence, or (in deficiency diseases) relative absence is essential, in whole or in part, for the occurrence of a condition.\r\n\r\nConstraint: The use of this participation is limited to observations." ];
         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 "causative agent" ]
         ], [
           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 "causative agent" ]
         ], [
           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 "causative agent" ]
         ], [
           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 "causative agent" ]
         ];
         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 "21639" ]
         ], [
           fhir:index 2;
           fhir:CodeSystem.code [ fhir:value "conductible" ];
           fhir:CodeSystem.value [ fhir:value "true" ]
         ]
       ], [
         fhir:index 2;
         fhir:CodeSystem.code [ fhir:value "COV" ];
         fhir:CodeSystem.display [ fhir:value "coverage target" ];
         fhir:CodeSystem.definition [ fhir:value "The target participation for an individual in a health care coverage act in which the target role is either the policy holder of the coverage, or a covered party under the coverage." ];
         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 "coverage target" ]
         ], [
           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 "coverage target" ]
         ], [
           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 "coverage target" ]
         ], [
           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 "coverage target" ]
         ];
         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 "14017" ]
         ], [
           fhir:index 2;
           fhir:CodeSystem.code [ fhir:value "Name:Act:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "coveredParty" ]
         ], [
           fhir:index 3;
           fhir:CodeSystem.code [ fhir:value "Name:Role:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "coveredPartyOf" ]
         ], [
           fhir:index 4;
           fhir:CodeSystem.code [ fhir:value "Sort:Act:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "BB_______" ]
         ], [
           fhir:index 5;
           fhir:CodeSystem.code [ fhir:value "Sort:Role:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "BB_______" ]
         ], [
           fhir:index 6;
           fhir:CodeSystem.code [ fhir:value "conductible" ];
           fhir:CodeSystem.value [ fhir:value "true" ]
         ]
       ], [
         fhir:index 3;
         fhir:CodeSystem.code [ fhir:value "GUAR" ];
         fhir:CodeSystem.display [ fhir:value "guarantor party" ];
         fhir:CodeSystem.definition [ fhir:value "The target person or organization contractually recognized by the issuer as a participant who has assumed fiscal responsibility for another personaTMs financial obligations by guaranteeing to pay for amounts owed to a particular account\r\n\r\n*Example:*The subscriber of the patientaTMs health insurance policy signs a contract with the provider to be fiscally responsible for the patient billing account balance amount owed." ];
         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 "guarantor party" ]
         ], [
           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 "guarantor party" ]
         ], [
           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 "guarantor party" ]
         ], [
           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 "guarantor party" ]
         ];
         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 "21570" ]
         ], [
           fhir:index 2;
           fhir:CodeSystem.code [ fhir:value "conductible" ];
           fhir:CodeSystem.value [ fhir:value "true" ]
         ]
       ], [
         fhir:index 4;
         fhir:CodeSystem.code [ fhir:value "HLD" ];
         fhir:CodeSystem.display [ fhir:value "holder" ];
         fhir:CodeSystem.definition [ fhir:value "Participant who posses an instrument such as a financial contract (insurance policy) usually based on some agreement with the author." ];
         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 "holder" ]
         ], [
           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 "holder" ]
         ], [
           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 "holder" ]
         ], [
           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 "holder" ]
         ];
         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 "16751" ]
         ], [
           fhir:index 2;
           fhir:CodeSystem.code [ fhir:value "Name:Act:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "holder" ]
         ], [
           fhir:index 3;
           fhir:CodeSystem.code [ fhir:value "Name:Role:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "contractHeld" ]
         ], [
           fhir:index 4;
           fhir:CodeSystem.code [ fhir:value "Sort:Act:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "BE_______" ]
         ], [
           fhir:index 5;
           fhir:CodeSystem.code [ fhir:value "Sort:Role:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "BE_______" ]
         ], [
           fhir:index 6;
           fhir:CodeSystem.code [ fhir:value "conductible" ];
           fhir:CodeSystem.value [ fhir:value "true" ]
         ]
       ], [
         fhir:index 5;
         fhir:CodeSystem.code [ fhir:value "RCT" ];
         fhir:CodeSystem.display [ fhir:value "record target" ];
         fhir:CodeSystem.definition [ fhir:value "The record target indicates whose medical record holds the documentation of this act. This is especially important when the subject of a service is not the patient himself." ];
         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 "record target" ]
         ], [
           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 "record target" ]
         ], [
           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 "record target" ]
         ], [
           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 "record target" ]
         ];
         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 "10289" ]
         ], [
           fhir:index 2;
           fhir:CodeSystem.code [ fhir:value "Name:Act:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "recordTarget" ]
         ], [
           fhir:index 3;
           fhir:CodeSystem.code [ fhir:value "Name:Role:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "recordTargetOf" ]
         ], [
           fhir:index 4;
           fhir:CodeSystem.code [ fhir:value "Sort:Act:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "BA_______" ]
         ], [
           fhir:index 5;
           fhir:CodeSystem.code [ fhir:value "Sort:Role:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "BA_______" ]
         ], [
           fhir:index 6;
           fhir:CodeSystem.code [ fhir:value "conductible" ];
           fhir:CodeSystem.value [ fhir:value "true" ]
         ]
       ], [
         fhir:index 6;
         fhir:CodeSystem.code [ fhir:value "RCV" ];
         fhir:CodeSystem.display [ fhir:value "receiver" ];
         fhir:CodeSystem.definition [ fhir:value "The person (or organization) who receives the product of an 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 "receiver" ]
         ], [
           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 "receiver" ]
         ], [
           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 "receiver" ]
         ], [
           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 "receiver" ]
         ];
         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 "13974" ]
         ], [
           fhir:index 2;
           fhir:CodeSystem.code [ fhir:value "Name:Act:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "receiver" ]
         ], [
           fhir:index 3;
           fhir:CodeSystem.code [ fhir:value "Name:Role:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "receiverOf" ]
         ], [
           fhir:index 4;
           fhir:CodeSystem.code [ fhir:value "Sort:Act:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "BD_______" ]
         ], [
           fhir:index 5;
           fhir:CodeSystem.code [ fhir:value "Sort:Role:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "BD_______" ]
         ], [
           fhir:index 6;
           fhir:CodeSystem.code [ fhir:value "conductible" ];
           fhir:CodeSystem.value [ fhir:value "true" ]
         ]
       ]
     ], [
       fhir:index 5;
       fhir:CodeSystem.code [ fhir:value "IRCP" ];
       fhir:CodeSystem.display [ fhir:value "information recipient" ];
       fhir:CodeSystem.definition [ fhir:value "A party, who may or should receive or who has recieved the Act or subsequent or derivative information of that Act. Information recipient is inert, i.e., independent of mood.\" Rationale: this is a generalization of a too diverse family that the definition can't be any more specific, and the concept is abstract so one of the specializations 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 "information recipient" ]
       ], [
         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 "information recipient" ]
       ], [
         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 "information recipient" ]
       ];
       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 "10263" ]
       ], [
         fhir:index 2;
         fhir:CodeSystem.code [ fhir:value "conductible" ];
         fhir:CodeSystem.value [ fhir:value "true" ]
       ], [
         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:participation:Participation" ];
         fhir:CodeSystem.value [ fhir:value "informationRecipient" ]
       ], [
         fhir:index 5;
         fhir:CodeSystem.code [ fhir:value "Name:Role:participation:Participation" ];
         fhir:CodeSystem.value [ fhir:value "informationReceived" ]
       ], [
         fhir:index 6;
         fhir:CodeSystem.code [ fhir:value "Sort:Act:participation:Participation" ];
         fhir:CodeSystem.value [ fhir:value "H________" ]
       ], [
         fhir:index 7;
         fhir:CodeSystem.code [ fhir:value "Sort:Role:participation:Participation" ];
         fhir:CodeSystem.value [ fhir:value "H________" ]
       ];
       fhir:CodeSystem.concept [
         fhir:index 0;
         fhir:CodeSystem.code [ fhir:value "NOT" ];
         fhir:CodeSystem.display [ fhir:value "ugent notification contact" ];
         fhir:CodeSystem.definition [ fhir:value "An information recipient to notify for urgent matters about this Act. (e.g., in a laboratory order, critical results are being called by phone right away, this is the contact to call; or for an inpatient encounter, a next of kin to notify when the patient becomes critically ill)." ];
         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 "ugent notification contact" ]
         ], [
           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 "ugent notification contact" ]
         ], [
           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 "ugent notification contact" ]
         ], [
           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 "ugent notification contact" ]
         ];
         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 "19057" ]
         ], [
           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:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "notificationContact" ]
         ], [
           fhir:index 4;
           fhir:CodeSystem.code [ fhir:value "Name:Role:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "contactFor" ]
         ], [
           fhir:index 5;
           fhir:CodeSystem.code [ fhir:value "Sort:Act:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "HE_______" ]
         ], [
           fhir:index 6;
           fhir:CodeSystem.code [ fhir:value "Sort:Role:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "HE_______" ]
         ], [
           fhir:index 7;
           fhir:CodeSystem.code [ fhir:value "conductible" ];
           fhir:CodeSystem.value [ fhir:value "true" ]
         ]
       ], [
         fhir:index 1;
         fhir:CodeSystem.code [ fhir:value "PRCP" ];
         fhir:CodeSystem.display [ fhir:value "primary information recipient" ];
         fhir:CodeSystem.definition [ fhir:value "Information recipient to whom an act statement is primarily directed. E.g., a primary care provider receiving a discharge letter from a hospitalist, a health department receiving information on a suspected case of infectious disease. Multiple of these participations may exist on the same act without requiring that recipients be ranked as primary vs. secondary." ];
         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 "primary information recipient" ]
         ], [
           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 "primary information recipient" ]
         ], [
           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 "primary information recipient" ]
         ], [
           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 "primary information recipient" ]
         ];
         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 "19055" ]
         ], [
           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:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "primaryInformationRecipient" ]
         ], [
           fhir:index 4;
           fhir:CodeSystem.code [ fhir:value "Name:Role:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "informationReceived" ]
         ], [
           fhir:index 5;
           fhir:CodeSystem.code [ fhir:value "Sort:Act:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "HA_______" ]
         ], [
           fhir:index 6;
           fhir:CodeSystem.code [ fhir:value "Sort:Role:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "HA_______" ]
         ], [
           fhir:index 7;
           fhir:CodeSystem.code [ fhir:value "conductible" ];
           fhir:CodeSystem.value [ fhir:value "true" ]
         ]
       ], [
         fhir:index 2;
         fhir:CodeSystem.code [ fhir:value "REFB" ];
         fhir:CodeSystem.display [ fhir:value "Referred By" ];
         fhir:CodeSystem.definition [ fhir:value "A participant (e.g. provider) who has referred the subject of an act (e.g. patient).\r\n\r\nTypically, a referred by participant will provide a report (e.g. referral)." ];
         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 "Referred 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 "Referred 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 "Referred By" ]
         ], [
           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 "Referred 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 "20842" ]
         ], [
           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:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "subjectReferrer" ]
         ], [
           fhir:index 4;
           fhir:CodeSystem.code [ fhir:value "Name:Role:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "subjectReferral" ]
         ], [
           fhir:index 5;
           fhir:CodeSystem.code [ fhir:value "Sort:Act:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "HC_______" ]
         ], [
           fhir:index 6;
           fhir:CodeSystem.code [ fhir:value "Sort:Role:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "HC_______" ]
         ], [
           fhir:index 7;
           fhir:CodeSystem.code [ fhir:value "conductible" ];
           fhir:CodeSystem.value [ fhir:value "true" ]
         ]
       ], [
         fhir:index 3;
         fhir:CodeSystem.code [ fhir:value "REFT" ];
         fhir:CodeSystem.display [ fhir:value "Referred to" ];
         fhir:CodeSystem.definition [ fhir:value "The person who receives the patient" ];
         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 "Referred 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 "Referred 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 "Referred to" ]
         ], [
           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 "Referred 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 "18116" ]
         ], [
           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:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "subjectReferredTo" ]
         ], [
           fhir:index 4;
           fhir:CodeSystem.code [ fhir:value "Name:Role:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "referral" ]
         ], [
           fhir:index 5;
           fhir:CodeSystem.code [ fhir:value "Sort:Act:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "HD_______" ]
         ], [
           fhir:index 6;
           fhir:CodeSystem.code [ fhir:value "Sort:Role:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "HD_______" ]
         ], [
           fhir:index 7;
           fhir:CodeSystem.code [ fhir:value "conductible" ];
           fhir:CodeSystem.value [ fhir:value "true" ]
         ]
       ], [
         fhir:index 4;
         fhir:CodeSystem.code [ fhir:value "TRC" ];
         fhir:CodeSystem.display [ fhir:value "tracker" ];
         fhir:CodeSystem.definition [ fhir:value "A secondary information recipient, who receives copies (e.g., a primary care provider receiving copies of results as ordered by specialist)." ];
         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 "tracker" ]
         ], [
           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 "tracker" ]
         ], [
           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 "tracker" ]
         ], [
           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 "tracker" ]
         ];
         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 "10265" ]
         ], [
           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:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "tracker" ]
         ], [
           fhir:index 4;
           fhir:CodeSystem.code [ fhir:value "Name:Role:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "tracking" ]
         ], [
           fhir:index 5;
           fhir:CodeSystem.code [ fhir:value "Sort:Act:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "HB_______" ]
         ], [
           fhir:index 6;
           fhir:CodeSystem.code [ fhir:value "Sort:Role:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "HB_______" ]
         ], [
           fhir:index 7;
           fhir:CodeSystem.code [ fhir:value "conductible" ];
           fhir:CodeSystem.value [ fhir:value "true" ]
         ]
       ]
     ], [
       fhir:index 6;
       fhir:CodeSystem.code [ fhir:value "LOC" ];
       fhir:CodeSystem.display [ fhir:value "location" ];
       fhir:CodeSystem.definition [ fhir:value "The facility where the service is done. May be a static building (or room therein) or a moving location (e.g., ambulance, helicopter, aircraft, train, truck, ship, etc.)" ];
       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 "location" ]
       ], [
         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 "location" ]
       ], [
         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 "location" ]
       ];
       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 "10302" ]
       ], [
         fhir:index 2;
         fhir:CodeSystem.code [ fhir:value "conductible" ];
         fhir:CodeSystem.value [ fhir:value "true" ]
       ], [
         fhir:index 3;
         fhir:CodeSystem.code [ fhir:value "Name:Act:participation:Participation" ];
         fhir:CodeSystem.value [ fhir:value "location" ]
       ], [
         fhir:index 4;
         fhir:CodeSystem.code [ fhir:value "Name:Role:participation:Participation" ];
         fhir:CodeSystem.value [ fhir:value "locationOf" ]
       ], [
         fhir:index 5;
         fhir:CodeSystem.code [ fhir:value "Sort:Act:participation:Participation" ];
         fhir:CodeSystem.value [ fhir:value "J________" ]
       ], [
         fhir:index 6;
         fhir:CodeSystem.code [ fhir:value "Sort:Role:participation:Participation" ];
         fhir:CodeSystem.value [ fhir:value "J________" ]
       ];
       fhir:CodeSystem.concept [
         fhir:index 0;
         fhir:CodeSystem.code [ fhir:value "DST" ];
         fhir:CodeSystem.display [ fhir:value "destination" ];
         fhir:CodeSystem.definition [ fhir:value "The destination for services. May be a static building (or room therein) or a movable facility (e.g., ship)." ];
         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 "destination" ]
         ], [
           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 "destination" ]
         ], [
           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 "destination" ]
         ], [
           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 "destination" ]
         ];
         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 "10304" ]
         ], [
           fhir:index 2;
           fhir:CodeSystem.code [ fhir:value "Name:Act:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "destination" ]
         ], [
           fhir:index 3;
           fhir:CodeSystem.code [ fhir:value "Name:Role:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "destinationOf" ]
         ], [
           fhir:index 4;
           fhir:CodeSystem.code [ fhir:value "Sort:Act:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "JC_______" ]
         ], [
           fhir:index 5;
           fhir:CodeSystem.code [ fhir:value "Sort:Role:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "JC_______" ]
         ], [
           fhir:index 6;
           fhir:CodeSystem.code [ fhir:value "conductible" ];
           fhir:CodeSystem.value [ fhir:value "true" ]
         ]
       ], [
         fhir:index 1;
         fhir:CodeSystem.code [ fhir:value "ELOC" ];
         fhir:CodeSystem.display [ fhir:value "entry location" ];
         fhir:CodeSystem.definition [ fhir:value "A location where data about an Act was entered." ];
         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 "entry location" ]
         ], [
           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 "entry location" ]
         ], [
           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 "entry location" ]
         ], [
           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 "entry location" ]
         ];
         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 "13973" ]
         ], [
           fhir:index 2;
           fhir:CodeSystem.code [ fhir:value "Name:Act:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "dataEntryLocation" ]
         ], [
           fhir:index 3;
           fhir:CodeSystem.code [ fhir:value "Name:Role:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "dataEntryLocationOf" ]
         ], [
           fhir:index 4;
           fhir:CodeSystem.code [ fhir:value "Sort:Act:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "JD_______" ]
         ], [
           fhir:index 5;
           fhir:CodeSystem.code [ fhir:value "Sort:Role:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "JD_______" ]
         ], [
           fhir:index 6;
           fhir:CodeSystem.code [ fhir:value "conductible" ];
           fhir:CodeSystem.value [ fhir:value "true" ]
         ]
       ], [
         fhir:index 2;
         fhir:CodeSystem.code [ fhir:value "ORG" ];
         fhir:CodeSystem.display [ fhir:value "origin" ];
         fhir:CodeSystem.definition [ fhir:value "The location of origin for services. May be a static building (or room therein) or a movable facility (e.g., ship)." ];
         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 "origin" ]
         ], [
           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 "origin" ]
         ], [
           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 "origin" ]
         ], [
           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 "origin" ]
         ];
         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 "10303" ]
         ], [
           fhir:index 2;
           fhir:CodeSystem.code [ fhir:value "Name:Act:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "origin" ]
         ], [
           fhir:index 3;
           fhir:CodeSystem.code [ fhir:value "Name:Role:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "originOf" ]
         ], [
           fhir:index 4;
           fhir:CodeSystem.code [ fhir:value "Sort:Act:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "JA_______" ]
         ], [
           fhir:index 5;
           fhir:CodeSystem.code [ fhir:value "Sort:Role:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "JA_______" ]
         ], [
           fhir:index 6;
           fhir:CodeSystem.code [ fhir:value "conductible" ];
           fhir:CodeSystem.value [ fhir:value "true" ]
         ]
       ], [
         fhir:index 3;
         fhir:CodeSystem.code [ fhir:value "RML" ];
         fhir:CodeSystem.display [ fhir:value "remote" ];
         fhir:CodeSystem.definition [ fhir:value "Some services take place at multiple concurrent locations (e.g., telemedicine, telephone consultation). The location where the principal performing actor is located is taken as the primary location (LOC) while the other location(s) are considered \"remote.\"" ];
         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 "remote" ]
         ], [
           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 "remote" ]
         ], [
           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 "remote" ]
         ], [
           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 "remote" ]
         ];
         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 "10306" ]
         ], [
           fhir:index 2;
           fhir:CodeSystem.code [ fhir:value "Name:Act:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "remoteLocation" ]
         ], [
           fhir:index 3;
           fhir:CodeSystem.code [ fhir:value "Name:Role:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "remoteLocationOf" ]
         ], [
           fhir:index 4;
           fhir:CodeSystem.code [ fhir:value "Sort:Act:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "JE_______" ]
         ], [
           fhir:index 5;
           fhir:CodeSystem.code [ fhir:value "Sort:Role:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "JE_______" ]
         ], [
           fhir:index 6;
           fhir:CodeSystem.code [ fhir:value "conductible" ];
           fhir:CodeSystem.value [ fhir:value "true" ]
         ]
       ], [
         fhir:index 4;
         fhir:CodeSystem.code [ fhir:value "VIA" ];
         fhir:CodeSystem.display [ fhir:value "via" ];
         fhir:CodeSystem.definition [ fhir:value "For services, an intermediate location that specifies a path between origin an destination." ];
         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 "via" ]
         ], [
           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 "via" ]
         ], [
           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 "via" ]
         ], [
           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 "via" ]
         ];
         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 "10305" ]
         ], [
           fhir:index 2;
           fhir:CodeSystem.code [ fhir:value "Name:Act:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "via" ]
         ], [
           fhir:index 3;
           fhir:CodeSystem.code [ fhir:value "Name:Role:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "viaOf" ]
         ], [
           fhir:index 4;
           fhir:CodeSystem.code [ fhir:value "Sort:Act:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "JB_______" ]
         ], [
           fhir:index 5;
           fhir:CodeSystem.code [ fhir:value "Sort:Role:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "JB_______" ]
         ], [
           fhir:index 6;
           fhir:CodeSystem.code [ fhir:value "conductible" ];
           fhir:CodeSystem.value [ fhir:value "true" ]
         ]
       ]
     ], [
       fhir:index 7;
       fhir:CodeSystem.code [ fhir:value "PRF" ];
       fhir:CodeSystem.display [ fhir:value "performer" ];
       fhir:CodeSystem.definition [ fhir:value "**Definition:** A person, non-person living subject, organization or device that who actually and principally carries out the action. Device should only be assigned as a performer in circumstances where the device is performing independent of human intervention. Need not be the principal responsible actor.\r\n\r\n**Exampe:** A surgery resident operating under supervision of attending surgeon, a search and rescue dog locating survivors, an electronic laboratory analyzer or the laboratory discipline requested to perform a laboratory test. The performer may also be the patient in self-care, e.g. fingerstick blood sugar. The traditional order filler is a performer. This information should accompany every service event.\r\n\r\n**Note:** that existing HL7 designs assign an organization as the playing entity of the Role that is the performer. These designs should be revised in subsequent releases to make this the scooping entity for the role involved." ];
       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 "performer" ]
       ], [
         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 "performer" ]
       ], [
         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 "performer" ]
       ];
       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 "10248" ]
       ], [
         fhir:index 2;
         fhir:CodeSystem.code [ fhir:value "conductible" ];
         fhir:CodeSystem.value [ fhir:value "true" ]
       ], [
         fhir:index 3;
         fhir:CodeSystem.code [ fhir:value "Name:Act:participation:Participation" ];
         fhir:CodeSystem.value [ fhir:value "performer" ]
       ], [
         fhir:index 4;
         fhir:CodeSystem.code [ fhir:value "Name:Role:participation:Participation" ];
         fhir:CodeSystem.value [ fhir:value "performance" ]
       ], [
         fhir:index 5;
         fhir:CodeSystem.code [ fhir:value "Sort:Act:participation:Participation" ];
         fhir:CodeSystem.value [ fhir:value "D________" ]
       ], [
         fhir:index 6;
         fhir:CodeSystem.code [ fhir:value "Sort:Role:participation:Participation" ];
         fhir:CodeSystem.value [ fhir:value "D________" ]
       ];
       fhir:CodeSystem.concept [
         fhir:index 0;
         fhir:CodeSystem.code [ fhir:value "DIST" ];
         fhir:CodeSystem.display [ fhir:value "distributor" ];
         fhir:CodeSystem.definition [ fhir:value "Distributes material used in or generated during the 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 "distributor" ]
         ], [
           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 "distributor" ]
         ], [
           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 "distributor" ]
         ], [
           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 "distributor" ]
         ];
         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 "19063" ]
         ], [
           fhir:index 2;
           fhir:CodeSystem.code [ fhir:value "Name:Act:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "distributer" ]
         ], [
           fhir:index 3;
           fhir:CodeSystem.code [ fhir:value "Name:Role:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "distributed" ]
         ], [
           fhir:index 4;
           fhir:CodeSystem.code [ fhir:value "Sort:Act:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "DC_______" ]
         ], [
           fhir:index 5;
           fhir:CodeSystem.code [ fhir:value "Sort:Role:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "DC_______" ]
         ], [
           fhir:index 6;
           fhir:CodeSystem.code [ fhir:value "conductible" ];
           fhir:CodeSystem.value [ fhir:value "true" ]
         ]
       ], [
         fhir:index 1;
         fhir:CodeSystem.code [ fhir:value "PPRF" ];
         fhir:CodeSystem.display [ fhir:value "primary performer" ];
         fhir:CodeSystem.definition [ fhir:value "The principal or primary performer of the 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 "primary performer" ]
         ], [
           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 "primary performer" ]
         ], [
           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 "primary performer" ]
         ], [
           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 "primary performer" ]
         ];
         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 "19064" ]
         ], [
           fhir:index 2;
           fhir:CodeSystem.code [ fhir:value "Name:Act:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "primaryPerformer" ]
         ], [
           fhir:index 3;
           fhir:CodeSystem.code [ fhir:value "Name:Role:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "performance" ]
         ], [
           fhir:index 4;
           fhir:CodeSystem.code [ fhir:value "Sort:Act:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "DA_______" ]
         ], [
           fhir:index 5;
           fhir:CodeSystem.code [ fhir:value "Sort:Role:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "DA_______" ]
         ], [
           fhir:index 6;
           fhir:CodeSystem.code [ fhir:value "conductible" ];
           fhir:CodeSystem.value [ fhir:value "true" ]
         ]
       ], [
         fhir:index 2;
         fhir:CodeSystem.code [ fhir:value "SPRF" ];
         fhir:CodeSystem.display [ fhir:value "secondary performer" ];
         fhir:CodeSystem.definition [ fhir:value "A person assisting in an act through his substantial presence and involvement This includes: assistants, technicians, associates, or whatever the job titles may be." ];
         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 "secondary performer" ]
         ], [
           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 "secondary performer" ]
         ], [
           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 "secondary performer" ]
         ], [
           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 "secondary performer" ]
         ];
         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 "19065" ]
         ], [
           fhir:index 2;
           fhir:CodeSystem.code [ fhir:value "Name:Act:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "secondaryPerformer" ]
         ], [
           fhir:index 3;
           fhir:CodeSystem.code [ fhir:value "Name:Role:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "performance" ]
         ], [
           fhir:index 4;
           fhir:CodeSystem.code [ fhir:value "Sort:Act:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "DB_______" ]
         ], [
           fhir:index 5;
           fhir:CodeSystem.code [ fhir:value "Sort:Role:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "DB_______" ]
         ], [
           fhir:index 6;
           fhir:CodeSystem.code [ fhir:value "conductible" ];
           fhir:CodeSystem.value [ fhir:value "true" ]
         ]
       ]
     ], [
       fhir:index 8;
       fhir:CodeSystem.code [ fhir:value "RESP" ];
       fhir:CodeSystem.display [ fhir:value "responsible party" ];
       fhir:CodeSystem.definition [ fhir:value "The person or organization that has primary responsibility for the act. The responsible party is not necessarily present in an action, but is accountable for the action through the power to delegate, and the duty to review actions with the performing actor after the fact. This responsibility may be ethical, legal, contractual, fiscal, or fiduciary in nature.\r\n\r\n*Example:* A person who is the head of a biochemical laboratory; a sponsor for a policy or government program." ];
       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 "responsible party" ]
       ], [
         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 "responsible party" ]
       ], [
         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 "responsible party" ]
       ];
       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 "17931" ]
       ], [
         fhir:index 2;
         fhir:CodeSystem.code [ fhir:value "conductible" ];
         fhir:CodeSystem.value [ fhir:value "true" ]
       ], [
         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:participation:Participation" ];
         fhir:CodeSystem.value [ fhir:value "responsibleParty" ]
       ], [
         fhir:index 5;
         fhir:CodeSystem.code [ fhir:value "Name:Role:participation:Participation" ];
         fhir:CodeSystem.value [ fhir:value "responsibleFor" ]
       ], [
         fhir:index 6;
         fhir:CodeSystem.code [ fhir:value "Sort:Act:participation:Participation" ];
         fhir:CodeSystem.value [ fhir:value "C________" ]
       ], [
         fhir:index 7;
         fhir:CodeSystem.code [ fhir:value "Sort:Role:participation:Participation" ];
         fhir:CodeSystem.value [ fhir:value "C________" ]
       ]
     ], [
       fhir:index 9;
       fhir:CodeSystem.code [ fhir:value "VRF" ];
       fhir:CodeSystem.display [ fhir:value "verifier" ];
       fhir:CodeSystem.definition [ fhir:value "A person who verifies the correctness and appropriateness of the service (plan, order, event, etc.) and hence takes on accountability." ];
       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 "verifier" ]
       ], [
         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 "verifier" ]
       ], [
         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 "verifier" ]
       ];
       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 "10259" ]
       ], [
         fhir:index 2;
         fhir:CodeSystem.code [ fhir:value "conductible" ];
         fhir:CodeSystem.value [ fhir:value "true" ]
       ], [
         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:participation:Participation" ];
         fhir:CodeSystem.value [ fhir:value "verifier" ]
       ], [
         fhir:index 5;
         fhir:CodeSystem.code [ fhir:value "Name:Role:participation:Participation" ];
         fhir:CodeSystem.value [ fhir:value "verification" ]
       ], [
         fhir:index 6;
         fhir:CodeSystem.code [ fhir:value "Sort:Act:participation:Participation" ];
         fhir:CodeSystem.value [ fhir:value "I________" ]
       ], [
         fhir:index 7;
         fhir:CodeSystem.code [ fhir:value "Sort:Role:participation:Participation" ];
         fhir:CodeSystem.value [ fhir:value "I________" ]
       ];
       fhir:CodeSystem.concept [
         fhir:index 0;
         fhir:CodeSystem.code [ fhir:value "AUTHEN" ];
         fhir:CodeSystem.display [ fhir:value "authenticator" ];
         fhir:CodeSystem.definition [ fhir:value "A verifier who attests to the accuracy of an act, but who does not have privileges to legally authenticate the act. An example would be a resident physician who sees a patient and dictates a note, then later signs it. Their signature constitutes an authentication." ];
         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 "authenticator" ]
         ], [
           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 "authenticator" ]
         ], [
           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 "authenticator" ]
         ], [
           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 "authenticator" ]
         ];
         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 "19072" ]
         ], [
           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:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "authenticator" ]
         ], [
           fhir:index 4;
           fhir:CodeSystem.code [ fhir:value "Name:Role:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "authenticated" ]
         ], [
           fhir:index 5;
           fhir:CodeSystem.code [ fhir:value "Sort:Act:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "IB_______" ]
         ], [
           fhir:index 6;
           fhir:CodeSystem.code [ fhir:value "Sort:Role:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "IB_______" ]
         ], [
           fhir:index 7;
           fhir:CodeSystem.code [ fhir:value "conductible" ];
           fhir:CodeSystem.value [ fhir:value "true" ]
         ]
       ], [
         fhir:index 1;
         fhir:CodeSystem.code [ fhir:value "LA" ];
         fhir:CodeSystem.display [ fhir:value "legal authenticator" ];
         fhir:CodeSystem.definition [ fhir:value "A verifier who legally authenticates the accuracy of an act. An example would be a staff physician who sees a patient and dictates a note, then later signs it. Their signature constitutes a legal authentication." ];
         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 "legal authenticator" ]
         ], [
           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 "legal authenticator" ]
         ], [
           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 "legal authenticator" ]
         ], [
           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 "legal authenticator" ]
         ];
         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 "19073" ]
         ], [
           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:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "legalAuthenticator" ]
         ], [
           fhir:index 4;
           fhir:CodeSystem.code [ fhir:value "Name:Role:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "legallyAuthenticated" ]
         ], [
           fhir:index 5;
           fhir:CodeSystem.code [ fhir:value "Sort:Act:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "IA_______" ]
         ], [
           fhir:index 6;
           fhir:CodeSystem.code [ fhir:value "Sort:Role:participation:Participation" ];
           fhir:CodeSystem.value [ fhir:value "IA_______" ]
         ], [
           fhir:index 7;
           fhir:CodeSystem.code [ fhir:value "conductible" ];
           fhir:CodeSystem.value [ fhir:value "true" ]
         ]
       ]
     ]
  ] .

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

