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

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

[] a fhir:CodeSystem ;
  fhir:id [ fhir:v "v3-TribalEntityUS"] ;
  fhir:language [ fhir:v "en"] ;
  fhir:text [
     fhir:status [ fhir:v "generated" ]
  ] ;
  fhir:url [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-TribalEntityUS"], [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-TribalEntityUS"] ;
  fhir:identifier ( [
     fhir:system [ fhir:v "urn:ietf:rfc:3986" ] ;
     fhir:value [ fhir:v "urn:oid:2.16.840.1.113883.5.140" ]
  ] [
     fhir:system [ fhir:v "urn:ietf:rfc:3986" ] ;
     fhir:value [ fhir:v "urn:oid:2.16.840.1.113883.5.140" ]
  ] ) ;
  fhir:version [ fhir:v "4.0.0"], [ fhir:v "4.0.0"] ;
  fhir:name [ fhir:v "TribalEntityUS"], [ fhir:v "TribalEntityUS"] ;
  fhir:title [ fhir:v "TribalEntityUS"], [ fhir:v "TribalEntityUS"] ;
  fhir:status [ fhir:v "active"], [ fhir:v "active"] ;
  fhir:experimental [ fhir:v "false"], [ fhir:v "false"] ;
  fhir:date [ fhir:v "2019-03-20"], [ fhir:v "2019-03-20"] ;
  fhir:publisher [ fhir:v "Health Level Seven International"], [ fhir:v "Health Level Seven International"] ;
  fhir:contact ( [
     fhir:telecom ( [
       fhir:system [ fhir:v "url" ] ;
       fhir:value [ fhir:v "http://hl7.org" ]
     ] [
       fhir:system [ fhir:v "email" ] ;
       fhir:value [ fhir:v "hq@HL7.org" ]
     ] )
  ] [
     fhir:telecom ( [
       fhir:system [ fhir:v "url" ] ;
       fhir:value [ fhir:v "http://hl7.org" ]
     ] [
       fhir:system [ fhir:v "email" ] ;
       fhir:value [ fhir:v "hq@HL7.org" ]
     ] )
  ] ) ;
  fhir:description [ fhir:v "INDIAN ENTITIES RECOGNIZED AND ELIGIBLE TO RECEIVE SERVICES FROM THE UNITED STATES BUREAU OF INDIAN AFFAIRS"], [ fhir:v "INDIAN ENTITIES RECOGNIZED AND ELIGIBLE TO RECEIVE SERVICES FROM THE UNITED STATES BUREAU OF INDIAN AFFAIRS"] ;
  fhir:copyright [ fhir:v "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.html"], [ fhir:v "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.html"] ;
  fhir:caseSensitive [ fhir:v "true"] ;
  fhir:hierarchyMeaning [ fhir:v "is-a"] ;
  fhir:content [ fhir:v "complete"] ;
  fhir:property ( [
     fhir:extension ( [
       fhir:url [ fhir:v "http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-symmetry" ] ;
       fhir:value [ fhir:v "antisymmetric" ]
     ] [
       fhir:url [ fhir:v "http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-transitivity" ] ;
       fhir:value [ fhir:v "transitive" ]
     ] [
       fhir:url [ fhir:v "http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-reflexivity" ] ;
       fhir:value [ fhir:v "irreflexive" ]
     ] [
       fhir:url [ fhir:v "http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-isNavigable" ] ;
       fhir:value [ fhir:v "true" ]
     ] [
       fhir:url [ fhir:v "http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-relationshipKind" ] ;
       fhir:value [ fhir:v "Specializes" ]
     ] [
       fhir:url [ fhir:v "http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-inverseName" ] ;
       fhir:value [ fhir:v "Generalizes" ]
     ] ) ;
     fhir:code [ fhir:v "Specializes" ] ;
     fhir:description [ fhir:v "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:type [ fhir:v "Coding" ]
  ] [
     fhir:extension ( [
       fhir:url [ fhir:v "http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-symmetry" ] ;
       fhir:value [ fhir:v "antisymmetric" ]
     ] [
       fhir:url [ fhir:v "http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-transitivity" ] ;
       fhir:value [ fhir:v "transitive" ]
     ] [
       fhir:url [ fhir:v "http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-reflexivity" ] ;
       fhir:value [ fhir:v "irreflexive" ]
     ] [
       fhir:url [ fhir:v "http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-isNavigable" ] ;
       fhir:value [ fhir:v "true" ]
     ] [
       fhir:url [ fhir:v "http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-relationshipKind" ] ;
       fhir:value [ fhir:v "Generalizes" ]
     ] [
       fhir:url [ fhir:v "http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-inverseName" ] ;
       fhir:value [ fhir:v "Specializes" ]
     ] ) ;
     fhir:code [ fhir:v "Generalizes" ] ;
     fhir:description [ fhir:v "Inverse of Specializes.  Only included as a derived relationship." ] ;
     fhir:type [ fhir:v "Coding" ]
  ] [
     fhir:code [ fhir:v "internalId" ] ;
     fhir:uri [ fhir:v "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v3-internal-id" ] ;
     fhir:description [ fhir:v "The internal identifier for the concept in the HL7 Access database repository." ] ;
     fhir:type [ fhir:v "code" ]
  ] [
     fhir:code [ fhir:v "notSelectable" ] ;
     fhir:uri [ fhir:v "http://hl7.org/fhir/concept-properties#notSelectable" ] ;
     fhir:description [ fhir:v "Indicates that the code is abstract - only intended to be used as a selector for other concepts" ] ;
     fhir:type [ fhir:v "boolean" ]
  ] [
     fhir:code [ fhir:v "status" ] ;
     fhir:uri [ fhir:v "http://hl7.org/fhir/concept-properties#status" ] ;
     fhir:description [ fhir:v "Designation of a concept's state. Normally is not populated unless the state is retired." ] ;
     fhir:type [ fhir:v "code" ]
  ] ) ;
  fhir:concept ( [
     fhir:code [ fhir:v "_NativeEntityAlaska" ] ;
     fhir:display [ fhir:v "NativeEntityAlaska" ] ;
     fhir:definition [ fhir:v "NATIVE ENTITIES WITHIN THE STATE OF ALASKA RECOGNIZED AND ELIGIBLE TO RECEIVE SERVICES FROM THE UNITED STATES BUREAU OF INDIAN AFFAIRS" ] ;
     fhir:designation ( [
       fhir:language [ fhir:v "en" ] ;
       fhir:use [
         fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
         fhir:code [ fhir:v "display" ]
       ] ;
       fhir:value [ fhir:v "NativeEntityAlaska" ]
     ] [
       fhir:language [ fhir:v "en" ] ;
       fhir:use [
         fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
         fhir:code [ fhir:v "display" ]
       ] ;
       fhir:value [ fhir:v "NativeEntityAlaska" ]
     ] ) ;
     fhir:property ( [
       fhir:code [ fhir:v "notSelectable" ] ;
       fhir:value [ fhir:v "true" ]
     ] [
       fhir:code [ fhir:v "status" ] ;
       fhir:value [ fhir:v "active" ]
     ] [
       fhir:code [ fhir:v "internalId" ] ;
       fhir:value [ fhir:v "21286" ]
     ] ) ;
     fhir:concept ( [
       fhir:code [ fhir:v "338" ] ;
       fhir:display [ fhir:v "Native Village of Afognak" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Afognak" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Afognak" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11970" ]
       ] )
     ] [
       fhir:code [ fhir:v "339" ] ;
       fhir:display [ fhir:v "Agdaagux Tribe of King Cove" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Agdaagux Tribe of King Cove" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Agdaagux Tribe of King Cove" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11971" ]
       ] )
     ] [
       fhir:code [ fhir:v "340" ] ;
       fhir:display [ fhir:v "Native Village of Akhiok" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Akhiok" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Akhiok" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11972" ]
       ] )
     ] [
       fhir:code [ fhir:v "341" ] ;
       fhir:display [ fhir:v "Akiachak Native Community" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Akiachak Native Community" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Akiachak Native Community" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11973" ]
       ] )
     ] [
       fhir:code [ fhir:v "342" ] ;
       fhir:display [ fhir:v "Akiak Native Community" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Akiak Native Community" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Akiak Native Community" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11974" ]
       ] )
     ] [
       fhir:code [ fhir:v "343" ] ;
       fhir:display [ fhir:v "Native Village of Akutan" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Akutan" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Akutan" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11975" ]
       ] )
     ] [
       fhir:code [ fhir:v "344" ] ;
       fhir:display [ fhir:v "Village of Alakanuk" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Village of Alakanuk" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Village of Alakanuk" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11976" ]
       ] )
     ] [
       fhir:code [ fhir:v "345" ] ;
       fhir:display [ fhir:v "Alatna Village" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Alatna Village" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Alatna Village" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11977" ]
       ] )
     ] [
       fhir:code [ fhir:v "346" ] ;
       fhir:display [ fhir:v "Native Village of Aleknagik" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Aleknagik" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Aleknagik" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11978" ]
       ] )
     ] [
       fhir:code [ fhir:v "347" ] ;
       fhir:display [ fhir:v "Algaaciq Native Village (St. Mary's)" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Algaaciq Native Village (St. Mary's)" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Algaaciq Native Village (St. Mary's)" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11979" ]
       ] )
     ] [
       fhir:code [ fhir:v "348" ] ;
       fhir:display [ fhir:v "Allakaket Village" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Allakaket Village" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Allakaket Village" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11980" ]
       ] )
     ] [
       fhir:code [ fhir:v "349" ] ;
       fhir:display [ fhir:v "Native Village of Ambler" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Ambler" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Ambler" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11981" ]
       ] )
     ] [
       fhir:code [ fhir:v "350" ] ;
       fhir:display [ fhir:v "Village of Anaktuvuk Pass" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Village of Anaktuvuk Pass" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Village of Anaktuvuk Pass" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11982" ]
       ] )
     ] [
       fhir:code [ fhir:v "351" ] ;
       fhir:display [ fhir:v "Yupiit of Andreafski" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Yupiit of Andreafski" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Yupiit of Andreafski" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11983" ]
       ] )
     ] [
       fhir:code [ fhir:v "352" ] ;
       fhir:display [ fhir:v "Angoon Community Association" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Angoon Community Association" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Angoon Community Association" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11984" ]
       ] )
     ] [
       fhir:code [ fhir:v "353" ] ;
       fhir:display [ fhir:v "Village of Aniak" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Village of Aniak" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Village of Aniak" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11985" ]
       ] )
     ] [
       fhir:code [ fhir:v "354" ] ;
       fhir:display [ fhir:v "Anvik Village" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Anvik Village" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Anvik Village" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11986" ]
       ] )
     ] [
       fhir:code [ fhir:v "355" ] ;
       fhir:display [ fhir:v "Arctic Village" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Arctic Village" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Arctic Village" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11987" ]
       ] )
     ] [
       fhir:code [ fhir:v "356" ] ;
       fhir:display [ fhir:v "Asa'carsarmiut Tribe" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Asa'carsarmiut Tribe" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Asa'carsarmiut Tribe" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11988" ]
       ] )
     ] [
       fhir:code [ fhir:v "357" ] ;
       fhir:display [ fhir:v "Native Village of Atka" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Atka" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Atka" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11989" ]
       ] )
     ] [
       fhir:code [ fhir:v "358" ] ;
       fhir:display [ fhir:v "Village of Atmautluak" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Village of Atmautluak" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Village of Atmautluak" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11990" ]
       ] )
     ] [
       fhir:code [ fhir:v "359" ] ;
       fhir:display [ fhir:v "Native Village of Atqasuk" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Atqasuk" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Atqasuk" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11991" ]
       ] )
     ] [
       fhir:code [ fhir:v "360" ] ;
       fhir:display [ fhir:v "Native Village of Barrow Inupiat Traditional Government" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Barrow Inupiat Traditional Government" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Barrow Inupiat Traditional Government" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11992" ]
       ] )
     ] [
       fhir:code [ fhir:v "361" ] ;
       fhir:display [ fhir:v "Beaver Village" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Beaver Village" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Beaver Village" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11993" ]
       ] )
     ] [
       fhir:code [ fhir:v "362" ] ;
       fhir:display [ fhir:v "Native Village of Belkofski" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Belkofski" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Belkofski" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11994" ]
       ] )
     ] [
       fhir:code [ fhir:v "363" ] ;
       fhir:display [ fhir:v "Village of Bill Moore's Slough" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Village of Bill Moore's Slough" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Village of Bill Moore's Slough" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11995" ]
       ] )
     ] [
       fhir:code [ fhir:v "364" ] ;
       fhir:display [ fhir:v "Birch Creek Tribe" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Birch Creek Tribe" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Birch Creek Tribe" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11996" ]
       ] )
     ] [
       fhir:code [ fhir:v "365" ] ;
       fhir:display [ fhir:v "Native Village of Brevig Mission" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Brevig Mission" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Brevig Mission" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11997" ]
       ] )
     ] [
       fhir:code [ fhir:v "366" ] ;
       fhir:display [ fhir:v "Native Village of Buckland" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Buckland" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Buckland" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11998" ]
       ] )
     ] [
       fhir:code [ fhir:v "367" ] ;
       fhir:display [ fhir:v "Native Village of Cantwell" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Cantwell" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Cantwell" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11999" ]
       ] )
     ] [
       fhir:code [ fhir:v "368" ] ;
       fhir:display [ fhir:v "Native Village of Chenega (aka Chanega)" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Chenega (aka Chanega)" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Chenega (aka Chanega)" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12000" ]
       ] )
     ] [
       fhir:code [ fhir:v "369" ] ;
       fhir:display [ fhir:v "Chalkyitsik Village" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Chalkyitsik Village" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Chalkyitsik Village" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12001" ]
       ] )
     ] [
       fhir:code [ fhir:v "370" ] ;
       fhir:display [ fhir:v "Village of Chefornak" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Village of Chefornak" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Village of Chefornak" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12002" ]
       ] )
     ] [
       fhir:code [ fhir:v "371" ] ;
       fhir:display [ fhir:v "Chevak Native Village" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Chevak Native Village" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Chevak Native Village" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12003" ]
       ] )
     ] [
       fhir:code [ fhir:v "372" ] ;
       fhir:display [ fhir:v "Chickaloon Native Village" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Chickaloon Native Village" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Chickaloon Native Village" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12004" ]
       ] )
     ] [
       fhir:code [ fhir:v "373" ] ;
       fhir:display [ fhir:v "Chignik Bay Tribal Council" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Chignik Bay Tribal Council" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Chignik Bay Tribal Council" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12005" ]
       ] )
     ] [
       fhir:code [ fhir:v "374" ] ;
       fhir:display [ fhir:v "Native Village of Chignik Lagoon" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Chignik Lagoon" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Chignik Lagoon" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12006" ]
       ] )
     ] [
       fhir:code [ fhir:v "375" ] ;
       fhir:display [ fhir:v "Chignik Lake Village" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Chignik Lake Village" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Chignik Lake Village" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12007" ]
       ] )
     ] [
       fhir:code [ fhir:v "376" ] ;
       fhir:display [ fhir:v "Chilkat Indian Village (Klukwan)" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Chilkat Indian Village (Klukwan)" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Chilkat Indian Village (Klukwan)" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12008" ]
       ] )
     ] [
       fhir:code [ fhir:v "377" ] ;
       fhir:display [ fhir:v "Chilkoot Indian Association (Haines)" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Chilkoot Indian Association (Haines)" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Chilkoot Indian Association (Haines)" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12009" ]
       ] )
     ] [
       fhir:code [ fhir:v "378" ] ;
       fhir:display [ fhir:v "Chinik Eskimo Community (Golovin)" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Chinik Eskimo Community (Golovin)" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Chinik Eskimo Community (Golovin)" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12010" ]
       ] )
     ] [
       fhir:code [ fhir:v "379" ] ;
       fhir:display [ fhir:v "Cheesh-Na Tribe" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Cheesh-Na Tribe" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Cheesh-Na Tribe" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12011" ]
       ] )
     ] [
       fhir:code [ fhir:v "380" ] ;
       fhir:display [ fhir:v "Native Village of Chitina" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Chitina" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Chitina" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12012" ]
       ] )
     ] [
       fhir:code [ fhir:v "381" ] ;
       fhir:display [ fhir:v "Native Village of Chuathbaluk (Russian Mission, Kuskokwim)" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Chuathbaluk (Russian Mission, Kuskokwim)" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Chuathbaluk (Russian Mission, Kuskokwim)" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12013" ]
       ] )
     ] [
       fhir:code [ fhir:v "382" ] ;
       fhir:display [ fhir:v "Chuloonawick Native Village" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Chuloonawick Native Village" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Chuloonawick Native Village" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12014" ]
       ] )
     ] [
       fhir:code [ fhir:v "383" ] ;
       fhir:display [ fhir:v "Circle Native Community" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Circle Native Community" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Circle Native Community" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12015" ]
       ] )
     ] [
       fhir:code [ fhir:v "384" ] ;
       fhir:display [ fhir:v "Village of Clarks Point" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Village of Clarks Point" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Village of Clarks Point" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12016" ]
       ] )
     ] [
       fhir:code [ fhir:v "385" ] ;
       fhir:display [ fhir:v "Native Village of Council" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Council" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Council" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12017" ]
       ] )
     ] [
       fhir:code [ fhir:v "386" ] ;
       fhir:display [ fhir:v "Craig Tribal Association" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Craig Tribal Association" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Craig Tribal Association" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12018" ]
       ] )
     ] [
       fhir:code [ fhir:v "387" ] ;
       fhir:display [ fhir:v "Village of Crooked Creek" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Village of Crooked Creek" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Village of Crooked Creek" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12019" ]
       ] )
     ] [
       fhir:code [ fhir:v "388" ] ;
       fhir:display [ fhir:v "Curyung Tribal Council" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Curyung Tribal Council" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Curyung Tribal Council" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12020" ]
       ] )
     ] [
       fhir:code [ fhir:v "389" ] ;
       fhir:display [ fhir:v "Native Village of Deering" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Deering" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Deering" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12021" ]
       ] )
     ] [
       fhir:code [ fhir:v "390" ] ;
       fhir:display [ fhir:v "Native Village of Diomede (aka Inalik)" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Diomede (aka Inalik)" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Diomede (aka Inalik)" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12022" ]
       ] )
     ] [
       fhir:code [ fhir:v "391" ] ;
       fhir:display [ fhir:v "Village of Dot Lake" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Village of Dot Lake" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Village of Dot Lake" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12023" ]
       ] )
     ] [
       fhir:code [ fhir:v "392" ] ;
       fhir:display [ fhir:v "Douglas Indian Association" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Douglas Indian Association" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Douglas Indian Association" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12024" ]
       ] )
     ] [
       fhir:code [ fhir:v "393" ] ;
       fhir:display [ fhir:v "Native Village of Eagle" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Eagle" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Eagle" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12025" ]
       ] )
     ] [
       fhir:code [ fhir:v "394" ] ;
       fhir:display [ fhir:v "Native Village of Eek" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Eek" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Eek" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12026" ]
       ] )
     ] [
       fhir:code [ fhir:v "395" ] ;
       fhir:display [ fhir:v "Egegik Village" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Egegik Village" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Egegik Village" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12027" ]
       ] )
     ] [
       fhir:code [ fhir:v "396" ] ;
       fhir:display [ fhir:v "Eklutna Native Village" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Eklutna Native Village" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Eklutna Native Village" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12028" ]
       ] )
     ] [
       fhir:code [ fhir:v "397" ] ;
       fhir:display [ fhir:v "Native Village of Ekuk" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Ekuk" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Ekuk" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12029" ]
       ] )
     ] [
       fhir:code [ fhir:v "398" ] ;
       fhir:display [ fhir:v "Native Village of Ekwok" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Ekwok" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Ekwok" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12030" ]
       ] )
     ] [
       fhir:code [ fhir:v "399" ] ;
       fhir:display [ fhir:v "Native Village of Elim" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Elim" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Elim" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12031" ]
       ] )
     ] [
       fhir:code [ fhir:v "400" ] ;
       fhir:display [ fhir:v "Emmonak Village" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Emmonak Village" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Emmonak Village" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12032" ]
       ] )
     ] [
       fhir:code [ fhir:v "401" ] ;
       fhir:display [ fhir:v "Evansville Village (aka Bettles Field)" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Evansville Village (aka Bettles Field)" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Evansville Village (aka Bettles Field)" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12033" ]
       ] )
     ] [
       fhir:code [ fhir:v "402" ] ;
       fhir:display [ fhir:v "Native Village of Eyak (Cordova)" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Eyak (Cordova)" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Eyak (Cordova)" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12034" ]
       ] )
     ] [
       fhir:code [ fhir:v "403" ] ;
       fhir:display [ fhir:v "Native Village of False Pass" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of False Pass" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of False Pass" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12035" ]
       ] )
     ] [
       fhir:code [ fhir:v "404" ] ;
       fhir:display [ fhir:v "Native Village of Fort Yukon" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Fort Yukon" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Fort Yukon" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12036" ]
       ] )
     ] [
       fhir:code [ fhir:v "405" ] ;
       fhir:display [ fhir:v "Native Village of Gakona" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Gakona" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Gakona" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12037" ]
       ] )
     ] [
       fhir:code [ fhir:v "406" ] ;
       fhir:display [ fhir:v "Galena Village (aka Louden Village)" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Galena Village (aka Louden Village)" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Galena Village (aka Louden Village)" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12038" ]
       ] )
     ] [
       fhir:code [ fhir:v "407" ] ;
       fhir:display [ fhir:v "Native Village of Gambell" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Gambell" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Gambell" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12039" ]
       ] )
     ] [
       fhir:code [ fhir:v "408" ] ;
       fhir:display [ fhir:v "Native Village of Georgetown" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Georgetown" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Georgetown" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12040" ]
       ] )
     ] [
       fhir:code [ fhir:v "409" ] ;
       fhir:display [ fhir:v "Native Village of Goodnews Bay" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Goodnews Bay" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Goodnews Bay" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12041" ]
       ] )
     ] [
       fhir:code [ fhir:v "410" ] ;
       fhir:display [ fhir:v "Organized Village of Grayling (aka Holikachuk)" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Organized Village of Grayling (aka Holikachuk)" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Organized Village of Grayling (aka Holikachuk)" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12042" ]
       ] )
     ] [
       fhir:code [ fhir:v "411" ] ;
       fhir:display [ fhir:v "Gulkana Village Council" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Gulkana Village Council" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Gulkana Village Council" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12043" ]
       ] )
     ] [
       fhir:code [ fhir:v "412" ] ;
       fhir:display [ fhir:v "Native Village of Hamilton" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Hamilton" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Hamilton" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12044" ]
       ] )
     ] [
       fhir:code [ fhir:v "413" ] ;
       fhir:display [ fhir:v "Healy Lake Village" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Healy Lake Village" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Healy Lake Village" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12045" ]
       ] )
     ] [
       fhir:code [ fhir:v "414" ] ;
       fhir:display [ fhir:v "Holy Cross Tribe" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Holy Cross Tribe" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Holy Cross Tribe" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12046" ]
       ] )
     ] [
       fhir:code [ fhir:v "415" ] ;
       fhir:display [ fhir:v "Hoonah Indian Association" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Hoonah Indian Association" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Hoonah Indian Association" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12047" ]
       ] )
     ] [
       fhir:code [ fhir:v "416" ] ;
       fhir:display [ fhir:v "Native Village of Hooper Bay" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Hooper Bay" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Hooper Bay" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12048" ]
       ] )
     ] [
       fhir:code [ fhir:v "417" ] ;
       fhir:display [ fhir:v "Hughes Village" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Hughes Village" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Hughes Village" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12049" ]
       ] )
     ] [
       fhir:code [ fhir:v "418" ] ;
       fhir:display [ fhir:v "Huslia Village" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Huslia Village" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Huslia Village" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12050" ]
       ] )
     ] [
       fhir:code [ fhir:v "419" ] ;
       fhir:display [ fhir:v "Hydaburg Cooperative Association" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Hydaburg Cooperative Association" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Hydaburg Cooperative Association" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12051" ]
       ] )
     ] [
       fhir:code [ fhir:v "420" ] ;
       fhir:display [ fhir:v "Igiugig Village" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Igiugig Village" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Igiugig Village" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12052" ]
       ] )
     ] [
       fhir:code [ fhir:v "421" ] ;
       fhir:display [ fhir:v "Village of Iliamna" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Village of Iliamna" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Village of Iliamna" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12053" ]
       ] )
     ] [
       fhir:code [ fhir:v "422" ] ;
       fhir:display [ fhir:v "Inupiat Community of the Arctic Slope" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Inupiat Community of the Arctic Slope" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Inupiat Community of the Arctic Slope" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12054" ]
       ] )
     ] [
       fhir:code [ fhir:v "423" ] ;
       fhir:display [ fhir:v "Iqugmiut Traditional Council" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Iqugmiut Traditional Council" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Iqugmiut Traditional Council" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12055" ]
       ] )
     ] [
       fhir:code [ fhir:v "424" ] ;
       fhir:display [ fhir:v "Ivanof Bay Tribe" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Ivanof Bay Tribe" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Ivanof Bay Tribe" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12056" ]
       ] )
     ] [
       fhir:code [ fhir:v "425" ] ;
       fhir:display [ fhir:v "Kaguyak Village" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Kaguyak Village" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Kaguyak Village" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12057" ]
       ] )
     ] [
       fhir:code [ fhir:v "426" ] ;
       fhir:display [ fhir:v "Organized Village of Kake" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Organized Village of Kake" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Organized Village of Kake" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12058" ]
       ] )
     ] [
       fhir:code [ fhir:v "427" ] ;
       fhir:display [ fhir:v "Kaktovik Village (aka Barter Island)" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Kaktovik Village (aka Barter Island)" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Kaktovik Village (aka Barter Island)" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12059" ]
       ] )
     ] [
       fhir:code [ fhir:v "428" ] ;
       fhir:display [ fhir:v "Village of Kalskag" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Village of Kalskag" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Village of Kalskag" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12060" ]
       ] )
     ] [
       fhir:code [ fhir:v "429" ] ;
       fhir:display [ fhir:v "Village of Kaltag" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Village of Kaltag" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Village of Kaltag" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12061" ]
       ] )
     ] [
       fhir:code [ fhir:v "430" ] ;
       fhir:display [ fhir:v "Native Village of Kanatak" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Kanatak" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Kanatak" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12062" ]
       ] )
     ] [
       fhir:code [ fhir:v "431" ] ;
       fhir:display [ fhir:v "Native Village of Karluk" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Karluk" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Karluk" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12063" ]
       ] )
     ] [
       fhir:code [ fhir:v "432" ] ;
       fhir:display [ fhir:v "Organized Village of Kasaan" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Organized Village of Kasaan" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Organized Village of Kasaan" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12064" ]
       ] )
     ] [
       fhir:code [ fhir:v "433" ] ;
       fhir:display [ fhir:v "Kasigluk Traditional Elders Council" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Kasigluk Traditional Elders Council" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Kasigluk Traditional Elders Council" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12065" ]
       ] )
     ] [
       fhir:code [ fhir:v "434" ] ;
       fhir:display [ fhir:v "Kenaitze Indian Tribe" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Kenaitze Indian Tribe" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Kenaitze Indian Tribe" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12066" ]
       ] )
     ] [
       fhir:code [ fhir:v "435" ] ;
       fhir:display [ fhir:v "Ketchikan Indian Community" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Ketchikan Indian Community" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Ketchikan Indian Community" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12067" ]
       ] )
     ] [
       fhir:code [ fhir:v "436" ] ;
       fhir:display [ fhir:v "Native Village of Kiana" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Kiana" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Kiana" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12068" ]
       ] )
     ] [
       fhir:code [ fhir:v "437" ] ;
       fhir:display [ fhir:v "King Island Native Community" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "King Island Native Community" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "King Island Native Community" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12069" ]
       ] )
     ] [
       fhir:code [ fhir:v "438" ] ;
       fhir:display [ fhir:v "King Salmon Tribe" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "King Salmon Tribe" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "King Salmon Tribe" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12070" ]
       ] )
     ] [
       fhir:code [ fhir:v "439" ] ;
       fhir:display [ fhir:v "Native Village of Kipnuk" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Kipnuk" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Kipnuk" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12071" ]
       ] )
     ] [
       fhir:code [ fhir:v "440" ] ;
       fhir:display [ fhir:v "Native Village of Kivalina" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Kivalina" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Kivalina" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12072" ]
       ] )
     ] [
       fhir:code [ fhir:v "441" ] ;
       fhir:display [ fhir:v "Klawock Cooperative Association" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Klawock Cooperative Association" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Klawock Cooperative Association" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12073" ]
       ] )
     ] [
       fhir:code [ fhir:v "442" ] ;
       fhir:display [ fhir:v "Native Village of Kluti Kaah (aka Copper Center)" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Kluti Kaah (aka Copper Center)" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Kluti Kaah (aka Copper Center)" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12074" ]
       ] )
     ] [
       fhir:code [ fhir:v "443" ] ;
       fhir:display [ fhir:v "Knik Tribe" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Knik Tribe" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Knik Tribe" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12075" ]
       ] )
     ] [
       fhir:code [ fhir:v "444" ] ;
       fhir:display [ fhir:v "Native Village of Kobuk" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Kobuk" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Kobuk" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12076" ]
       ] )
     ] [
       fhir:code [ fhir:v "445" ] ;
       fhir:display [ fhir:v "Kokhanok Village" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Kokhanok Village" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Kokhanok Village" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12077" ]
       ] )
     ] [
       fhir:code [ fhir:v "446" ] ;
       fhir:display [ fhir:v "Native Village of Kongiganak" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Kongiganak" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Kongiganak" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12078" ]
       ] )
     ] [
       fhir:code [ fhir:v "447" ] ;
       fhir:display [ fhir:v "Village of Kotlik" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Village of Kotlik" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Village of Kotlik" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12079" ]
       ] )
     ] [
       fhir:code [ fhir:v "448" ] ;
       fhir:display [ fhir:v "Native Village of Kotzebue" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Kotzebue" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Kotzebue" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12080" ]
       ] )
     ] [
       fhir:code [ fhir:v "449" ] ;
       fhir:display [ fhir:v "Native Village of Koyuk" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Koyuk" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Koyuk" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12081" ]
       ] )
     ] [
       fhir:code [ fhir:v "450" ] ;
       fhir:display [ fhir:v "Koyukuk Native Village" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Koyukuk Native Village" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Koyukuk Native Village" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12082" ]
       ] )
     ] [
       fhir:code [ fhir:v "451" ] ;
       fhir:display [ fhir:v "Organized Village of Kwethluk" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Organized Village of Kwethluk" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Organized Village of Kwethluk" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12083" ]
       ] )
     ] [
       fhir:code [ fhir:v "452" ] ;
       fhir:display [ fhir:v "Native Village of Kwigillingok" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Kwigillingok" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Kwigillingok" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12084" ]
       ] )
     ] [
       fhir:code [ fhir:v "453" ] ;
       fhir:display [ fhir:v "Native Village of Kwinhagak (aka Quinhagak)" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Kwinhagak (aka Quinhagak)" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Kwinhagak (aka Quinhagak)" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12085" ]
       ] )
     ] [
       fhir:code [ fhir:v "454" ] ;
       fhir:display [ fhir:v "Native Village of Larsen Bay" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Larsen Bay" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Larsen Bay" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12086" ]
       ] )
     ] [
       fhir:code [ fhir:v "455" ] ;
       fhir:display [ fhir:v "Levelock Village" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Levelock Village" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Levelock Village" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12087" ]
       ] )
     ] [
       fhir:code [ fhir:v "456" ] ;
       fhir:display [ fhir:v "Tangirnaq Native Village" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Tangirnaq Native Village" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Tangirnaq Native Village" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12088" ]
       ] )
     ] [
       fhir:code [ fhir:v "457" ] ;
       fhir:display [ fhir:v "Lime Village" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Lime Village" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Lime Village" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12089" ]
       ] )
     ] [
       fhir:code [ fhir:v "458" ] ;
       fhir:display [ fhir:v "Village of Lower Kalskag" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Village of Lower Kalskag" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Village of Lower Kalskag" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12090" ]
       ] )
     ] [
       fhir:code [ fhir:v "459" ] ;
       fhir:display [ fhir:v "Manley Hot Springs Village" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Manley Hot Springs Village" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Manley Hot Springs Village" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12091" ]
       ] )
     ] [
       fhir:code [ fhir:v "460" ] ;
       fhir:display [ fhir:v "Manokotak Village" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Manokotak Village" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Manokotak Village" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12092" ]
       ] )
     ] [
       fhir:code [ fhir:v "461" ] ;
       fhir:display [ fhir:v "Native Village of Marshall (aka Fortuna Ledge)" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Marshall (aka Fortuna Ledge)" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Marshall (aka Fortuna Ledge)" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12093" ]
       ] )
     ] [
       fhir:code [ fhir:v "462" ] ;
       fhir:display [ fhir:v "Native Village of Mary's Igloo" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Mary's Igloo" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Mary's Igloo" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12094" ]
       ] )
     ] [
       fhir:code [ fhir:v "463" ] ;
       fhir:display [ fhir:v "McGrath Native Village" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "McGrath Native Village" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "McGrath Native Village" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12095" ]
       ] )
     ] [
       fhir:code [ fhir:v "464" ] ;
       fhir:display [ fhir:v "Native Village of Mekoryuk" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Mekoryuk" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Mekoryuk" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12096" ]
       ] )
     ] [
       fhir:code [ fhir:v "465" ] ;
       fhir:display [ fhir:v "Mentasta Traditional Council" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Mentasta Traditional Council" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Mentasta Traditional Council" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12097" ]
       ] )
     ] [
       fhir:code [ fhir:v "466" ] ;
       fhir:display [ fhir:v "Metlakatla Indian Community, Annette Island Reserve" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Metlakatla Indian Community, Annette Island Reserve" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Metlakatla Indian Community, Annette Island Reserve" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12098" ]
       ] )
     ] [
       fhir:code [ fhir:v "467" ] ;
       fhir:display [ fhir:v "Native Village of Minto" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Minto" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Minto" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12099" ]
       ] )
     ] [
       fhir:code [ fhir:v "468" ] ;
       fhir:display [ fhir:v "Naknek Native Village" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Naknek Native Village" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Naknek Native Village" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12100" ]
       ] )
     ] [
       fhir:code [ fhir:v "469" ] ;
       fhir:display [ fhir:v "Native Village of Nanwalek (aka English Bay)" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Nanwalek (aka English Bay)" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Nanwalek (aka English Bay)" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12101" ]
       ] )
     ] [
       fhir:code [ fhir:v "470" ] ;
       fhir:display [ fhir:v "Native Village of Napaimute" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Napaimute" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Napaimute" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12102" ]
       ] )
     ] [
       fhir:code [ fhir:v "471" ] ;
       fhir:display [ fhir:v "Native Village of Napakiak" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Napakiak" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Napakiak" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12103" ]
       ] )
     ] [
       fhir:code [ fhir:v "472" ] ;
       fhir:display [ fhir:v "Native Village of Napaskiak" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Napaskiak" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Napaskiak" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12104" ]
       ] )
     ] [
       fhir:code [ fhir:v "473" ] ;
       fhir:display [ fhir:v "Native Village of Nelson Lagoon" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Nelson Lagoon" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Nelson Lagoon" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12105" ]
       ] )
     ] [
       fhir:code [ fhir:v "474" ] ;
       fhir:display [ fhir:v "Nenana Native Association" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Nenana Native Association" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Nenana Native Association" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12106" ]
       ] )
     ] [
       fhir:code [ fhir:v "475" ] ;
       fhir:display [ fhir:v "New Koliganek Village Council" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "New Koliganek Village Council" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "New Koliganek Village Council" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12107" ]
       ] )
     ] [
       fhir:code [ fhir:v "476" ] ;
       fhir:display [ fhir:v "New Stuyahok Village" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "New Stuyahok Village" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "New Stuyahok Village" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12108" ]
       ] )
     ] [
       fhir:code [ fhir:v "477" ] ;
       fhir:display [ fhir:v "Newhalen Village" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Newhalen Village" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Newhalen Village" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12109" ]
       ] )
     ] [
       fhir:code [ fhir:v "478" ] ;
       fhir:display [ fhir:v "Newtok Village" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Newtok Village" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Newtok Village" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12110" ]
       ] )
     ] [
       fhir:code [ fhir:v "479" ] ;
       fhir:display [ fhir:v "Native Village of Nightmute" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Nightmute" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Nightmute" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12111" ]
       ] )
     ] [
       fhir:code [ fhir:v "480" ] ;
       fhir:display [ fhir:v "Nikolai Village" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Nikolai Village" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Nikolai Village" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12112" ]
       ] )
     ] [
       fhir:code [ fhir:v "481" ] ;
       fhir:display [ fhir:v "Native Village of Nikolski" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Nikolski" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Nikolski" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12113" ]
       ] )
     ] [
       fhir:code [ fhir:v "482" ] ;
       fhir:display [ fhir:v "Ninilchik Village" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Ninilchik Village" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Ninilchik Village" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12114" ]
       ] )
     ] [
       fhir:code [ fhir:v "483" ] ;
       fhir:display [ fhir:v "Native Village of Noatak" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Noatak" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Noatak" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12115" ]
       ] )
     ] [
       fhir:code [ fhir:v "484" ] ;
       fhir:display [ fhir:v "Nome Eskimo Community" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Nome Eskimo Community" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Nome Eskimo Community" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12116" ]
       ] )
     ] [
       fhir:code [ fhir:v "485" ] ;
       fhir:display [ fhir:v "Nondalton Village" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Nondalton Village" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Nondalton Village" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12117" ]
       ] )
     ] [
       fhir:code [ fhir:v "486" ] ;
       fhir:display [ fhir:v "Noorvik Native Community" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Noorvik Native Community" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Noorvik Native Community" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12118" ]
       ] )
     ] [
       fhir:code [ fhir:v "487" ] ;
       fhir:display [ fhir:v "Northway Village" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Northway Village" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Northway Village" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12119" ]
       ] )
     ] [
       fhir:code [ fhir:v "488" ] ;
       fhir:display [ fhir:v "Native Village of Nuiqsut (aka Nooiksut)" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Nuiqsut (aka Nooiksut)" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Nuiqsut (aka Nooiksut)" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12120" ]
       ] )
     ] [
       fhir:code [ fhir:v "489" ] ;
       fhir:display [ fhir:v "Nulato Village" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Nulato Village" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Nulato Village" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12121" ]
       ] )
     ] [
       fhir:code [ fhir:v "490" ] ;
       fhir:display [ fhir:v "Nunakauyarmiut Tribe" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Nunakauyarmiut Tribe" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Nunakauyarmiut Tribe" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12122" ]
       ] )
     ] [
       fhir:code [ fhir:v "491" ] ;
       fhir:display [ fhir:v "Native Village of Nunapitchuk" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Nunapitchuk" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Nunapitchuk" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12123" ]
       ] )
     ] [
       fhir:code [ fhir:v "492" ] ;
       fhir:display [ fhir:v "Village of Ohogamiut" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Village of Ohogamiut" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Village of Ohogamiut" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12124" ]
       ] )
     ] [
       fhir:code [ fhir:v "493" ] ;
       fhir:display [ fhir:v "Alutiiq Tribe of Old Harbor" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Alutiiq Tribe of Old Harbor" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Alutiiq Tribe of Old Harbor" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12125" ]
       ] )
     ] [
       fhir:code [ fhir:v "494" ] ;
       fhir:display [ fhir:v "Orutsararmiut Traditional Native Council" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Orutsararmiut Traditional Native Council" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Orutsararmiut Traditional Native Council" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12126" ]
       ] )
     ] [
       fhir:code [ fhir:v "495" ] ;
       fhir:display [ fhir:v "Oscarville Traditional Village" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Oscarville Traditional Village" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Oscarville Traditional Village" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12127" ]
       ] )
     ] [
       fhir:code [ fhir:v "496" ] ;
       fhir:display [ fhir:v "Native Village of Ouzinkie" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Ouzinkie" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Ouzinkie" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12128" ]
       ] )
     ] [
       fhir:code [ fhir:v "497" ] ;
       fhir:display [ fhir:v "Native Village of Paimiut" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Paimiut" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Paimiut" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12129" ]
       ] )
     ] [
       fhir:code [ fhir:v "498" ] ;
       fhir:display [ fhir:v "Pauloff Harbor Village" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Pauloff Harbor Village" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Pauloff Harbor Village" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12130" ]
       ] )
     ] [
       fhir:code [ fhir:v "499" ] ;
       fhir:display [ fhir:v "Pedro Bay Village" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Pedro Bay Village" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Pedro Bay Village" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12131" ]
       ] )
     ] [
       fhir:code [ fhir:v "500" ] ;
       fhir:display [ fhir:v "Native Village of Perryville" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Perryville" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Perryville" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12132" ]
       ] )
     ] [
       fhir:code [ fhir:v "501" ] ;
       fhir:display [ fhir:v "Petersburg Indian Association" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Petersburg Indian Association" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Petersburg Indian Association" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12133" ]
       ] )
     ] [
       fhir:code [ fhir:v "502" ] ;
       fhir:display [ fhir:v "Native Village of Pilot Point" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Pilot Point" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Pilot Point" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12134" ]
       ] )
     ] [
       fhir:code [ fhir:v "503" ] ;
       fhir:display [ fhir:v "Pilot Station Traditional Village" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Pilot Station Traditional Village" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Pilot Station Traditional Village" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12135" ]
       ] )
     ] [
       fhir:code [ fhir:v "504" ] ;
       fhir:display [ fhir:v "Pitka's Point Traditional Council" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Pitka's Point Traditional Council" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Pitka's Point Traditional Council" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12136" ]
       ] )
     ] [
       fhir:code [ fhir:v "505" ] ;
       fhir:display [ fhir:v "Platinum Traditional Village" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Platinum Traditional Village" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Platinum Traditional Village" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12137" ]
       ] )
     ] [
       fhir:code [ fhir:v "506" ] ;
       fhir:display [ fhir:v "Native Village of Point Hope" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Point Hope" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Point Hope" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12138" ]
       ] )
     ] [
       fhir:code [ fhir:v "507" ] ;
       fhir:display [ fhir:v "Native Village of Point Lay" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Point Lay" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Point Lay" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12139" ]
       ] )
     ] [
       fhir:code [ fhir:v "508" ] ;
       fhir:display [ fhir:v "Native Village of Port Graham" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Port Graham" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Port Graham" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12140" ]
       ] )
     ] [
       fhir:code [ fhir:v "509" ] ;
       fhir:display [ fhir:v "Native Village of Port Heiden" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Port Heiden" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Port Heiden" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12141" ]
       ] )
     ] [
       fhir:code [ fhir:v "510" ] ;
       fhir:display [ fhir:v "Native Village of Port Lions" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Port Lions" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Port Lions" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12142" ]
       ] )
     ] [
       fhir:code [ fhir:v "511" ] ;
       fhir:display [ fhir:v "Portage Creek Village (aka Ohgsenakale)" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Portage Creek Village (aka Ohgsenakale)" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Portage Creek Village (aka Ohgsenakale)" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12143" ]
       ] )
     ] [
       fhir:code [ fhir:v "512" ] ;
       fhir:display [ fhir:v "Pribilof Islands Aleut Communities of St. Paul & St. George Islands (Saint George Island and Saint Paul Island)" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Pribilof Islands Aleut Communities of St. Paul & St. George Islands (Saint George Island and Saint Paul Island)" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Pribilof Islands Aleut Communities of St. Paul & St. George Islands (Saint George Island and Saint Paul Island)" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "retired" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12144" ]
       ] )
     ] [
       fhir:code [ fhir:v "513" ] ;
       fhir:display [ fhir:v "Qagan Tayagungin Tribe of Sand Point" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Qagan Tayagungin Tribe of Sand Point" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Qagan Tayagungin Tribe of Sand Point" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12145" ]
       ] )
     ] [
       fhir:code [ fhir:v "514" ] ;
       fhir:display [ fhir:v "Qawalangin Tribe of Unalaska" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Qawalangin Tribe of Unalaska" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Qawalangin Tribe of Unalaska" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12146" ]
       ] )
     ] [
       fhir:code [ fhir:v "515" ] ;
       fhir:display [ fhir:v "Rampart Village" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Rampart Village" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Rampart Village" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12147" ]
       ] )
     ] [
       fhir:code [ fhir:v "516" ] ;
       fhir:display [ fhir:v "Village of Red Devil" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Village of Red Devil" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Village of Red Devil" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12148" ]
       ] )
     ] [
       fhir:code [ fhir:v "517" ] ;
       fhir:display [ fhir:v "Native Village of Ruby" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Ruby" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Ruby" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12149" ]
       ] )
     ] [
       fhir:code [ fhir:v "518" ] ;
       fhir:display [ fhir:v "Saint George Island" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Saint George Island" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Saint George Island" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12150" ]
       ] )
     ] [
       fhir:code [ fhir:v "519" ] ;
       fhir:display [ fhir:v "Native Village of Saint Michael" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Saint Michael" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Saint Michael" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12151" ]
       ] )
     ] [
       fhir:code [ fhir:v "520" ] ;
       fhir:display [ fhir:v "Saint Paul Island" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Saint Paul Island" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Saint Paul Island" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12152" ]
       ] )
     ] [
       fhir:code [ fhir:v "521" ] ;
       fhir:display [ fhir:v "Salamatof Tribe" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Salamatof Tribe" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Salamatof Tribe" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12153" ]
       ] )
     ] [
       fhir:code [ fhir:v "522" ] ;
       fhir:display [ fhir:v "Native Village of Savoonga" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Savoonga" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Savoonga" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12154" ]
       ] )
     ] [
       fhir:code [ fhir:v "523" ] ;
       fhir:display [ fhir:v "Organized Village of Saxman" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Organized Village of Saxman" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Organized Village of Saxman" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12155" ]
       ] )
     ] [
       fhir:code [ fhir:v "524" ] ;
       fhir:display [ fhir:v "Native Village of Scammon Bay" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Scammon Bay" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Scammon Bay" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12156" ]
       ] )
     ] [
       fhir:code [ fhir:v "525" ] ;
       fhir:display [ fhir:v "Native Village of Selawik" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Selawik" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Selawik" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12157" ]
       ] )
     ] [
       fhir:code [ fhir:v "526" ] ;
       fhir:display [ fhir:v "Seldovia Village Tribe" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Seldovia Village Tribe" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Seldovia Village Tribe" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12158" ]
       ] )
     ] [
       fhir:code [ fhir:v "527" ] ;
       fhir:display [ fhir:v "Shageluk Native Village" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Shageluk Native Village" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Shageluk Native Village" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12159" ]
       ] )
     ] [
       fhir:code [ fhir:v "528" ] ;
       fhir:display [ fhir:v "Native Village of Shaktoolik" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Shaktoolik" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Shaktoolik" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12160" ]
       ] )
     ] [
       fhir:code [ fhir:v "529" ] ;
       fhir:display [ fhir:v "Native Village of Nunam Iqua" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Nunam Iqua" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Nunam Iqua" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12161" ]
       ] )
     ] [
       fhir:code [ fhir:v "530" ] ;
       fhir:display [ fhir:v "Native Village of Shishmaref" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Shishmaref" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Shishmaref" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12162" ]
       ] )
     ] [
       fhir:code [ fhir:v "531" ] ;
       fhir:display [ fhir:v "Sun'aq Tribe of Kodiak" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Sun'aq Tribe of Kodiak" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Sun'aq Tribe of Kodiak" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12163" ]
       ] )
     ] [
       fhir:code [ fhir:v "532" ] ;
       fhir:display [ fhir:v "Native Village of Shungnak" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Shungnak" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Shungnak" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12164" ]
       ] )
     ] [
       fhir:code [ fhir:v "533" ] ;
       fhir:display [ fhir:v "Sitka Tribe of Alaska" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Sitka Tribe of Alaska" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Sitka Tribe of Alaska" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12165" ]
       ] )
     ] [
       fhir:code [ fhir:v "534" ] ;
       fhir:display [ fhir:v "Skagway Village" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Skagway Village" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Skagway Village" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12166" ]
       ] )
     ] [
       fhir:code [ fhir:v "535" ] ;
       fhir:display [ fhir:v "Village of Sleetmute" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Village of Sleetmute" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Village of Sleetmute" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12167" ]
       ] )
     ] [
       fhir:code [ fhir:v "536" ] ;
       fhir:display [ fhir:v "Village of Solomon" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Village of Solomon" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Village of Solomon" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12168" ]
       ] )
     ] [
       fhir:code [ fhir:v "537" ] ;
       fhir:display [ fhir:v "South Naknek Village" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "South Naknek Village" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "South Naknek Village" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12169" ]
       ] )
     ] [
       fhir:code [ fhir:v "538" ] ;
       fhir:display [ fhir:v "Stebbins Community Association" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Stebbins Community Association" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Stebbins Community Association" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12170" ]
       ] )
     ] [
       fhir:code [ fhir:v "539" ] ;
       fhir:display [ fhir:v "Native Village of Stevens" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Stevens" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Stevens" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12171" ]
       ] )
     ] [
       fhir:code [ fhir:v "540" ] ;
       fhir:display [ fhir:v "Village of Stony River" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Village of Stony River" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Village of Stony River" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12172" ]
       ] )
     ] [
       fhir:code [ fhir:v "541" ] ;
       fhir:display [ fhir:v "Takotna Village" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Takotna Village" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Takotna Village" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12173" ]
       ] )
     ] [
       fhir:code [ fhir:v "542" ] ;
       fhir:display [ fhir:v "Native Village of Tanacross" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Tanacross" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Tanacross" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12174" ]
       ] )
     ] [
       fhir:code [ fhir:v "543" ] ;
       fhir:display [ fhir:v "Native Village of Tanana" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Tanana" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Tanana" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12175" ]
       ] )
     ] [
       fhir:code [ fhir:v "544" ] ;
       fhir:display [ fhir:v "Native Village of Tatitlek" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Tatitlek" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Tatitlek" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12176" ]
       ] )
     ] [
       fhir:code [ fhir:v "545" ] ;
       fhir:display [ fhir:v "Native Village of Tazlina" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Tazlina" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Tazlina" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12177" ]
       ] )
     ] [
       fhir:code [ fhir:v "546" ] ;
       fhir:display [ fhir:v "Telida Village" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Telida Village" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Telida Village" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12178" ]
       ] )
     ] [
       fhir:code [ fhir:v "547" ] ;
       fhir:display [ fhir:v "Native Village of Teller" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Teller" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Teller" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12179" ]
       ] )
     ] [
       fhir:code [ fhir:v "548" ] ;
       fhir:display [ fhir:v "Native Village of Tetlin" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Tetlin" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Tetlin" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12180" ]
       ] )
     ] [
       fhir:code [ fhir:v "549" ] ;
       fhir:display [ fhir:v "Central Council of the Tlingit & Haida Indian Tribes" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Central Council of the Tlingit & Haida Indian Tribes" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Central Council of the Tlingit & Haida Indian Tribes" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12181" ]
       ] )
     ] [
       fhir:code [ fhir:v "550" ] ;
       fhir:display [ fhir:v "Traditional Village of Togiak" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Traditional Village of Togiak" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Traditional Village of Togiak" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12182" ]
       ] )
     ] [
       fhir:code [ fhir:v "551" ] ;
       fhir:display [ fhir:v "Tuluksak Native Community" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Tuluksak Native Community" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Tuluksak Native Community" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12183" ]
       ] )
     ] [
       fhir:code [ fhir:v "552" ] ;
       fhir:display [ fhir:v "Native Village of Tuntutuliak" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Tuntutuliak" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Tuntutuliak" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12184" ]
       ] )
     ] [
       fhir:code [ fhir:v "553" ] ;
       fhir:display [ fhir:v "Native Village of Tununak" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Tununak" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Tununak" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12185" ]
       ] )
     ] [
       fhir:code [ fhir:v "554" ] ;
       fhir:display [ fhir:v "Twin Hills Village" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Twin Hills Village" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Twin Hills Village" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12186" ]
       ] )
     ] [
       fhir:code [ fhir:v "555" ] ;
       fhir:display [ fhir:v "Native Village of Tyonek" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Tyonek" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Tyonek" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12187" ]
       ] )
     ] [
       fhir:code [ fhir:v "556" ] ;
       fhir:display [ fhir:v "Ugashik Village" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Ugashik Village" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Ugashik Village" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12188" ]
       ] )
     ] [
       fhir:code [ fhir:v "557" ] ;
       fhir:display [ fhir:v "Umkumiut Native Village" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Umkumiut Native Village" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Umkumiut Native Village" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12189" ]
       ] )
     ] [
       fhir:code [ fhir:v "558" ] ;
       fhir:display [ fhir:v "Native Village of Unalakleet" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Unalakleet" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Unalakleet" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12190" ]
       ] )
     ] [
       fhir:code [ fhir:v "559" ] ;
       fhir:display [ fhir:v "Native Village of Unga" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Unga" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Unga" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12191" ]
       ] )
     ] [
       fhir:code [ fhir:v "560" ] ;
       fhir:display [ fhir:v "Village of Venetie" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Village of Venetie" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Village of Venetie" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12192" ]
       ] )
     ] [
       fhir:code [ fhir:v "561" ] ;
       fhir:display [ fhir:v "Native Village of Venetie Tribal Government (Arctic Village and Village of Venetie)" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Venetie Tribal Government (Arctic Village and Village of Venetie)" ]
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         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
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         fhir:value [ fhir:v "Native Village of Venetie Tribal Government (Arctic Village and Village of Venetie)" ]
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       fhir:property ( [
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         fhir:value [ fhir:v "retired" ]
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         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12193" ]
       ] )
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       fhir:code [ fhir:v "562" ] ;
       fhir:display [ fhir:v "Village of Wainwright" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Village of Wainwright" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Village of Wainwright" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
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         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12194" ]
       ] )
     ] [
       fhir:code [ fhir:v "563" ] ;
       fhir:display [ fhir:v "Native Village of Wales" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Wales" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of Wales" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12195" ]
       ] )
     ] [
       fhir:code [ fhir:v "564" ] ;
       fhir:display [ fhir:v "Native Village of White Mountain" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of White Mountain" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Native Village of White Mountain" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12196" ]
       ] )
     ] [
       fhir:code [ fhir:v "565" ] ;
       fhir:display [ fhir:v "Wrangell Cooperative Association" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Wrangell Cooperative Association" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Wrangell Cooperative Association" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12197" ]
       ] )
     ] [
       fhir:code [ fhir:v "566" ] ;
       fhir:display [ fhir:v "Yakutat Tlingit Tribe" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Yakutat Tlingit Tribe" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Yakutat Tlingit Tribe" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "12198" ]
       ] )
     ] )
  ] [
     fhir:code [ fhir:v "_NativeEntityContiguous" ] ;
     fhir:display [ fhir:v "NativeEntityContiguous" ] ;
     fhir:definition [ fhir:v "NATIVE ENTITIES WITHIN THE CONTIGUOUS 48 STATES" ] ;
     fhir:designation ( [
       fhir:language [ fhir:v "en" ] ;
       fhir:use [
         fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
         fhir:code [ fhir:v "display" ]
       ] ;
       fhir:value [ fhir:v "NativeEntityContiguous" ]
     ] [
       fhir:language [ fhir:v "en" ] ;
       fhir:use [
         fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
         fhir:code [ fhir:v "display" ]
       ] ;
       fhir:value [ fhir:v "NativeEntityContiguous" ]
     ] ) ;
     fhir:property ( [
       fhir:code [ fhir:v "notSelectable" ] ;
       fhir:value [ fhir:v "true" ]
     ] [
       fhir:code [ fhir:v "status" ] ;
       fhir:value [ fhir:v "active" ]
     ] [
       fhir:code [ fhir:v "internalId" ] ;
       fhir:value [ fhir:v "21287" ]
     ] ) ;
     fhir:concept ( [
       fhir:code [ fhir:v "1" ] ;
       fhir:display [ fhir:v "Absentee-Shawnee Tribe of Indians of Oklahoma" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Absentee-Shawnee Tribe of Indians of Oklahoma" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Absentee-Shawnee Tribe of Indians of Oklahoma" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11632" ]
       ] )
     ] [
       fhir:code [ fhir:v "2" ] ;
       fhir:display [ fhir:v "Agua Caliente Band of Cahuilla Indians of the Agua Caliente Indian Reservation, California" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Agua Caliente Band of Cahuilla Indians of the Agua Caliente Indian Reservation, California" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Agua Caliente Band of Cahuilla Indians of the Agua Caliente Indian Reservation, California" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11633" ]
       ] )
     ] [
       fhir:code [ fhir:v "3" ] ;
       fhir:display [ fhir:v "Ak-Chin Indian Community" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Ak-Chin Indian Community" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Ak-Chin Indian Community" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11634" ]
       ] )
     ] [
       fhir:code [ fhir:v "4" ] ;
       fhir:display [ fhir:v "Alabama-Coushatta Tribe of Texas" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Alabama-Coushatta Tribe of Texas" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Alabama-Coushatta Tribe of Texas" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11635" ]
       ] )
     ] [
       fhir:code [ fhir:v "5" ] ;
       fhir:display [ fhir:v "Alabama-Quassarte Tribal Town" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Alabama-Quassarte Tribal Town" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Alabama-Quassarte Tribal Town" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11636" ]
       ] )
     ] [
       fhir:code [ fhir:v "6" ] ;
       fhir:display [ fhir:v "Alturas Indian Rancheria, California" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Alturas Indian Rancheria, California" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Alturas Indian Rancheria, California" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11637" ]
       ] )
     ] [
       fhir:code [ fhir:v "7" ] ;
       fhir:display [ fhir:v "Apache Tribe of Oklahoma" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Apache Tribe of Oklahoma" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Apache Tribe of Oklahoma" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11638" ]
       ] )
     ] [
       fhir:code [ fhir:v "8" ] ;
       fhir:display [ fhir:v "Northern Arapaho Tribe of the Wind River Reservation, Wyoming" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Northern Arapaho Tribe of the Wind River Reservation, Wyoming" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Northern Arapaho Tribe of the Wind River Reservation, Wyoming" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11639" ]
       ] )
     ] [
       fhir:code [ fhir:v "9" ] ;
       fhir:display [ fhir:v "Mi'kmaq Nation" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Mi'kmaq Nation" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Mi'kmaq Nation" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11640" ]
       ] )
     ] [
       fhir:code [ fhir:v "10" ] ;
       fhir:display [ fhir:v "Assiniboine and Sioux Tribes of the Fort Peck Indian Reservation, Montana" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Assiniboine and Sioux Tribes of the Fort Peck Indian Reservation, Montana" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Assiniboine and Sioux Tribes of the Fort Peck Indian Reservation, Montana" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11641" ]
       ] )
     ] [
       fhir:code [ fhir:v "11" ] ;
       fhir:display [ fhir:v "Augustine Band of Cahuilla Indians, California" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Augustine Band of Cahuilla Indians, California" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Augustine Band of Cahuilla Indians, California" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11642" ]
       ] )
     ] [
       fhir:code [ fhir:v "12" ] ;
       fhir:display [ fhir:v "Bad River Band of the Lake Superior Tribe of Chippewa Indians of the Bad River Reservation, Wisconsin" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Bad River Band of the Lake Superior Tribe of Chippewa Indians of the Bad River Reservation, Wisconsin" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Bad River Band of the Lake Superior Tribe of Chippewa Indians of the Bad River Reservation, Wisconsin" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11643" ]
       ] )
     ] [
       fhir:code [ fhir:v "33" ] ;
       fhir:display [ fhir:v "Barona Group of Capitan Grande Band of Mission Ind" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Barona Group of Capitan Grande Band of Mission Ind" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Barona Group of Capitan Grande Band of Mission Ind" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "retired" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11664" ]
       ] )
     ] [
       fhir:code [ fhir:v "13" ] ;
       fhir:display [ fhir:v "Bay Mills Indian Community, Michigan" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Bay Mills Indian Community, Michigan" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Bay Mills Indian Community, Michigan" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11644" ]
       ] )
     ] [
       fhir:code [ fhir:v "14" ] ;
       fhir:display [ fhir:v "Bear River Band of the Rohnerville Rancheria, California" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Bear River Band of the Rohnerville Rancheria, California" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Bear River Band of the Rohnerville Rancheria, California" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11645" ]
       ] )
     ] [
       fhir:code [ fhir:v "15" ] ;
       fhir:display [ fhir:v "Berry Creek Rancheria of Maidu Indians of California" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Berry Creek Rancheria of Maidu Indians of California" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Berry Creek Rancheria of Maidu Indians of California" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
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         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11646" ]
       ] )
     ] [
       fhir:code [ fhir:v "16" ] ;
       fhir:display [ fhir:v "Big Lagoon Rancheria, California" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
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           fhir:code [ fhir:v "display" ]
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         fhir:value [ fhir:v "Big Lagoon Rancheria, California" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Big Lagoon Rancheria, California" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
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         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11647" ]
       ] )
     ] [
       fhir:code [ fhir:v "17" ] ;
       fhir:display [ fhir:v "Big Pine Paiute Tribe of the Owens Valley" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
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           fhir:code [ fhir:v "display" ]
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         fhir:value [ fhir:v "Big Pine Paiute Tribe of the Owens Valley" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Big Pine Paiute Tribe of the Owens Valley" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11648" ]
       ] )
     ] [
       fhir:code [ fhir:v "18" ] ;
       fhir:display [ fhir:v "Big Sandy Rancheria of Western Mono Indians of California" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
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           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Big Sandy Rancheria of Western Mono Indians of California" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Big Sandy Rancheria of Western Mono Indians of California" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
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         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11649" ]
       ] )
     ] [
       fhir:code [ fhir:v "19" ] ;
       fhir:display [ fhir:v "Big Valley Band of Pomo Indians of the Big Valley Rancheria, California" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Big Valley Band of Pomo Indians of the Big Valley Rancheria, California" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Big Valley Band of Pomo Indians of the Big Valley Rancheria, California" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
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         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11650" ]
       ] )
     ] [
       fhir:code [ fhir:v "20" ] ;
       fhir:display [ fhir:v "Blackfeet Tribe of the Blackfeet Indian Reservation of Montana" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Blackfeet Tribe of the Blackfeet Indian Reservation of Montana" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Blackfeet Tribe of the Blackfeet Indian Reservation of Montana" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11651" ]
       ] )
     ] [
       fhir:code [ fhir:v "21" ] ;
       fhir:display [ fhir:v "Blue Lake Rancheria, California" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Blue Lake Rancheria, California" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Blue Lake Rancheria, California" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11652" ]
       ] )
     ] [
       fhir:code [ fhir:v "160" ] ;
       fhir:display [ fhir:v "Bois Forte Band (Nett Lake); Fond du Lac Band; Gra" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Bois Forte Band (Nett Lake); Fond du Lac Band; Gra" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Bois Forte Band (Nett Lake); Fond du Lac Band; Gra" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "retired" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11791" ]
       ] )
     ] [
       fhir:code [ fhir:v "22" ] ;
       fhir:display [ fhir:v "Bridgeport Indian Colony" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Bridgeport Indian Colony" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Bridgeport Indian Colony" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11653" ]
       ] )
     ] [
       fhir:code [ fhir:v "23" ] ;
       fhir:display [ fhir:v "Buena Vista Rancheria of Me-Wuk Indians of California" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Buena Vista Rancheria of Me-Wuk Indians of California" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Buena Vista Rancheria of Me-Wuk Indians of California" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11654" ]
       ] )
     ] [
       fhir:code [ fhir:v "24" ] ;
       fhir:display [ fhir:v "Burns Paiute Tribe" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Burns Paiute Tribe" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Burns Paiute Tribe" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11655" ]
       ] )
     ] [
       fhir:code [ fhir:v "25" ] ;
       fhir:display [ fhir:v "Cabazon Band of Cahuilla Indians" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Cabazon Band of Cahuilla Indians" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Cabazon Band of Cahuilla Indians" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11656" ]
       ] )
     ] [
       fhir:code [ fhir:v "26" ] ;
       fhir:display [ fhir:v "Cachil DeHe Band of Wintun Indians of the Colusa Indian Community of the Colusa Rancheria, California" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Cachil DeHe Band of Wintun Indians of the Colusa Indian Community of the Colusa Rancheria, California" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Cachil DeHe Band of Wintun Indians of the Colusa Indian Community of the Colusa Rancheria, California" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11657" ]
       ] )
     ] [
       fhir:code [ fhir:v "27" ] ;
       fhir:display [ fhir:v "Caddo Nation of Oklahoma" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Caddo Nation of Oklahoma" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Caddo Nation of Oklahoma" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11658" ]
       ] )
     ] [
       fhir:code [ fhir:v "29" ] ;
       fhir:display [ fhir:v "Cahto Tribe of the Laytonville Rancheria" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Cahto Tribe of the Laytonville Rancheria" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Cahto Tribe of the Laytonville Rancheria" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11660" ]
       ] )
     ] [
       fhir:code [ fhir:v "28" ] ;
       fhir:display [ fhir:v "Cahuilla Band of Indians" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Cahuilla Band of Indians" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Cahuilla Band of Indians" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11659" ]
       ] )
     ] [
       fhir:code [ fhir:v "30" ] ;
       fhir:display [ fhir:v "California Valley Miwok Tribe, California" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "California Valley Miwok Tribe, California" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "California Valley Miwok Tribe, California" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11661" ]
       ] )
     ] [
       fhir:code [ fhir:v "31" ] ;
       fhir:display [ fhir:v "Campo Band of Diegueno Mission Indians of the Campo Indian Reservation, California" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Campo Band of Diegueno Mission Indians of the Campo Indian Reservation, California" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Campo Band of Diegueno Mission Indians of the Campo Indian Reservation, California" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
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         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11662" ]
       ] )
     ] [
       fhir:code [ fhir:v "32" ] ;
       fhir:display [ fhir:v "Capitan Grande Band of Diegueno Mission Indians of California" ] ;
       fhir:definition [ fhir:v "Capitan Grande Band of Diegueno Mission Indians of California (Barona Group of Capitan Grande Band of Mission Indians of the Barona Reservation, California; Viejas (Baron Long) Group of Capitan Grande Band of Mission Indians of the Viejas Reservation, California)" ] ;
       fhir:designation ( [
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         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Capitan Grande Band of Diegueno Mission Indians of California" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Capitan Grande Band of Diegueno Mission Indians of California" ]
       ] ) ;
       fhir:property ( [
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         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11663" ]
       ] )
     ] [
       fhir:code [ fhir:v "35" ] ;
       fhir:display [ fhir:v "Catawba Indian Nation" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Catawba Indian Nation" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Catawba Indian Nation" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11666" ]
       ] )
     ] [
       fhir:code [ fhir:v "36" ] ;
       fhir:display [ fhir:v "Cayuga Nation" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Cayuga Nation" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Cayuga Nation" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11667" ]
       ] )
     ] [
       fhir:code [ fhir:v "37" ] ;
       fhir:display [ fhir:v "Cedarville Rancheria, California" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Cedarville Rancheria, California" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Cedarville Rancheria, California" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11668" ]
       ] )
     ] [
       fhir:code [ fhir:v "38" ] ;
       fhir:display [ fhir:v "Chemehuevi Indian Tribe of the Chemehuevi Reservation, California" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Chemehuevi Indian Tribe of the Chemehuevi Reservation, California" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Chemehuevi Indian Tribe of the Chemehuevi Reservation, California" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11669" ]
       ] )
     ] [
       fhir:code [ fhir:v "39" ] ;
       fhir:display [ fhir:v "Cher-Ae Heights Indian Community of the Trinidad Rancheria, California" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Cher-Ae Heights Indian Community of the Trinidad Rancheria, California" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Cher-Ae Heights Indian Community of the Trinidad Rancheria, California" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11670" ]
       ] )
     ] [
       fhir:code [ fhir:v "40" ] ;
       fhir:display [ fhir:v "Cherokee Nation" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Cherokee Nation" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Cherokee Nation" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11671" ]
       ] )
     ] [
       fhir:code [ fhir:v "42" ] ;
       fhir:display [ fhir:v "Cheyenne River Sioux Tribe of the Cheyenne River Reservation, South Dakota" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Cheyenne River Sioux Tribe of the Cheyenne River Reservation, South Dakota" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Cheyenne River Sioux Tribe of the Cheyenne River Reservation, South Dakota" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11673" ]
       ] )
     ] [
       fhir:code [ fhir:v "41" ] ;
       fhir:display [ fhir:v "Cheyenne and Arapaho Tribes, Oklahoma" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Cheyenne and Arapaho Tribes, Oklahoma" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Cheyenne and Arapaho Tribes, Oklahoma" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11672" ]
       ] )
     ] [
       fhir:code [ fhir:v "43" ] ;
       fhir:display [ fhir:v "The Chickasaw Nation" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "The Chickasaw Nation" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "The Chickasaw Nation" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11674" ]
       ] )
     ] [
       fhir:code [ fhir:v "44" ] ;
       fhir:display [ fhir:v "Chicken Ranch Rancheria of Me-Wuk Indians of California" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Chicken Ranch Rancheria of Me-Wuk Indians of California" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Chicken Ranch Rancheria of Me-Wuk Indians of California" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11675" ]
       ] )
     ] [
       fhir:code [ fhir:v "45" ] ;
       fhir:display [ fhir:v "Chippewa Cree Indians of the Rocky Boy's Reservation, Montana" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Chippewa Cree Indians of the Rocky Boy's Reservation, Montana" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Chippewa Cree Indians of the Rocky Boy's Reservation, Montana" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11676" ]
       ] )
     ] [
       fhir:code [ fhir:v "46" ] ;
       fhir:display [ fhir:v "Chitimacha Tribe of Louisiana" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Chitimacha Tribe of Louisiana" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Chitimacha Tribe of Louisiana" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11677" ]
       ] )
     ] [
       fhir:code [ fhir:v "47" ] ;
       fhir:display [ fhir:v "The Choctaw Nation of Oklahoma" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "The Choctaw Nation of Oklahoma" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "The Choctaw Nation of Oklahoma" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11678" ]
       ] )
     ] [
       fhir:code [ fhir:v "48" ] ;
       fhir:display [ fhir:v "Citizen Potawatomi Nation, Oklahoma" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Citizen Potawatomi Nation, Oklahoma" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Citizen Potawatomi Nation, Oklahoma" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11679" ]
       ] )
     ] [
       fhir:code [ fhir:v "49" ] ;
       fhir:display [ fhir:v "Cloverdale Rancheria of Pomo Indians of California" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Cloverdale Rancheria of Pomo Indians of California" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Cloverdale Rancheria of Pomo Indians of California" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11680" ]
       ] )
     ] [
       fhir:code [ fhir:v "50" ] ;
       fhir:display [ fhir:v "Cocopah Tribe of Arizona" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Cocopah Tribe of Arizona" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Cocopah Tribe of Arizona" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11681" ]
       ] )
     ] [
       fhir:code [ fhir:v "51" ] ;
       fhir:display [ fhir:v "Coeur D'Alene Tribe" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Coeur D'Alene Tribe" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Coeur D'Alene Tribe" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11682" ]
       ] )
     ] [
       fhir:code [ fhir:v "52" ] ;
       fhir:display [ fhir:v "Cold Springs Rancheria of Mono Indians of California" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Cold Springs Rancheria of Mono Indians of California" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Cold Springs Rancheria of Mono Indians of California" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11683" ]
       ] )
     ] [
       fhir:code [ fhir:v "53" ] ;
       fhir:display [ fhir:v "Colorado River Indian Tribes of the Colorado River Indian Reservation, Arizona and California" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Colorado River Indian Tribes of the Colorado River Indian Reservation, Arizona and California" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Colorado River Indian Tribes of the Colorado River Indian Reservation, Arizona and California" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11684" ]
       ] )
     ] [
       fhir:code [ fhir:v "54" ] ;
       fhir:display [ fhir:v "Comanche Nation, Oklahoma" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Comanche Nation, Oklahoma" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Comanche Nation, Oklahoma" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11685" ]
       ] )
     ] [
       fhir:code [ fhir:v "55" ] ;
       fhir:display [ fhir:v "Confederated Salish and Kootenai Tribes of the Flathead Reservation" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Confederated Salish and Kootenai Tribes of the Flathead Reservation" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Confederated Salish and Kootenai Tribes of the Flathead Reservation" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11686" ]
       ] )
     ] [
       fhir:code [ fhir:v "64" ] ;
       fhir:display [ fhir:v "Confederated Tribes and Bands of the Yakama Nation" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Confederated Tribes and Bands of the Yakama Nation" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Confederated Tribes and Bands of the Yakama Nation" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11695" ]
       ] )
     ] [
       fhir:code [ fhir:v "56" ] ;
       fhir:display [ fhir:v "Confederated Tribes of the Chehalis Reservation" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Confederated Tribes of the Chehalis Reservation" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Confederated Tribes of the Chehalis Reservation" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11687" ]
       ] )
     ] [
       fhir:code [ fhir:v "57" ] ;
       fhir:display [ fhir:v "Confederated Tribes of the Colville Reservation" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Confederated Tribes of the Colville Reservation" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Confederated Tribes of the Colville Reservation" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11688" ]
       ] )
     ] [
       fhir:code [ fhir:v "58" ] ;
       fhir:display [ fhir:v "Confederated Tribes of the Coos, Lower Umpqua and Siuslaw Indians" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Confederated Tribes of the Coos, Lower Umpqua and Siuslaw Indians" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Confederated Tribes of the Coos, Lower Umpqua and Siuslaw Indians" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11689" ]
       ] )
     ] [
       fhir:code [ fhir:v "59" ] ;
       fhir:display [ fhir:v "Confederated Tribes of the Goshute Reservation, Nevada and Utah" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Confederated Tribes of the Goshute Reservation, Nevada and Utah" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
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         fhir:value [ fhir:v "Confederated Tribes of the Goshute Reservation, Nevada and Utah" ]
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         fhir:value [ fhir:v "active" ]
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       fhir:code [ fhir:v "60" ] ;
       fhir:display [ fhir:v "Confederated Tribes of the Grand Ronde Community of Oregon" ] ;
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         fhir:value [ fhir:v "Confederated Tribes of the Grand Ronde Community of Oregon" ]
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         fhir:value [ fhir:v "Confederated Tribes of the Grand Ronde Community of Oregon" ]
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         fhir:value [ fhir:v "active" ]
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         fhir:value [ fhir:v "11691" ]
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       fhir:code [ fhir:v "61" ] ;
       fhir:display [ fhir:v "Confederated Tribes of Siletz Indians of Oregon" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
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         fhir:value [ fhir:v "Confederated Tribes of Siletz Indians of Oregon" ]
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           fhir:code [ fhir:v "display" ]
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         fhir:value [ fhir:v "Confederated Tribes of Siletz Indians of Oregon" ]
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         fhir:value [ fhir:v "active" ]
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         fhir:value [ fhir:v "11692" ]
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       fhir:code [ fhir:v "62" ] ;
       fhir:display [ fhir:v "Confederated Tribes of the Umatilla Indian Reservation" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
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         fhir:value [ fhir:v "Confederated Tribes of the Umatilla Indian Reservation" ]
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           fhir:code [ fhir:v "display" ]
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         fhir:value [ fhir:v "Confederated Tribes of the Umatilla Indian Reservation" ]
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         fhir:value [ fhir:v "active" ]
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         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11693" ]
       ] )
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       fhir:code [ fhir:v "63" ] ;
       fhir:display [ fhir:v "Confederated Tribes of the Warm Springs Reservation of Oregon" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
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           fhir:code [ fhir:v "display" ]
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         fhir:value [ fhir:v "Confederated Tribes of the Warm Springs Reservation of Oregon" ]
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         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
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         fhir:value [ fhir:v "Confederated Tribes of the Warm Springs Reservation of Oregon" ]
       ] ) ;
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         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
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         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11694" ]
       ] )
     ] [
       fhir:code [ fhir:v "65" ] ;
       fhir:display [ fhir:v "Coquille Indian Tribe" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
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         fhir:value [ fhir:v "Coquille Indian Tribe" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Coquille Indian Tribe" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11696" ]
       ] )
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       fhir:code [ fhir:v "66" ] ;
       fhir:display [ fhir:v "Kletsel Dehe Wintun Nation of the Cortina Rancheria" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Kletsel Dehe Wintun Nation of the Cortina Rancheria" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Kletsel Dehe Wintun Nation of the Cortina Rancheria" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
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         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11697" ]
       ] )
     ] [
       fhir:code [ fhir:v "67" ] ;
       fhir:display [ fhir:v "Coushatta Tribe of Louisiana" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Coushatta Tribe of Louisiana" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Coushatta Tribe of Louisiana" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
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         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11698" ]
       ] )
     ] [
       fhir:code [ fhir:v "68" ] ;
       fhir:display [ fhir:v "Cow Creek Band of Umpqua Tribe of Indians" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
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         fhir:value [ fhir:v "Cow Creek Band of Umpqua Tribe of Indians" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Cow Creek Band of Umpqua Tribe of Indians" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
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         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11699" ]
       ] )
     ] [
       fhir:code [ fhir:v "69" ] ;
       fhir:display [ fhir:v "Coyote Valley Band of Pomo Indians of California" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
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         fhir:value [ fhir:v "Coyote Valley Band of Pomo Indians of California" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Coyote Valley Band of Pomo Indians of California" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
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         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11700" ]
       ] )
     ] [
       fhir:code [ fhir:v "71" ] ;
       fhir:display [ fhir:v "Crow Creek Sioux Tribe of the Crow Creek Reservation, South Dakota" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Crow Creek Sioux Tribe of the Crow Creek Reservation, South Dakota" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Crow Creek Sioux Tribe of the Crow Creek Reservation, South Dakota" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
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         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11702" ]
       ] )
     ] [
       fhir:code [ fhir:v "70" ] ;
       fhir:display [ fhir:v "Crow Tribe of Montana" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
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         fhir:value [ fhir:v "Crow Tribe of Montana" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Crow Tribe of Montana" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11701" ]
       ] )
     ] [
       fhir:code [ fhir:v "72" ] ;
       fhir:display [ fhir:v "Ewiiaapaayp Band of Kumeyaay Indians, California" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Ewiiaapaayp Band of Kumeyaay Indians, California" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Ewiiaapaayp Band of Kumeyaay Indians, California" ]
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       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
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         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11703" ]
       ] )
     ] [
       fhir:code [ fhir:v "73" ] ;
       fhir:display [ fhir:v "Timbisha Shoshone Tribe" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Timbisha Shoshone Tribe" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Timbisha Shoshone Tribe" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
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         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11704" ]
       ] )
     ] [
       fhir:code [ fhir:v "74" ] ;
       fhir:display [ fhir:v "Delaware Nation, Oklahoma" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Delaware Nation, Oklahoma" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Delaware Nation, Oklahoma" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11705" ]
       ] )
     ] [
       fhir:code [ fhir:v "75" ] ;
       fhir:display [ fhir:v "Delaware Tribe of Indians" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
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         fhir:value [ fhir:v "Delaware Tribe of Indians" ]
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         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
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         fhir:value [ fhir:v "Delaware Tribe of Indians" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
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         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11706" ]
       ] )
     ] [
       fhir:code [ fhir:v "76" ] ;
       fhir:display [ fhir:v "Dry Creek Rancheria Band of Pomo Indians, California" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Dry Creek Rancheria Band of Pomo Indians, California" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Dry Creek Rancheria Band of Pomo Indians, California" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
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         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11707" ]
       ] )
     ] [
       fhir:code [ fhir:v "77" ] ;
       fhir:display [ fhir:v "Duckwater Shoshone Tribe of the Duckwater Reservation, Nevada" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
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         fhir:value [ fhir:v "Duckwater Shoshone Tribe of the Duckwater Reservation, Nevada" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Duckwater Shoshone Tribe of the Duckwater Reservation, Nevada" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
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         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11708" ]
       ] )
     ] [
       fhir:code [ fhir:v "78" ] ;
       fhir:display [ fhir:v "Eastern Band of Cherokee Indians" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Eastern Band of Cherokee Indians" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Eastern Band of Cherokee Indians" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
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         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11709" ]
       ] )
     ] [
       fhir:code [ fhir:v "79" ] ;
       fhir:display [ fhir:v "Eastern Shawnee Tribe of Oklahoma" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
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         fhir:value [ fhir:v "Eastern Shawnee Tribe of Oklahoma" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Eastern Shawnee Tribe of Oklahoma" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11710" ]
       ] )
     ] [
       fhir:code [ fhir:v "80" ] ;
       fhir:display [ fhir:v "Elem Indian Colony of Pomo Indians of the Sulphur Bank Rancheria, California" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
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         fhir:value [ fhir:v "Elem Indian Colony of Pomo Indians of the Sulphur Bank Rancheria, California" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Elem Indian Colony of Pomo Indians of the Sulphur Bank Rancheria, California" ]
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       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11711" ]
       ] )
     ] [
       fhir:code [ fhir:v "81" ] ;
       fhir:display [ fhir:v "Elk Valley Rancheria, California" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Elk Valley Rancheria, California" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Elk Valley Rancheria, California" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
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         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11712" ]
       ] )
     ] [
       fhir:code [ fhir:v "82" ] ;
       fhir:display [ fhir:v "Ely Shoshone Tribe of Nevada" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
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         fhir:value [ fhir:v "Ely Shoshone Tribe of Nevada" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Ely Shoshone Tribe of Nevada" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11713" ]
       ] )
     ] [
       fhir:code [ fhir:v "83" ] ;
       fhir:display [ fhir:v "Enterprise Rancheria of Maidu Indians of California" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Enterprise Rancheria of Maidu Indians of California" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Enterprise Rancheria of Maidu Indians of California" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11714" ]
       ] )
     ] [
       fhir:code [ fhir:v "84" ] ;
       fhir:display [ fhir:v "Flandreau Santee Sioux Tribe of South Dakota" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Flandreau Santee Sioux Tribe of South Dakota" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Flandreau Santee Sioux Tribe of South Dakota" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11715" ]
       ] )
     ] [
       fhir:code [ fhir:v "85" ] ;
       fhir:display [ fhir:v "Forest County Potawatomi Community, Wisconsin" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Forest County Potawatomi Community, Wisconsin" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Forest County Potawatomi Community, Wisconsin" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11716" ]
       ] )
     ] [
       fhir:code [ fhir:v "86" ] ;
       fhir:display [ fhir:v "Fort Belknap Indian Community of the Fort Belknap Reservation of Montana" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Fort Belknap Indian Community of the Fort Belknap Reservation of Montana" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Fort Belknap Indian Community of the Fort Belknap Reservation of Montana" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11717" ]
       ] )
     ] [
       fhir:code [ fhir:v "87" ] ;
       fhir:display [ fhir:v "Fort Bidwell Indian Community of the Fort Bidwell Reservation of California" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Fort Bidwell Indian Community of the Fort Bidwell Reservation of California" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Fort Bidwell Indian Community of the Fort Bidwell Reservation of California" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11718" ]
       ] )
     ] [
       fhir:code [ fhir:v "88" ] ;
       fhir:display [ fhir:v "Fort Independence Indian Community of Paiute Indians of the Fort Independence Reservation, California" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Fort Independence Indian Community of Paiute Indians of the Fort Independence Reservation, California" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Fort Independence Indian Community of Paiute Indians of the Fort Independence Reservation, California" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11719" ]
       ] )
     ] [
       fhir:code [ fhir:v "89" ] ;
       fhir:display [ fhir:v "Fort McDermitt Paiute and Shoshone Tribes of the Fort McDermitt Indian Reservation, Nevada and Oregon" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Fort McDermitt Paiute and Shoshone Tribes of the Fort McDermitt Indian Reservation, Nevada and Oregon" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Fort McDermitt Paiute and Shoshone Tribes of the Fort McDermitt Indian Reservation, Nevada and Oregon" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11720" ]
       ] )
     ] [
       fhir:code [ fhir:v "90" ] ;
       fhir:display [ fhir:v "Fort McDowell Yavapai Nation, Arizona" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Fort McDowell Yavapai Nation, Arizona" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Fort McDowell Yavapai Nation, Arizona" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11721" ]
       ] )
     ] [
       fhir:code [ fhir:v "91" ] ;
       fhir:display [ fhir:v "Fort Mojave Indian Tribe of Arizona, California & Nevada" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Fort Mojave Indian Tribe of Arizona, California & Nevada" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Fort Mojave Indian Tribe of Arizona, California & Nevada" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11722" ]
       ] )
     ] [
       fhir:code [ fhir:v "92" ] ;
       fhir:display [ fhir:v "Fort Sill Apache Tribe of Oklahoma" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Fort Sill Apache Tribe of Oklahoma" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Fort Sill Apache Tribe of Oklahoma" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11723" ]
       ] )
     ] [
       fhir:code [ fhir:v "93" ] ;
       fhir:display [ fhir:v "Gila River Indian Community of the Gila River Indian Reservation, Arizona" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Gila River Indian Community of the Gila River Indian Reservation, Arizona" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Gila River Indian Community of the Gila River Indian Reservation, Arizona" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11724" ]
       ] )
     ] [
       fhir:code [ fhir:v "94" ] ;
       fhir:display [ fhir:v "Grand Traverse Band of Ottawa and Chippewa Indians, Michigan" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Grand Traverse Band of Ottawa and Chippewa Indians, Michigan" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Grand Traverse Band of Ottawa and Chippewa Indians, Michigan" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11725" ]
       ] )
     ] [
       fhir:code [ fhir:v "95" ] ;
       fhir:display [ fhir:v "Federated Indians of Graton Rancheria, California" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Federated Indians of Graton Rancheria, California" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Federated Indians of Graton Rancheria, California" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11726" ]
       ] )
     ] [
       fhir:code [ fhir:v "96" ] ;
       fhir:display [ fhir:v "Greenville Rancheria" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Greenville Rancheria" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Greenville Rancheria" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11727" ]
       ] )
     ] [
       fhir:code [ fhir:v "97" ] ;
       fhir:display [ fhir:v "Grindstone Indian Rancheria of Wintun-Wailaki Indians of California" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Grindstone Indian Rancheria of Wintun-Wailaki Indians of California" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Grindstone Indian Rancheria of Wintun-Wailaki Indians of California" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11728" ]
       ] )
     ] [
       fhir:code [ fhir:v "98" ] ;
       fhir:display [ fhir:v "Guidiville Rancheria of California" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Guidiville Rancheria of California" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Guidiville Rancheria of California" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11729" ]
       ] )
     ] [
       fhir:code [ fhir:v "99" ] ;
       fhir:display [ fhir:v "Hannahville Indian Community, Michigan" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Hannahville Indian Community, Michigan" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Hannahville Indian Community, Michigan" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11730" ]
       ] )
     ] [
       fhir:code [ fhir:v "100" ] ;
       fhir:display [ fhir:v "Havasupai Tribe of the Havasupai Reservation, Arizona" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Havasupai Tribe of the Havasupai Reservation, Arizona" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Havasupai Tribe of the Havasupai Reservation, Arizona" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11731" ]
       ] )
     ] [
       fhir:code [ fhir:v "101" ] ;
       fhir:display [ fhir:v "Ho-Chunk Nation of Wisconsin" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Ho-Chunk Nation of Wisconsin" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Ho-Chunk Nation of Wisconsin" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11732" ]
       ] )
     ] [
       fhir:code [ fhir:v "102" ] ;
       fhir:display [ fhir:v "Hoh Indian Tribe" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Hoh Indian Tribe" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Hoh Indian Tribe" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11733" ]
       ] )
     ] [
       fhir:code [ fhir:v "103" ] ;
       fhir:display [ fhir:v "Hoopa Valley Tribe, California" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Hoopa Valley Tribe, California" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Hoopa Valley Tribe, California" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11734" ]
       ] )
     ] [
       fhir:code [ fhir:v "104" ] ;
       fhir:display [ fhir:v "Hopi Tribe of Arizona" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Hopi Tribe of Arizona" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Hopi Tribe of Arizona" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11735" ]
       ] )
     ] [
       fhir:code [ fhir:v "105" ] ;
       fhir:display [ fhir:v "Hopland Band of Pomo Indians, California" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Hopland Band of Pomo Indians, California" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Hopland Band of Pomo Indians, California" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11736" ]
       ] )
     ] [
       fhir:code [ fhir:v "106" ] ;
       fhir:display [ fhir:v "Houlton Band of Maliseet Indians" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Houlton Band of Maliseet Indians" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Houlton Band of Maliseet Indians" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11737" ]
       ] )
     ] [
       fhir:code [ fhir:v "107" ] ;
       fhir:display [ fhir:v "Hualapai Indian Tribe of the Hualapai Indian Reservation, Arizona" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Hualapai Indian Tribe of the Hualapai Indian Reservation, Arizona" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Hualapai Indian Tribe of the Hualapai Indian Reservation, Arizona" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11738" ]
       ] )
     ] [
       fhir:code [ fhir:v "108" ] ;
       fhir:display [ fhir:v "Nottawaseppi Huron Band of the Potawatomi, Michigan" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Nottawaseppi Huron Band of the Potawatomi, Michigan" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Nottawaseppi Huron Band of the Potawatomi, Michigan" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11739" ]
       ] )
     ] [
       fhir:code [ fhir:v "109" ] ;
       fhir:display [ fhir:v "Inaja Band of Diegueno Mission Indians of the Inaja and Cosmit Reservation, California" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Inaja Band of Diegueno Mission Indians of the Inaja and Cosmit Reservation, California" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Inaja Band of Diegueno Mission Indians of the Inaja and Cosmit Reservation, California" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11740" ]
       ] )
     ] [
       fhir:code [ fhir:v "110" ] ;
       fhir:display [ fhir:v "Ione Band of Miwok Indians of California" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Ione Band of Miwok Indians of California" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Ione Band of Miwok Indians of California" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11741" ]
       ] )
     ] [
       fhir:code [ fhir:v "111" ] ;
       fhir:display [ fhir:v "Iowa Tribe of Kansas and Nebraska" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Iowa Tribe of Kansas and Nebraska" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Iowa Tribe of Kansas and Nebraska" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11742" ]
       ] )
     ] [
       fhir:code [ fhir:v "112" ] ;
       fhir:display [ fhir:v "Iowa Tribe of Oklahoma" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Iowa Tribe of Oklahoma" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Iowa Tribe of Oklahoma" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11743" ]
       ] )
     ] [
       fhir:code [ fhir:v "113" ] ;
       fhir:display [ fhir:v "Jackson Band of Miwuk Indians" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Jackson Band of Miwuk Indians" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Jackson Band of Miwuk Indians" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11744" ]
       ] )
     ] [
       fhir:code [ fhir:v "114" ] ;
       fhir:display [ fhir:v "Jamestown S'Klallam Tribe" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Jamestown S'Klallam Tribe" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Jamestown S'Klallam Tribe" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11745" ]
       ] )
     ] [
       fhir:code [ fhir:v "115" ] ;
       fhir:display [ fhir:v "Jamul Indian Village of California" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Jamul Indian Village of California" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Jamul Indian Village of California" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11746" ]
       ] )
     ] [
       fhir:code [ fhir:v "116" ] ;
       fhir:display [ fhir:v "Jena Band of Choctaw Indians" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Jena Band of Choctaw Indians" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Jena Band of Choctaw Indians" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11747" ]
       ] )
     ] [
       fhir:code [ fhir:v "117" ] ;
       fhir:display [ fhir:v "Jicarilla Apache Nation, New Mexico" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Jicarilla Apache Nation, New Mexico" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Jicarilla Apache Nation, New Mexico" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11748" ]
       ] )
     ] [
       fhir:code [ fhir:v "118" ] ;
       fhir:display [ fhir:v "Kaibab Band of Paiute Indians of the Kaibab Indian Reservation, Arizona" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Kaibab Band of Paiute Indians of the Kaibab Indian Reservation, Arizona" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Kaibab Band of Paiute Indians of the Kaibab Indian Reservation, Arizona" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11749" ]
       ] )
     ] [
       fhir:code [ fhir:v "119" ] ;
       fhir:display [ fhir:v "Kalispel Indian Community of the Kalispel Reservation" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Kalispel Indian Community of the Kalispel Reservation" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Kalispel Indian Community of the Kalispel Reservation" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11750" ]
       ] )
     ] [
       fhir:code [ fhir:v "120" ] ;
       fhir:display [ fhir:v "Karuk Tribe" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Karuk Tribe" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Karuk Tribe" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11751" ]
       ] )
     ] [
       fhir:code [ fhir:v "121" ] ;
       fhir:display [ fhir:v "Kashia Band of Pomo Indians of the Stewarts Point Rancheria, California" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Kashia Band of Pomo Indians of the Stewarts Point Rancheria, California" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Kashia Band of Pomo Indians of the Stewarts Point Rancheria, California" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11752" ]
       ] )
     ] [
       fhir:code [ fhir:v "122" ] ;
       fhir:display [ fhir:v "Kaw Nation, Oklahoma" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Kaw Nation, Oklahoma" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Kaw Nation, Oklahoma" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11753" ]
       ] )
     ] [
       fhir:code [ fhir:v "123" ] ;
       fhir:display [ fhir:v "Keweenaw Bay Indian Community, Michigan" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Keweenaw Bay Indian Community, Michigan" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Keweenaw Bay Indian Community, Michigan" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11754" ]
       ] )
     ] [
       fhir:code [ fhir:v "124" ] ;
       fhir:display [ fhir:v "Kialegee Tribal Town" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Kialegee Tribal Town" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Kialegee Tribal Town" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11755" ]
       ] )
     ] [
       fhir:code [ fhir:v "127" ] ;
       fhir:display [ fhir:v "Kickapoo Traditional Tribe of Texas" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Kickapoo Traditional Tribe of Texas" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Kickapoo Traditional Tribe of Texas" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11758" ]
       ] )
     ] [
       fhir:code [ fhir:v "125" ] ;
       fhir:display [ fhir:v "Kickapoo Tribe of Indians of the Kickapoo Reservation in Kansas" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Kickapoo Tribe of Indians of the Kickapoo Reservation in Kansas" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Kickapoo Tribe of Indians of the Kickapoo Reservation in Kansas" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11756" ]
       ] )
     ] [
       fhir:code [ fhir:v "126" ] ;
       fhir:display [ fhir:v "Kickapoo Tribe of Oklahoma" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Kickapoo Tribe of Oklahoma" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
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         fhir:value [ fhir:v "Kickapoo Tribe of Oklahoma" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11757" ]
       ] )
     ] [
       fhir:code [ fhir:v "128" ] ;
       fhir:display [ fhir:v "Kiowa Indian Tribe of Oklahoma" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
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         ] ;
         fhir:value [ fhir:v "Kiowa Indian Tribe of Oklahoma" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Kiowa Indian Tribe of Oklahoma" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11759" ]
       ] )
     ] [
       fhir:code [ fhir:v "129" ] ;
       fhir:display [ fhir:v "Klamath Tribes" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Klamath Tribes" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Klamath Tribes" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11760" ]
       ] )
     ] [
       fhir:code [ fhir:v "130" ] ;
       fhir:display [ fhir:v "Kootenai Tribe of Idaho" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Kootenai Tribe of Idaho" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Kootenai Tribe of Idaho" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11761" ]
       ] )
     ] [
       fhir:code [ fhir:v "131" ] ;
       fhir:display [ fhir:v "La Jolla Band of Luiseno Indians, California" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "La Jolla Band of Luiseno Indians, California" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "La Jolla Band of Luiseno Indians, California" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11762" ]
       ] )
     ] [
       fhir:code [ fhir:v "132" ] ;
       fhir:display [ fhir:v "La Posta Band of Diegueno Mission Indians of the La Posta Indian Reservation, California" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "La Posta Band of Diegueno Mission Indians of the La Posta Indian Reservation, California" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "La Posta Band of Diegueno Mission Indians of the La Posta Indian Reservation, California" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11763" ]
       ] )
     ] [
       fhir:code [ fhir:v "133" ] ;
       fhir:display [ fhir:v "Lac Courte Oreilles Band of Lake Superior Chippewa Indians of Wisconsin" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Lac Courte Oreilles Band of Lake Superior Chippewa Indians of Wisconsin" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Lac Courte Oreilles Band of Lake Superior Chippewa Indians of Wisconsin" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11764" ]
       ] )
     ] [
       fhir:code [ fhir:v "134" ] ;
       fhir:display [ fhir:v "Lac du Flambeau Band of Lake Superior Chippewa Indians of the Lac du Flambeau Reservation of Wisconsin" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Lac du Flambeau Band of Lake Superior Chippewa Indians of the Lac du Flambeau Reservation of Wisconsin" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Lac du Flambeau Band of Lake Superior Chippewa Indians of the Lac du Flambeau Reservation of Wisconsin" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11765" ]
       ] )
     ] [
       fhir:code [ fhir:v "135" ] ;
       fhir:display [ fhir:v "Lac Vieux Desert Band of Lake Superior Chippewa Indians of Michigan" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Lac Vieux Desert Band of Lake Superior Chippewa Indians of Michigan" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Lac Vieux Desert Band of Lake Superior Chippewa Indians of Michigan" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11766" ]
       ] )
     ] [
       fhir:code [ fhir:v "136" ] ;
       fhir:display [ fhir:v "Las Vegas Tribe of Paiute Indians of the Las Vegas Indian Colony, Nevada" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Las Vegas Tribe of Paiute Indians of the Las Vegas Indian Colony, Nevada" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Las Vegas Tribe of Paiute Indians of the Las Vegas Indian Colony, Nevada" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11767" ]
       ] )
     ] [
       fhir:code [ fhir:v "137" ] ;
       fhir:display [ fhir:v "Little River Band of Ottawa Indians, Michigan" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Little River Band of Ottawa Indians, Michigan" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Little River Band of Ottawa Indians, Michigan" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11768" ]
       ] )
     ] [
       fhir:code [ fhir:v "138" ] ;
       fhir:display [ fhir:v "Little Traverse Bay Bands of Odawa Indians, Michigan" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Little Traverse Bay Bands of Odawa Indians, Michigan" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Little Traverse Bay Bands of Odawa Indians, Michigan" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11769" ]
       ] )
     ] [
       fhir:code [ fhir:v "140" ] ;
       fhir:display [ fhir:v "Los Coyotes Band of Cahuilla and Cupeno Indians, California" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Los Coyotes Band of Cahuilla and Cupeno Indians, California" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Los Coyotes Band of Cahuilla and Cupeno Indians, California" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11771" ]
       ] )
     ] [
       fhir:code [ fhir:v "141" ] ;
       fhir:display [ fhir:v "Lovelock Paiute Tribe of the Lovelock Indian Colony, Nevada" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Lovelock Paiute Tribe of the Lovelock Indian Colony, Nevada" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Lovelock Paiute Tribe of the Lovelock Indian Colony, Nevada" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11772" ]
       ] )
     ] [
       fhir:code [ fhir:v "142" ] ;
       fhir:display [ fhir:v "Lower Brule Sioux Tribe of the Lower Brule Reservation, South Dakota" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Lower Brule Sioux Tribe of the Lower Brule Reservation, South Dakota" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Lower Brule Sioux Tribe of the Lower Brule Reservation, South Dakota" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11773" ]
       ] )
     ] [
       fhir:code [ fhir:v "143" ] ;
       fhir:display [ fhir:v "Lower Elwha Tribal Community" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Lower Elwha Tribal Community" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Lower Elwha Tribal Community" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11774" ]
       ] )
     ] [
       fhir:code [ fhir:v "139" ] ;
       fhir:display [ fhir:v "Koi Nation of Northern California" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Koi Nation of Northern California" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Koi Nation of Northern California" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11770" ]
       ] )
     ] [
       fhir:code [ fhir:v "144" ] ;
       fhir:display [ fhir:v "Lower Sioux Indian Community in the State of Minnesota" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Lower Sioux Indian Community in the State of Minnesota" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Lower Sioux Indian Community in the State of Minnesota" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11775" ]
       ] )
     ] [
       fhir:code [ fhir:v "145" ] ;
       fhir:display [ fhir:v "Lummi Tribe of the Lummi Reservation" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Lummi Tribe of the Lummi Reservation" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Lummi Tribe of the Lummi Reservation" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11776" ]
       ] )
     ] [
       fhir:code [ fhir:v "146" ] ;
       fhir:display [ fhir:v "Lytton Rancheria of California" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Lytton Rancheria of California" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Lytton Rancheria of California" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11777" ]
       ] )
     ] [
       fhir:code [ fhir:v "147" ] ;
       fhir:display [ fhir:v "Makah Indian Tribe of the Makah Indian Reservation" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Makah Indian Tribe of the Makah Indian Reservation" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Makah Indian Tribe of the Makah Indian Reservation" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11778" ]
       ] )
     ] [
       fhir:code [ fhir:v "148" ] ;
       fhir:display [ fhir:v "Manchester Band of Pomo Indians of the Manchester Rancheria, California" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Manchester Band of Pomo Indians of the Manchester Rancheria, California" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Manchester Band of Pomo Indians of the Manchester Rancheria, California" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11779" ]
       ] )
     ] [
       fhir:code [ fhir:v "149" ] ;
       fhir:display [ fhir:v "Manzanita Band of Diegueno Mission Indians of the Manzanita Reservation, California" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Manzanita Band of Diegueno Mission Indians of the Manzanita Reservation, California" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Manzanita Band of Diegueno Mission Indians of the Manzanita Reservation, California" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11780" ]
       ] )
     ] [
       fhir:code [ fhir:v "150" ] ;
       fhir:display [ fhir:v "Mashantucket Pequot Indian Tribe" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Mashantucket Pequot Indian Tribe" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Mashantucket Pequot Indian Tribe" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11781" ]
       ] )
     ] [
       fhir:code [ fhir:v "151" ] ;
       fhir:display [ fhir:v "Match-e-be-nash-she-wish Band of Pottawatomi Indians of Michigan" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Match-e-be-nash-she-wish Band of Pottawatomi Indians of Michigan" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Match-e-be-nash-she-wish Band of Pottawatomi Indians of Michigan" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11782" ]
       ] )
     ] [
       fhir:code [ fhir:v "152" ] ;
       fhir:display [ fhir:v "Mechoopda Indian Tribe of Chico Rancheria, California" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Mechoopda Indian Tribe of Chico Rancheria, California" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Mechoopda Indian Tribe of Chico Rancheria, California" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11783" ]
       ] )
     ] [
       fhir:code [ fhir:v "153" ] ;
       fhir:display [ fhir:v "Menominee Indian Tribe of Wisconsin" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Menominee Indian Tribe of Wisconsin" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Menominee Indian Tribe of Wisconsin" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11784" ]
       ] )
     ] [
       fhir:code [ fhir:v "154" ] ;
       fhir:display [ fhir:v "Mesa Grande Band of Diegueno Mission Indians of the Mesa Grande Reservation, California" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Mesa Grande Band of Diegueno Mission Indians of the Mesa Grande Reservation, California" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Mesa Grande Band of Diegueno Mission Indians of the Mesa Grande Reservation, California" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11785" ]
       ] )
     ] [
       fhir:code [ fhir:v "155" ] ;
       fhir:display [ fhir:v "Mescalero Apache Tribe of the Mescalero Reservation, New Mexico" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Mescalero Apache Tribe of the Mescalero Reservation, New Mexico" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Mescalero Apache Tribe of the Mescalero Reservation, New Mexico" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11786" ]
       ] )
     ] [
       fhir:code [ fhir:v "156" ] ;
       fhir:display [ fhir:v "Miami Tribe of Oklahoma" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Miami Tribe of Oklahoma" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Miami Tribe of Oklahoma" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11787" ]
       ] )
     ] [
       fhir:code [ fhir:v "157" ] ;
       fhir:display [ fhir:v "Miccosukee Tribe of Indians" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Miccosukee Tribe of Indians" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Miccosukee Tribe of Indians" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11788" ]
       ] )
     ] [
       fhir:code [ fhir:v "158" ] ;
       fhir:display [ fhir:v "Middletown Rancheria of Pomo Indians of California" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Middletown Rancheria of Pomo Indians of California" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Middletown Rancheria of Pomo Indians of California" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11789" ]
       ] )
     ] [
       fhir:code [ fhir:v "159" ] ;
       fhir:display [ fhir:v "Minnesota Chippewa Tribe, Minnesota (Six component reservations: Bois Forte Band (Nett Lake); Fond du Lac Band; Grand Portage Band; Leech Lake Band; Mille Lacs Band; White Earth Band)" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Minnesota Chippewa Tribe, Minnesota (Six component reservations: Bois Forte Band (Nett Lake); Fond du Lac Band; Grand Portage Band; Leech Lake Band; Mille Lacs Band; White Earth Band)" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Minnesota Chippewa Tribe, Minnesota (Six component reservations: Bois Forte Band (Nett Lake); Fond du Lac Band; Grand Portage Band; Leech Lake Band; Mille Lacs Band; White Earth Band)" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11790" ]
       ] )
     ] [
       fhir:code [ fhir:v "161" ] ;
       fhir:display [ fhir:v "Mississippi Band of Choctaw Indians" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Mississippi Band of Choctaw Indians" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Mississippi Band of Choctaw Indians" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11792" ]
       ] )
     ] [
       fhir:code [ fhir:v "162" ] ;
       fhir:display [ fhir:v "Moapa Band of Paiute Indians of the Moapa River Indian Reservation, Nevada" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Moapa Band of Paiute Indians of the Moapa River Indian Reservation, Nevada" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Moapa Band of Paiute Indians of the Moapa River Indian Reservation, Nevada" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11793" ]
       ] )
     ] [
       fhir:code [ fhir:v "163" ] ;
       fhir:display [ fhir:v "Modoc Nation" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Modoc Nation" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Modoc Nation" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11794" ]
       ] )
     ] [
       fhir:code [ fhir:v "164" ] ;
       fhir:display [ fhir:v "Mohegan Tribe of Indians of Connecticut" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Mohegan Tribe of Indians of Connecticut" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Mohegan Tribe of Indians of Connecticut" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11795" ]
       ] )
     ] [
       fhir:code [ fhir:v "165" ] ;
       fhir:display [ fhir:v "Mooretown Rancheria of Maidu Indians of California" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Mooretown Rancheria of Maidu Indians of California" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Mooretown Rancheria of Maidu Indians of California" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11796" ]
       ] )
     ] [
       fhir:code [ fhir:v "166" ] ;
       fhir:display [ fhir:v "Morongo Band of Mission Indians, California" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Morongo Band of Mission Indians, California" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Morongo Band of Mission Indians, California" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11797" ]
       ] )
     ] [
       fhir:code [ fhir:v "167" ] ;
       fhir:display [ fhir:v "Muckleshoot Indian Tribe" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Muckleshoot Indian Tribe" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Muckleshoot Indian Tribe" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11798" ]
       ] )
     ] [
       fhir:code [ fhir:v "168" ] ;
       fhir:display [ fhir:v "The Muscogee (Creek) Nation" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "The Muscogee (Creek) Nation" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "The Muscogee (Creek) Nation" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11799" ]
       ] )
     ] [
       fhir:code [ fhir:v "169" ] ;
       fhir:display [ fhir:v "Narragansett Indian Tribe" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Narragansett Indian Tribe" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Narragansett Indian Tribe" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11800" ]
       ] )
     ] [
       fhir:code [ fhir:v "170" ] ;
       fhir:display [ fhir:v "Navajo Nation, Arizona, New Mexico, & Utah" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Navajo Nation, Arizona, New Mexico, & Utah" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Navajo Nation, Arizona, New Mexico, & Utah" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11801" ]
       ] )
     ] [
       fhir:code [ fhir:v "171" ] ;
       fhir:display [ fhir:v "Nez Perce Tribe" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Nez Perce Tribe" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Nez Perce Tribe" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11802" ]
       ] )
     ] [
       fhir:code [ fhir:v "172" ] ;
       fhir:display [ fhir:v "Nisqually Indian Tribe" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Nisqually Indian Tribe" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Nisqually Indian Tribe" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11803" ]
       ] )
     ] [
       fhir:code [ fhir:v "173" ] ;
       fhir:display [ fhir:v "Nooksack Indian Tribe" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Nooksack Indian Tribe" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Nooksack Indian Tribe" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11804" ]
       ] )
     ] [
       fhir:code [ fhir:v "174" ] ;
       fhir:display [ fhir:v "Northern Cheyenne Tribe of the Northern Cheyenne Indian Reservation, Montana" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Northern Cheyenne Tribe of the Northern Cheyenne Indian Reservation, Montana" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Northern Cheyenne Tribe of the Northern Cheyenne Indian Reservation, Montana" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11805" ]
       ] )
     ] [
       fhir:code [ fhir:v "175" ] ;
       fhir:display [ fhir:v "Northfork Rancheria of Mono Indians of California" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Northfork Rancheria of Mono Indians of California" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Northfork Rancheria of Mono Indians of California" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11806" ]
       ] )
     ] [
       fhir:code [ fhir:v "176" ] ;
       fhir:display [ fhir:v "Northwestern Band of the Shoshone Nation" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Northwestern Band of the Shoshone Nation" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Northwestern Band of the Shoshone Nation" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11807" ]
       ] )
     ] [
       fhir:code [ fhir:v "177" ] ;
       fhir:display [ fhir:v "Oglala Sioux Tribe" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Oglala Sioux Tribe" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Oglala Sioux Tribe" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11808" ]
       ] )
     ] [
       fhir:code [ fhir:v "178" ] ;
       fhir:display [ fhir:v "Omaha Tribe of Nebraska" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Omaha Tribe of Nebraska" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Omaha Tribe of Nebraska" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11809" ]
       ] )
     ] [
       fhir:code [ fhir:v "179" ] ;
       fhir:display [ fhir:v "Oneida Indian Nation" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Oneida Indian Nation" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Oneida Indian Nation" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11810" ]
       ] )
     ] [
       fhir:code [ fhir:v "180" ] ;
       fhir:display [ fhir:v "Oneida Nation" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Oneida Nation" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Oneida Nation" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11811" ]
       ] )
     ] [
       fhir:code [ fhir:v "181" ] ;
       fhir:display [ fhir:v "Onondaga Nation" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Onondaga Nation" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Onondaga Nation" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11812" ]
       ] )
     ] [
       fhir:code [ fhir:v "182" ] ;
       fhir:display [ fhir:v "The Osage Nation" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "The Osage Nation" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "The Osage Nation" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11813" ]
       ] )
     ] [
       fhir:code [ fhir:v "184" ] ;
       fhir:display [ fhir:v "Otoe-Missouria Tribe of Indians, Oklahoma" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Otoe-Missouria Tribe of Indians, Oklahoma" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Otoe-Missouria Tribe of Indians, Oklahoma" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11815" ]
       ] )
     ] [
       fhir:code [ fhir:v "183" ] ;
       fhir:display [ fhir:v "Ottawa Tribe of Oklahoma" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Ottawa Tribe of Oklahoma" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Ottawa Tribe of Oklahoma" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11814" ]
       ] )
     ] [
       fhir:code [ fhir:v "185" ] ;
       fhir:display [ fhir:v "Paiute Indian Tribe of Utah (Cedar Band of Paiutes, Kanosh Band of Paiutes, Koosharem Band of Paiutes, Indian Peaks Band of Paiutes, and Shivwits Band of Paiutes)" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Paiute Indian Tribe of Utah (Cedar Band of Paiutes, Kanosh Band of Paiutes, Koosharem Band of Paiutes, Indian Peaks Band of Paiutes, and Shivwits Band of Paiutes)" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Paiute Indian Tribe of Utah (Cedar Band of Paiutes, Kanosh Band of Paiutes, Koosharem Band of Paiutes, Indian Peaks Band of Paiutes, and Shivwits Band of Paiutes)" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11816" ]
       ] )
     ] [
       fhir:code [ fhir:v "186" ] ;
       fhir:display [ fhir:v "Bishop Paiute Tribe" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Bishop Paiute Tribe" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Bishop Paiute Tribe" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11817" ]
       ] )
     ] [
       fhir:code [ fhir:v "188" ] ;
       fhir:display [ fhir:v "Lone Pine Paiute-Shoshone Tribe" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Lone Pine Paiute-Shoshone Tribe" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Lone Pine Paiute-Shoshone Tribe" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11819" ]
       ] )
     ] [
       fhir:code [ fhir:v "187" ] ;
       fhir:display [ fhir:v "Paiute-Shoshone Tribe of the Fallon Reservation and Colony, Nevada" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Paiute-Shoshone Tribe of the Fallon Reservation and Colony, Nevada" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Paiute-Shoshone Tribe of the Fallon Reservation and Colony, Nevada" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11818" ]
       ] )
     ] [
       fhir:code [ fhir:v "189" ] ;
       fhir:display [ fhir:v "Pala Band of Mission Indians" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Pala Band of Mission Indians" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Pala Band of Mission Indians" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11820" ]
       ] )
     ] [
       fhir:code [ fhir:v "190" ] ;
       fhir:display [ fhir:v "Pascua Yaqui Tribe of Arizona" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Pascua Yaqui Tribe of Arizona" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Pascua Yaqui Tribe of Arizona" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11821" ]
       ] )
     ] [
       fhir:code [ fhir:v "191" ] ;
       fhir:display [ fhir:v "Paskenta Band of Nomlaki Indians of California" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Paskenta Band of Nomlaki Indians of California" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Paskenta Band of Nomlaki Indians of California" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11822" ]
       ] )
     ] [
       fhir:code [ fhir:v "192" ] ;
       fhir:display [ fhir:v "Passamaquoddy Tribe" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Passamaquoddy Tribe" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Passamaquoddy Tribe" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11823" ]
       ] )
     ] [
       fhir:code [ fhir:v "193" ] ;
       fhir:display [ fhir:v "Pauma Band of Luiseno Mission Indians of the Pauma & Yuima Reservation, California" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Pauma Band of Luiseno Mission Indians of the Pauma & Yuima Reservation, California" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Pauma Band of Luiseno Mission Indians of the Pauma & Yuima Reservation, California" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11824" ]
       ] )
     ] [
       fhir:code [ fhir:v "194" ] ;
       fhir:display [ fhir:v "Pawnee Nation of Oklahoma" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Pawnee Nation of Oklahoma" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Pawnee Nation of Oklahoma" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11825" ]
       ] )
     ] [
       fhir:code [ fhir:v "195" ] ;
       fhir:display [ fhir:v "Pechanga Band of Indians" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Pechanga Band of Indians" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Pechanga Band of Indians" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11826" ]
       ] )
     ] [
       fhir:code [ fhir:v "196" ] ;
       fhir:display [ fhir:v "Penobscot Nation" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Penobscot Nation" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Penobscot Nation" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11827" ]
       ] )
     ] [
       fhir:code [ fhir:v "197" ] ;
       fhir:display [ fhir:v "Peoria Tribe of Indians of Oklahoma" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Peoria Tribe of Indians of Oklahoma" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Peoria Tribe of Indians of Oklahoma" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11828" ]
       ] )
     ] [
       fhir:code [ fhir:v "198" ] ;
       fhir:display [ fhir:v "Picayune Rancheria of Chukchansi Indians of California" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Picayune Rancheria of Chukchansi Indians of California" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Picayune Rancheria of Chukchansi Indians of California" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11829" ]
       ] )
     ] [
       fhir:code [ fhir:v "199" ] ;
       fhir:display [ fhir:v "Pinoleville Pomo Nation, California" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Pinoleville Pomo Nation, California" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Pinoleville Pomo Nation, California" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11830" ]
       ] )
     ] [
       fhir:code [ fhir:v "200" ] ;
       fhir:display [ fhir:v "Pit River Tribe, California (includes XL Ranch, Big Bend, Likely, Lookout, Montgomery Creek, and Roaring Creek Rancherias)" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Pit River Tribe, California (includes XL Ranch, Big Bend, Likely, Lookout, Montgomery Creek, and Roaring Creek Rancherias)" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Pit River Tribe, California (includes XL Ranch, Big Bend, Likely, Lookout, Montgomery Creek, and Roaring Creek Rancherias)" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11831" ]
       ] )
     ] [
       fhir:code [ fhir:v "201" ] ;
       fhir:display [ fhir:v "Poarch Band of Creek Indians" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Poarch Band of Creek Indians" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Poarch Band of Creek Indians" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11832" ]
       ] )
     ] [
       fhir:code [ fhir:v "202" ] ;
       fhir:display [ fhir:v "Pokagon Band of Potawatomi Indians, Michigan and Indiana" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Pokagon Band of Potawatomi Indians, Michigan and Indiana" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Pokagon Band of Potawatomi Indians, Michigan and Indiana" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11833" ]
       ] )
     ] [
       fhir:code [ fhir:v "203" ] ;
       fhir:display [ fhir:v "Ponca Tribe of Indians of Oklahoma" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Ponca Tribe of Indians of Oklahoma" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Ponca Tribe of Indians of Oklahoma" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11834" ]
       ] )
     ] [
       fhir:code [ fhir:v "204" ] ;
       fhir:display [ fhir:v "Ponca Tribe of Nebraska" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Ponca Tribe of Nebraska" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Ponca Tribe of Nebraska" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11835" ]
       ] )
     ] [
       fhir:code [ fhir:v "205" ] ;
       fhir:display [ fhir:v "Port Gamble S'Klallam Tribe" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Port Gamble S'Klallam Tribe" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Port Gamble S'Klallam Tribe" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11836" ]
       ] )
     ] [
       fhir:code [ fhir:v "206" ] ;
       fhir:display [ fhir:v "Potter Valley Tribe, California" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Potter Valley Tribe, California" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Potter Valley Tribe, California" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11837" ]
       ] )
     ] [
       fhir:code [ fhir:v "207" ] ;
       fhir:display [ fhir:v "Prairie Band Potawatomi Nation" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Prairie Band Potawatomi Nation" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Prairie Band Potawatomi Nation" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11838" ]
       ] )
     ] [
       fhir:code [ fhir:v "208" ] ;
       fhir:display [ fhir:v "Prairie Island Indian Community in the State of Minnesota" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Prairie Island Indian Community in the State of Minnesota" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Prairie Island Indian Community in the State of Minnesota" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11839" ]
       ] )
     ] [
       fhir:code [ fhir:v "209" ] ;
       fhir:display [ fhir:v "Pueblo of Acoma, New Mexico" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Pueblo of Acoma, New Mexico" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Pueblo of Acoma, New Mexico" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11840" ]
       ] )
     ] [
       fhir:code [ fhir:v "210" ] ;
       fhir:display [ fhir:v "Pueblo of Cochiti, New Mexico" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Pueblo of Cochiti, New Mexico" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Pueblo of Cochiti, New Mexico" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11841" ]
       ] )
     ] [
       fhir:code [ fhir:v "212" ] ;
       fhir:display [ fhir:v "Pueblo of Isleta, New Mexico" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Pueblo of Isleta, New Mexico" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Pueblo of Isleta, New Mexico" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11843" ]
       ] )
     ] [
       fhir:code [ fhir:v "211" ] ;
       fhir:display [ fhir:v "Pueblo of Jemez, New Mexico" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Pueblo of Jemez, New Mexico" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Pueblo of Jemez, New Mexico" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11842" ]
       ] )
     ] [
       fhir:code [ fhir:v "213" ] ;
       fhir:display [ fhir:v "Pueblo of Laguna, New Mexico" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Pueblo of Laguna, New Mexico" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Pueblo of Laguna, New Mexico" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11844" ]
       ] )
     ] [
       fhir:code [ fhir:v "214" ] ;
       fhir:display [ fhir:v "Pueblo of Nambe, New Mexico" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Pueblo of Nambe, New Mexico" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Pueblo of Nambe, New Mexico" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11845" ]
       ] )
     ] [
       fhir:code [ fhir:v "215" ] ;
       fhir:display [ fhir:v "Pueblo of Picuris, New Mexico" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Pueblo of Picuris, New Mexico" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Pueblo of Picuris, New Mexico" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11846" ]
       ] )
     ] [
       fhir:code [ fhir:v "216" ] ;
       fhir:display [ fhir:v "Pueblo of Pojoaque, New Mexico" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Pueblo of Pojoaque, New Mexico" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Pueblo of Pojoaque, New Mexico" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11847" ]
       ] )
     ] [
       fhir:code [ fhir:v "217" ] ;
       fhir:display [ fhir:v "Pueblo of San Felipe, New Mexico" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Pueblo of San Felipe, New Mexico" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Pueblo of San Felipe, New Mexico" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11848" ]
       ] )
     ] [
       fhir:code [ fhir:v "219" ] ;
       fhir:display [ fhir:v "Pueblo of San Ildefonso, New Mexico" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Pueblo of San Ildefonso, New Mexico" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Pueblo of San Ildefonso, New Mexico" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11850" ]
       ] )
     ] [
       fhir:code [ fhir:v "218" ] ;
       fhir:display [ fhir:v "Ohkay Owingeh, New Mexico" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Ohkay Owingeh, New Mexico" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Ohkay Owingeh, New Mexico" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11849" ]
       ] )
     ] [
       fhir:code [ fhir:v "220" ] ;
       fhir:display [ fhir:v "Pueblo of Sandia, New Mexico" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Pueblo of Sandia, New Mexico" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Pueblo of Sandia, New Mexico" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11851" ]
       ] )
     ] [
       fhir:code [ fhir:v "221" ] ;
       fhir:display [ fhir:v "Pueblo of Santa Ana, New Mexico" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Pueblo of Santa Ana, New Mexico" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Pueblo of Santa Ana, New Mexico" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11852" ]
       ] )
     ] [
       fhir:code [ fhir:v "222" ] ;
       fhir:display [ fhir:v "Pueblo of Santa Clara, New Mexico" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Pueblo of Santa Clara, New Mexico" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Pueblo of Santa Clara, New Mexico" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11853" ]
       ] )
     ] [
       fhir:code [ fhir:v "223" ] ;
       fhir:display [ fhir:v "Santo Domingo Pueblo" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Santo Domingo Pueblo" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Santo Domingo Pueblo" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11854" ]
       ] )
     ] [
       fhir:code [ fhir:v "224" ] ;
       fhir:display [ fhir:v "Pueblo of Taos, New Mexico" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Pueblo of Taos, New Mexico" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Pueblo of Taos, New Mexico" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11855" ]
       ] )
     ] [
       fhir:code [ fhir:v "225" ] ;
       fhir:display [ fhir:v "Pueblo of Tesuque, New Mexico" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Pueblo of Tesuque, New Mexico" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Pueblo of Tesuque, New Mexico" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11856" ]
       ] )
     ] [
       fhir:code [ fhir:v "226" ] ;
       fhir:display [ fhir:v "Pueblo of Zia, New Mexico" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Pueblo of Zia, New Mexico" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Pueblo of Zia, New Mexico" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11857" ]
       ] )
     ] [
       fhir:code [ fhir:v "227" ] ;
       fhir:display [ fhir:v "Puyallup Tribe of the Puyallup Reservation" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Puyallup Tribe of the Puyallup Reservation" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Puyallup Tribe of the Puyallup Reservation" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11858" ]
       ] )
     ] [
       fhir:code [ fhir:v "228" ] ;
       fhir:display [ fhir:v "Pyramid Lake Paiute Tribe of the Pyramid Lake Reservation, Nevada" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Pyramid Lake Paiute Tribe of the Pyramid Lake Reservation, Nevada" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Pyramid Lake Paiute Tribe of the Pyramid Lake Reservation, Nevada" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11859" ]
       ] )
     ] [
       fhir:code [ fhir:v "229" ] ;
       fhir:display [ fhir:v "Quapaw Nation" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Quapaw Nation" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Quapaw Nation" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11860" ]
       ] )
     ] [
       fhir:code [ fhir:v "230" ] ;
       fhir:display [ fhir:v "Quartz Valley Indian Community of the Quartz Valley Reservation of California" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Quartz Valley Indian Community of the Quartz Valley Reservation of California" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Quartz Valley Indian Community of the Quartz Valley Reservation of California" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11861" ]
       ] )
     ] [
       fhir:code [ fhir:v "231" ] ;
       fhir:display [ fhir:v "Quechan Tribe of the Fort Yuma Indian Reservation, California & Arizona" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Quechan Tribe of the Fort Yuma Indian Reservation, California & Arizona" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Quechan Tribe of the Fort Yuma Indian Reservation, California & Arizona" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11862" ]
       ] )
     ] [
       fhir:code [ fhir:v "232" ] ;
       fhir:display [ fhir:v "Quileute Tribe of the Quileute Reservation" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Quileute Tribe of the Quileute Reservation" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Quileute Tribe of the Quileute Reservation" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11863" ]
       ] )
     ] [
       fhir:code [ fhir:v "233" ] ;
       fhir:display [ fhir:v "Quinault Indian Nation" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Quinault Indian Nation" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Quinault Indian Nation" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11864" ]
       ] )
     ] [
       fhir:code [ fhir:v "234" ] ;
       fhir:display [ fhir:v "Ramona Band of Cahuilla, California" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Ramona Band of Cahuilla, California" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Ramona Band of Cahuilla, California" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11865" ]
       ] )
     ] [
       fhir:code [ fhir:v "235" ] ;
       fhir:display [ fhir:v "Red Cliff Band of Lake Superior Chippewa Indians of Wisconsin" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Red Cliff Band of Lake Superior Chippewa Indians of Wisconsin" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Red Cliff Band of Lake Superior Chippewa Indians of Wisconsin" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11866" ]
       ] )
     ] [
       fhir:code [ fhir:v "236" ] ;
       fhir:display [ fhir:v "Red Lake Band of Chippewa Indians, Minnesota" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Red Lake Band of Chippewa Indians, Minnesota" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Red Lake Band of Chippewa Indians, Minnesota" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11867" ]
       ] )
     ] [
       fhir:code [ fhir:v "237" ] ;
       fhir:display [ fhir:v "Redding Rancheria, California" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Redding Rancheria, California" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Redding Rancheria, California" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11868" ]
       ] )
     ] [
       fhir:code [ fhir:v "238" ] ;
       fhir:display [ fhir:v "Redwood Valley or Little River Band of Pomo Indians of the Redwood Valley Rancheria California" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Redwood Valley or Little River Band of Pomo Indians of the Redwood Valley Rancheria California" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Redwood Valley or Little River Band of Pomo Indians of the Redwood Valley Rancheria California" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11869" ]
       ] )
     ] [
       fhir:code [ fhir:v "239" ] ;
       fhir:display [ fhir:v "Reno-Sparks Indian Colony, Nevada" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Reno-Sparks Indian Colony, Nevada" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Reno-Sparks Indian Colony, Nevada" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11870" ]
       ] )
     ] [
       fhir:code [ fhir:v "240" ] ;
       fhir:display [ fhir:v "Resighini Rancheria, California" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Resighini Rancheria, California" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Resighini Rancheria, California" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11871" ]
       ] )
     ] [
       fhir:code [ fhir:v "241" ] ;
       fhir:display [ fhir:v "Rincon Band of Luiseno Mission Indians of Rincon Reservation, California" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Rincon Band of Luiseno Mission Indians of Rincon Reservation, California" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Rincon Band of Luiseno Mission Indians of Rincon Reservation, California" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11872" ]
       ] )
     ] [
       fhir:code [ fhir:v "242" ] ;
       fhir:display [ fhir:v "Robinson Rancheria" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Robinson Rancheria" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Robinson Rancheria" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11873" ]
       ] )
     ] [
       fhir:code [ fhir:v "243" ] ;
       fhir:display [ fhir:v "Rosebud Sioux Tribe of the Rosebud Indian Reservation, South Dakota" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Rosebud Sioux Tribe of the Rosebud Indian Reservation, South Dakota" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Rosebud Sioux Tribe of the Rosebud Indian Reservation, South Dakota" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11874" ]
       ] )
     ] [
       fhir:code [ fhir:v "244" ] ;
       fhir:display [ fhir:v "Round Valley Indian Tribes, Round Valley Reservation, California" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Round Valley Indian Tribes, Round Valley Reservation, California" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Round Valley Indian Tribes, Round Valley Reservation, California" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11875" ]
       ] )
     ] [
       fhir:code [ fhir:v "245" ] ;
       fhir:display [ fhir:v "Yocha Dehe Wintun Nation, California" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Yocha Dehe Wintun Nation, California" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Yocha Dehe Wintun Nation, California" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11876" ]
       ] )
     ] [
       fhir:code [ fhir:v "247" ] ;
       fhir:display [ fhir:v "Sac & Fox Nation of Missouri in Kansas and Nebraska" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Sac & Fox Nation of Missouri in Kansas and Nebraska" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Sac & Fox Nation of Missouri in Kansas and Nebraska" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11878" ]
       ] )
     ] [
       fhir:code [ fhir:v "248" ] ;
       fhir:display [ fhir:v "Sac & Fox Nation, Oklahoma" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Sac & Fox Nation, Oklahoma" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Sac & Fox Nation, Oklahoma" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11879" ]
       ] )
     ] [
       fhir:code [ fhir:v "246" ] ;
       fhir:display [ fhir:v "Sac & Fox Tribe of the Mississippi in Iowa" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Sac & Fox Tribe of the Mississippi in Iowa" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Sac & Fox Tribe of the Mississippi in Iowa" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11877" ]
       ] )
     ] [
       fhir:code [ fhir:v "249" ] ;
       fhir:display [ fhir:v "Saginaw Chippewa Indian Tribe of Michigan" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Saginaw Chippewa Indian Tribe of Michigan" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Saginaw Chippewa Indian Tribe of Michigan" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11880" ]
       ] )
     ] [
       fhir:code [ fhir:v "250" ] ;
       fhir:display [ fhir:v "Salt River Pima-Maricopa Indian Community of the Salt River Reservation, Arizona" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Salt River Pima-Maricopa Indian Community of the Salt River Reservation, Arizona" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Salt River Pima-Maricopa Indian Community of the Salt River Reservation, Arizona" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11881" ]
       ] )
     ] [
       fhir:code [ fhir:v "251" ] ;
       fhir:display [ fhir:v "Samish Indian Nation" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Samish Indian Nation" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Samish Indian Nation" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11882" ]
       ] )
     ] [
       fhir:code [ fhir:v "252" ] ;
       fhir:display [ fhir:v "San Carlos Apache Tribe of the San Carlos Reservation, Arizona" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "San Carlos Apache Tribe of the San Carlos Reservation, Arizona" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "San Carlos Apache Tribe of the San Carlos Reservation, Arizona" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11883" ]
       ] )
     ] [
       fhir:code [ fhir:v "253" ] ;
       fhir:display [ fhir:v "San Juan Southern Paiute Tribe of Arizona" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "San Juan Southern Paiute Tribe of Arizona" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "San Juan Southern Paiute Tribe of Arizona" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11884" ]
       ] )
     ] [
       fhir:code [ fhir:v "254" ] ;
       fhir:display [ fhir:v "Yuhaaviatam of San Manuel Nation" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Yuhaaviatam of San Manuel Nation" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Yuhaaviatam of San Manuel Nation" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11885" ]
       ] )
     ] [
       fhir:code [ fhir:v "255" ] ;
       fhir:display [ fhir:v "San Pasqual Band of Diegueno Mission Indians of California" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "San Pasqual Band of Diegueno Mission Indians of California" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "San Pasqual Band of Diegueno Mission Indians of California" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11886" ]
       ] )
     ] [
       fhir:code [ fhir:v "257" ] ;
       fhir:display [ fhir:v "Santa Rosa Band of Cahuilla Indians, California" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Santa Rosa Band of Cahuilla Indians, California" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Santa Rosa Band of Cahuilla Indians, California" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11888" ]
       ] )
     ] [
       fhir:code [ fhir:v "256" ] ;
       fhir:display [ fhir:v "Santa Rosa Indian Community of the Santa Rosa Rancheria, California" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Santa Rosa Indian Community of the Santa Rosa Rancheria, California" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Santa Rosa Indian Community of the Santa Rosa Rancheria, California" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11887" ]
       ] )
     ] [
       fhir:code [ fhir:v "258" ] ;
       fhir:display [ fhir:v "Santa Ynez Band of Chumash Mission Indians of the Santa Ynez Reservation, California" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Santa Ynez Band of Chumash Mission Indians of the Santa Ynez Reservation, California" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Santa Ynez Band of Chumash Mission Indians of the Santa Ynez Reservation, California" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11889" ]
       ] )
     ] [
       fhir:code [ fhir:v "259" ] ;
       fhir:display [ fhir:v "Iipay Nation of Santa Ysabel, California" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Iipay Nation of Santa Ysabel, California" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Iipay Nation of Santa Ysabel, California" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11890" ]
       ] )
     ] [
       fhir:code [ fhir:v "260" ] ;
       fhir:display [ fhir:v "Santee Sioux Nation, Nebraska" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Santee Sioux Nation, Nebraska" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Santee Sioux Nation, Nebraska" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11891" ]
       ] )
     ] [
       fhir:code [ fhir:v "261" ] ;
       fhir:display [ fhir:v "Sauk-Suiattle Indian Tribe" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Sauk-Suiattle Indian Tribe" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Sauk-Suiattle Indian Tribe" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11892" ]
       ] )
     ] [
       fhir:code [ fhir:v "262" ] ;
       fhir:display [ fhir:v "Sault Ste. Marie Tribe of Chippewa Indians, Michigan" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Sault Ste. Marie Tribe of Chippewa Indians, Michigan" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Sault Ste. Marie Tribe of Chippewa Indians, Michigan" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11893" ]
       ] )
     ] [
       fhir:code [ fhir:v "263" ] ;
       fhir:display [ fhir:v "Scotts Valley Band of Pomo Indians of California" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Scotts Valley Band of Pomo Indians of California" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Scotts Valley Band of Pomo Indians of California" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11894" ]
       ] )
     ] [
       fhir:code [ fhir:v "264" ] ;
       fhir:display [ fhir:v "The Seminole Nation of Oklahoma" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "The Seminole Nation of Oklahoma" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "The Seminole Nation of Oklahoma" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11895" ]
       ] )
     ] [
       fhir:code [ fhir:v "265" ] ;
       fhir:display [ fhir:v "Seminole Tribe of Florida" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Seminole Tribe of Florida" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Seminole Tribe of Florida" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11896" ]
       ] )
     ] [
       fhir:code [ fhir:v "266" ] ;
       fhir:display [ fhir:v "Seneca Nation of Indians" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Seneca Nation of Indians" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Seneca Nation of Indians" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11897" ]
       ] )
     ] [
       fhir:code [ fhir:v "267" ] ;
       fhir:display [ fhir:v "Seneca-Cayuga Nation" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Seneca-Cayuga Nation" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Seneca-Cayuga Nation" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11898" ]
       ] )
     ] [
       fhir:code [ fhir:v "268" ] ;
       fhir:display [ fhir:v "Shakopee Mdewakanton Sioux Community of Minnesota" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Shakopee Mdewakanton Sioux Community of Minnesota" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Shakopee Mdewakanton Sioux Community of Minnesota" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11899" ]
       ] )
     ] [
       fhir:code [ fhir:v "269" ] ;
       fhir:display [ fhir:v "Shawnee Tribe" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Shawnee Tribe" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Shawnee Tribe" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11900" ]
       ] )
     ] [
       fhir:code [ fhir:v "270" ] ;
       fhir:display [ fhir:v "Sherwood Valley Rancheria of Pomo Indians of California" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Sherwood Valley Rancheria of Pomo Indians of California" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Sherwood Valley Rancheria of Pomo Indians of California" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11901" ]
       ] )
     ] [
       fhir:code [ fhir:v "271" ] ;
       fhir:display [ fhir:v "Shingle Springs Band of Miwok Indians, Shingle Springs Rancheria (Verona Tract), California" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Shingle Springs Band of Miwok Indians, Shingle Springs Rancheria (Verona Tract), California" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Shingle Springs Band of Miwok Indians, Shingle Springs Rancheria (Verona Tract), California" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11902" ]
       ] )
     ] [
       fhir:code [ fhir:v "272" ] ;
       fhir:display [ fhir:v "Shoalwater Bay Indian Tribe of the Shoalwater Bay Indian Reservation" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Shoalwater Bay Indian Tribe of the Shoalwater Bay Indian Reservation" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Shoalwater Bay Indian Tribe of the Shoalwater Bay Indian Reservation" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11903" ]
       ] )
     ] [
       fhir:code [ fhir:v "273" ] ;
       fhir:display [ fhir:v "Eastern Shoshone Tribe of the Wind River Reservation, Wyoming" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Eastern Shoshone Tribe of the Wind River Reservation, Wyoming" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Eastern Shoshone Tribe of the Wind River Reservation, Wyoming" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11904" ]
       ] )
     ] [
       fhir:code [ fhir:v "274" ] ;
       fhir:display [ fhir:v "Shoshone-Bannock Tribes of the Fort Hall Reservation" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Shoshone-Bannock Tribes of the Fort Hall Reservation" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Shoshone-Bannock Tribes of the Fort Hall Reservation" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11905" ]
       ] )
     ] [
       fhir:code [ fhir:v "275" ] ;
       fhir:display [ fhir:v "Shoshone-Paiute Tribes of the Duck Valley Reservation, Nevada" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Shoshone-Paiute Tribes of the Duck Valley Reservation, Nevada" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Shoshone-Paiute Tribes of the Duck Valley Reservation, Nevada" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11906" ]
       ] )
     ] [
       fhir:code [ fhir:v "276" ] ;
       fhir:display [ fhir:v "Sisseton-Wahpeton Oyate of the Lake Traverse Reservation, South Dakota" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Sisseton-Wahpeton Oyate of the Lake Traverse Reservation, South Dakota" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Sisseton-Wahpeton Oyate of the Lake Traverse Reservation, South Dakota" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11907" ]
       ] )
     ] [
       fhir:code [ fhir:v "277" ] ;
       fhir:display [ fhir:v "Skokomish Indian Tribe" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Skokomish Indian Tribe" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Skokomish Indian Tribe" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11908" ]
       ] )
     ] [
       fhir:code [ fhir:v "278" ] ;
       fhir:display [ fhir:v "Skull Valley Band of Goshute Indians of Utah" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Skull Valley Band of Goshute Indians of Utah" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Skull Valley Band of Goshute Indians of Utah" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11909" ]
       ] )
     ] [
       fhir:code [ fhir:v "279" ] ;
       fhir:display [ fhir:v "Tolowa Dee-ni' Nation" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Tolowa Dee-ni' Nation" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Tolowa Dee-ni' Nation" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11910" ]
       ] )
     ] [
       fhir:code [ fhir:v "280" ] ;
       fhir:display [ fhir:v "Snoqualmie Indian Tribe" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Snoqualmie Indian Tribe" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Snoqualmie Indian Tribe" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11911" ]
       ] )
     ] [
       fhir:code [ fhir:v "281" ] ;
       fhir:display [ fhir:v "Soboba Band of Luiseno Indians, California" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Soboba Band of Luiseno Indians, California" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Soboba Band of Luiseno Indians, California" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11912" ]
       ] )
     ] [
       fhir:code [ fhir:v "282" ] ;
       fhir:display [ fhir:v "Sokaogon Chippewa Community, Wisconsin" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Sokaogon Chippewa Community, Wisconsin" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Sokaogon Chippewa Community, Wisconsin" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11913" ]
       ] )
     ] [
       fhir:code [ fhir:v "283" ] ;
       fhir:display [ fhir:v "Southern Ute Indian Tribe of the Southern Ute Reservation, Colorado" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Southern Ute Indian Tribe of the Southern Ute Reservation, Colorado" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Southern Ute Indian Tribe of the Southern Ute Reservation, Colorado" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11914" ]
       ] )
     ] [
       fhir:code [ fhir:v "284" ] ;
       fhir:display [ fhir:v "Spirit Lake Tribe, North Dakota" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Spirit Lake Tribe, North Dakota" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Spirit Lake Tribe, North Dakota" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11915" ]
       ] )
     ] [
       fhir:code [ fhir:v "285" ] ;
       fhir:display [ fhir:v "Spokane Tribe of the Spokane Reservation" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Spokane Tribe of the Spokane Reservation" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Spokane Tribe of the Spokane Reservation" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11916" ]
       ] )
     ] [
       fhir:code [ fhir:v "286" ] ;
       fhir:display [ fhir:v "Squaxin Island Tribe of the Squaxin Island Reservation" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Squaxin Island Tribe of the Squaxin Island Reservation" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Squaxin Island Tribe of the Squaxin Island Reservation" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11917" ]
       ] )
     ] [
       fhir:code [ fhir:v "287" ] ;
       fhir:display [ fhir:v "St. Croix Chippewa Indians of Wisconsin" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "St. Croix Chippewa Indians of Wisconsin" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "St. Croix Chippewa Indians of Wisconsin" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11918" ]
       ] )
     ] [
       fhir:code [ fhir:v "288" ] ;
       fhir:display [ fhir:v "Saint Regis Mohawk Tribe" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Saint Regis Mohawk Tribe" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Saint Regis Mohawk Tribe" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11919" ]
       ] )
     ] [
       fhir:code [ fhir:v "289" ] ;
       fhir:display [ fhir:v "Standing Rock Sioux Tribe of North & South Dakota" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Standing Rock Sioux Tribe of North & South Dakota" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Standing Rock Sioux Tribe of North & South Dakota" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11920" ]
       ] )
     ] [
       fhir:code [ fhir:v "291" ] ;
       fhir:display [ fhir:v "Stillaguamish Tribe of Indians of Washington" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Stillaguamish Tribe of Indians of Washington" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Stillaguamish Tribe of Indians of Washington" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11922" ]
       ] )
     ] [
       fhir:code [ fhir:v "290" ] ;
       fhir:display [ fhir:v "Stockbridge Munsee Community, Wisconsin" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Stockbridge Munsee Community, Wisconsin" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Stockbridge Munsee Community, Wisconsin" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11921" ]
       ] )
     ] [
       fhir:code [ fhir:v "292" ] ;
       fhir:display [ fhir:v "Summit Lake Paiute Tribe of Nevada" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Summit Lake Paiute Tribe of Nevada" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Summit Lake Paiute Tribe of Nevada" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11923" ]
       ] )
     ] [
       fhir:code [ fhir:v "293" ] ;
       fhir:display [ fhir:v "Suquamish Indian Tribe of the Port Madison Reservation" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Suquamish Indian Tribe of the Port Madison Reservation" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Suquamish Indian Tribe of the Port Madison Reservation" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11924" ]
       ] )
     ] [
       fhir:code [ fhir:v "294" ] ;
       fhir:display [ fhir:v "Susanville Indian Rancheria, California" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Susanville Indian Rancheria, California" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Susanville Indian Rancheria, California" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11925" ]
       ] )
     ] [
       fhir:code [ fhir:v "295" ] ;
       fhir:display [ fhir:v "Swinomish Indian Tribal Community" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Swinomish Indian Tribal Community" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Swinomish Indian Tribal Community" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11926" ]
       ] )
     ] [
       fhir:code [ fhir:v "296" ] ;
       fhir:display [ fhir:v "Sycuan Band of the Kumeyaay Nation" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Sycuan Band of the Kumeyaay Nation" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Sycuan Band of the Kumeyaay Nation" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11927" ]
       ] )
     ] [
       fhir:code [ fhir:v "297" ] ;
       fhir:display [ fhir:v "Wiyot Tribe, California" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Wiyot Tribe, California" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Wiyot Tribe, California" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11928" ]
       ] )
     ] [
       fhir:code [ fhir:v "298" ] ;
       fhir:display [ fhir:v "Table Mountain Rancheria" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Table Mountain Rancheria" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Table Mountain Rancheria" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11929" ]
       ] )
     ] [
       fhir:code [ fhir:v "299" ] ;
       fhir:display [ fhir:v "Te-Moak Tribe of Western Shoshone Indians of Nevada (Four constituent bands: Battle Mountain Band; Elko Band; South Fork Band; and Wells Band)" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Te-Moak Tribe of Western Shoshone Indians of Nevada (Four constituent bands: Battle Mountain Band; Elko Band; South Fork Band; and Wells Band)" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Te-Moak Tribe of Western Shoshone Indians of Nevada (Four constituent bands: Battle Mountain Band; Elko Band; South Fork Band; and Wells Band)" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11930" ]
       ] )
     ] [
       fhir:code [ fhir:v "300" ] ;
       fhir:display [ fhir:v "Thlopthlocco Tribal Town" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Thlopthlocco Tribal Town" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Thlopthlocco Tribal Town" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11931" ]
       ] )
     ] [
       fhir:code [ fhir:v "301" ] ;
       fhir:display [ fhir:v "Three Affiliated Tribes of the Fort Berthold Reservation, North Dakota" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Three Affiliated Tribes of the Fort Berthold Reservation, North Dakota" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Three Affiliated Tribes of the Fort Berthold Reservation, North Dakota" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11932" ]
       ] )
     ] [
       fhir:code [ fhir:v "302" ] ;
       fhir:display [ fhir:v "Tohono O'odham Nation of Arizona" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Tohono O'odham Nation of Arizona" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Tohono O'odham Nation of Arizona" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11933" ]
       ] )
     ] [
       fhir:code [ fhir:v "303" ] ;
       fhir:display [ fhir:v "Tonawanda Band of Seneca" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Tonawanda Band of Seneca" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Tonawanda Band of Seneca" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11934" ]
       ] )
     ] [
       fhir:code [ fhir:v "304" ] ;
       fhir:display [ fhir:v "Tonkawa Tribe of Indians of Oklahoma" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Tonkawa Tribe of Indians of Oklahoma" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Tonkawa Tribe of Indians of Oklahoma" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11935" ]
       ] )
     ] [
       fhir:code [ fhir:v "305" ] ;
       fhir:display [ fhir:v "Tonto Apache Tribe of Arizona" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Tonto Apache Tribe of Arizona" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Tonto Apache Tribe of Arizona" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11936" ]
       ] )
     ] [
       fhir:code [ fhir:v "306" ] ;
       fhir:display [ fhir:v "Torres Martinez Desert Cahuilla Indians, California" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Torres Martinez Desert Cahuilla Indians, California" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Torres Martinez Desert Cahuilla Indians, California" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11937" ]
       ] )
     ] [
       fhir:code [ fhir:v "308" ] ;
       fhir:display [ fhir:v "Tulalip Tribes of Washington" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Tulalip Tribes of Washington" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Tulalip Tribes of Washington" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11939" ]
       ] )
     ] [
       fhir:code [ fhir:v "307" ] ;
       fhir:display [ fhir:v "Tule River Indian Tribe of the Tule River Reservation, California" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Tule River Indian Tribe of the Tule River Reservation, California" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Tule River Indian Tribe of the Tule River Reservation, California" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11938" ]
       ] )
     ] [
       fhir:code [ fhir:v "309" ] ;
       fhir:display [ fhir:v "Tunica-Biloxi Indian Tribe" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Tunica-Biloxi Indian Tribe" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Tunica-Biloxi Indian Tribe" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11940" ]
       ] )
     ] [
       fhir:code [ fhir:v "310" ] ;
       fhir:display [ fhir:v "Tuolumne Band of Me-Wuk Indians of the Tuolumne Rancheria of California" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Tuolumne Band of Me-Wuk Indians of the Tuolumne Rancheria of California" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Tuolumne Band of Me-Wuk Indians of the Tuolumne Rancheria of California" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11941" ]
       ] )
     ] [
       fhir:code [ fhir:v "311" ] ;
       fhir:display [ fhir:v "Turtle Mountain Band of Chippewa Indians of North Dakota" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Turtle Mountain Band of Chippewa Indians of North Dakota" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Turtle Mountain Band of Chippewa Indians of North Dakota" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11942" ]
       ] )
     ] [
       fhir:code [ fhir:v "312" ] ;
       fhir:display [ fhir:v "Tuscarora Nation" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Tuscarora Nation" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Tuscarora Nation" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11943" ]
       ] )
     ] [
       fhir:code [ fhir:v "313" ] ;
       fhir:display [ fhir:v "Twenty-Nine Palms Band of Mission Indians of California" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Twenty-Nine Palms Band of Mission Indians of California" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Twenty-Nine Palms Band of Mission Indians of California" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11944" ]
       ] )
     ] [
       fhir:code [ fhir:v "314" ] ;
       fhir:display [ fhir:v "United Auburn Indian Community of the Auburn Rancheria of California" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "United Auburn Indian Community of the Auburn Rancheria of California" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "United Auburn Indian Community of the Auburn Rancheria of California" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11945" ]
       ] )
     ] [
       fhir:code [ fhir:v "315" ] ;
       fhir:display [ fhir:v "United Keetoowah Band of Cherokee Indians in Oklahoma" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "United Keetoowah Band of Cherokee Indians in Oklahoma" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "United Keetoowah Band of Cherokee Indians in Oklahoma" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11946" ]
       ] )
     ] [
       fhir:code [ fhir:v "316" ] ;
       fhir:display [ fhir:v "Habematolel Pomo of Upper Lake, California" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Habematolel Pomo of Upper Lake, California" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Habematolel Pomo of Upper Lake, California" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11947" ]
       ] )
     ] [
       fhir:code [ fhir:v "317" ] ;
       fhir:display [ fhir:v "Upper Sioux Community, Minnesota" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Upper Sioux Community, Minnesota" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Upper Sioux Community, Minnesota" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11948" ]
       ] )
     ] [
       fhir:code [ fhir:v "318" ] ;
       fhir:display [ fhir:v "Upper Skagit Indian Tribe" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Upper Skagit Indian Tribe" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Upper Skagit Indian Tribe" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11949" ]
       ] )
     ] [
       fhir:code [ fhir:v "319" ] ;
       fhir:display [ fhir:v "Ute Indian Tribe of the Uintah & Ouray Reservation, Utah" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Ute Indian Tribe of the Uintah & Ouray Reservation, Utah" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Ute Indian Tribe of the Uintah & Ouray Reservation, Utah" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11950" ]
       ] )
     ] [
       fhir:code [ fhir:v "320" ] ;
       fhir:display [ fhir:v "Ute Mountain Ute Tribe" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Ute Mountain Ute Tribe" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Ute Mountain Ute Tribe" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11951" ]
       ] )
     ] [
       fhir:code [ fhir:v "321" ] ;
       fhir:display [ fhir:v "Utu Utu Gwaitu Paiute Tribe of the Benton Paiute Reservation, California" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Utu Utu Gwaitu Paiute Tribe of the Benton Paiute Reservation, California" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Utu Utu Gwaitu Paiute Tribe of the Benton Paiute Reservation, California" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11952" ]
       ] )
     ] [
       fhir:code [ fhir:v "34" ] ;
       fhir:display [ fhir:v "Viejas (Baron Long) Group of Capitan Grande Band o" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Viejas (Baron Long) Group of Capitan Grande Band o" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Viejas (Baron Long) Group of Capitan Grande Band o" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "retired" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11665" ]
       ] )
     ] [
       fhir:code [ fhir:v "322" ] ;
       fhir:display [ fhir:v "Walker River Paiute Tribe of the Walker River Reservation, Nevada" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Walker River Paiute Tribe of the Walker River Reservation, Nevada" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Walker River Paiute Tribe of the Walker River Reservation, Nevada" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11953" ]
       ] )
     ] [
       fhir:code [ fhir:v "323" ] ;
       fhir:display [ fhir:v "Wampanoag Tribe of Gay Head (Aquinnah)" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Wampanoag Tribe of Gay Head (Aquinnah)" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Wampanoag Tribe of Gay Head (Aquinnah)" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11954" ]
       ] )
     ] [
       fhir:code [ fhir:v "324" ] ;
       fhir:display [ fhir:v "Washoe Tribe of Nevada & California (Carson Colony, Dresslerville Colony, Woodfords Community, Stewart Community, & Washoe Ranches)" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Washoe Tribe of Nevada & California (Carson Colony, Dresslerville Colony, Woodfords Community, Stewart Community, & Washoe Ranches)" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Washoe Tribe of Nevada & California (Carson Colony, Dresslerville Colony, Woodfords Community, Stewart Community, & Washoe Ranches)" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11955" ]
       ] )
     ] [
       fhir:code [ fhir:v "325" ] ;
       fhir:display [ fhir:v "White Mountain Apache Tribe of the Fort Apache Reservation, Arizona" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "White Mountain Apache Tribe of the Fort Apache Reservation, Arizona" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "White Mountain Apache Tribe of the Fort Apache Reservation, Arizona" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11956" ]
       ] )
     ] [
       fhir:code [ fhir:v "326" ] ;
       fhir:display [ fhir:v "Wichita and Affiliated Tribes (Wichita, Keechi, Waco, & Tawakonie), Oklahoma" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Wichita and Affiliated Tribes (Wichita, Keechi, Waco, & Tawakonie), Oklahoma" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Wichita and Affiliated Tribes (Wichita, Keechi, Waco, & Tawakonie), Oklahoma" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11957" ]
       ] )
     ] [
       fhir:code [ fhir:v "327" ] ;
       fhir:display [ fhir:v "Winnebago Tribe of Nebraska" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Winnebago Tribe of Nebraska" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Winnebago Tribe of Nebraska" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11958" ]
       ] )
     ] [
       fhir:code [ fhir:v "328" ] ;
       fhir:display [ fhir:v "Winnemucca Indian Colony of Nevada" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Winnemucca Indian Colony of Nevada" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Winnemucca Indian Colony of Nevada" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11959" ]
       ] )
     ] [
       fhir:code [ fhir:v "329" ] ;
       fhir:display [ fhir:v "Wyandotte Nation" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Wyandotte Nation" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Wyandotte Nation" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11960" ]
       ] )
     ] [
       fhir:code [ fhir:v "330" ] ;
       fhir:display [ fhir:v "Yankton Sioux Tribe of South Dakota" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Yankton Sioux Tribe of South Dakota" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Yankton Sioux Tribe of South Dakota" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11961" ]
       ] )
     ] [
       fhir:code [ fhir:v "331" ] ;
       fhir:display [ fhir:v "Yavapai-Apache Nation of the Camp Verde Indian Reservation, Arizona" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Yavapai-Apache Nation of the Camp Verde Indian Reservation, Arizona" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Yavapai-Apache Nation of the Camp Verde Indian Reservation, Arizona" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11962" ]
       ] )
     ] [
       fhir:code [ fhir:v "332" ] ;
       fhir:display [ fhir:v "Yavapai-Prescott Indian Tribe" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Yavapai-Prescott Indian Tribe" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Yavapai-Prescott Indian Tribe" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11963" ]
       ] )
     ] [
       fhir:code [ fhir:v "333" ] ;
       fhir:display [ fhir:v "Yerington Paiute Tribe of the Yerington Colony & Campbell Ranch, Nevada" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Yerington Paiute Tribe of the Yerington Colony & Campbell Ranch, Nevada" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Yerington Paiute Tribe of the Yerington Colony & Campbell Ranch, Nevada" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11964" ]
       ] )
     ] [
       fhir:code [ fhir:v "334" ] ;
       fhir:display [ fhir:v "Yomba Shoshone Tribe of the Yomba Reservation, Nevada" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Yomba Shoshone Tribe of the Yomba Reservation, Nevada" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Yomba Shoshone Tribe of the Yomba Reservation, Nevada" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11965" ]
       ] )
     ] [
       fhir:code [ fhir:v "335" ] ;
       fhir:display [ fhir:v "Ysleta del Sur Pueblo" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Ysleta del Sur Pueblo" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Ysleta del Sur Pueblo" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11966" ]
       ] )
     ] [
       fhir:code [ fhir:v "336" ] ;
       fhir:display [ fhir:v "Yurok Tribe of the Yurok Reservation, California" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Yurok Tribe of the Yurok Reservation, California" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Yurok Tribe of the Yurok Reservation, California" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11967" ]
       ] )
     ] [
       fhir:code [ fhir:v "337" ] ;
       fhir:display [ fhir:v "Zuni Tribe of the Zuni Reservation, New Mexico" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Zuni Tribe of the Zuni Reservation, New Mexico" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Zuni Tribe of the Zuni Reservation, New Mexico" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "11968" ]
       ] )
     ] [
       fhir:code [ fhir:v "567" ] ;
       fhir:display [ fhir:v "Chickahominy Indian Tribe" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Chickahominy Indian Tribe" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Chickahominy Indian Tribe" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "30003" ]
       ] )
     ] [
       fhir:code [ fhir:v "568" ] ;
       fhir:display [ fhir:v "Chickahominy Indian Tribe—Eastern Division" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Chickahominy Indian Tribe—Eastern Division" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Chickahominy Indian Tribe—Eastern Division" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "30004" ]
       ] )
     ] [
       fhir:code [ fhir:v "569" ] ;
       fhir:display [ fhir:v "Monacan Indian Nation" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Monacan Indian Nation" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Monacan Indian Nation" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "30005" ]
       ] )
     ] [
       fhir:code [ fhir:v "570" ] ;
       fhir:display [ fhir:v "Nansemond Indian Nation" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Nansemond Indian Nation" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Nansemond Indian Nation" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "30006" ]
       ] )
     ] [
       fhir:code [ fhir:v "571" ] ;
       fhir:display [ fhir:v "Rappahannock Tribe, Inc." ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Rappahannock Tribe, Inc." ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Rappahannock Tribe, Inc." ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "30008" ]
       ] )
     ] [
       fhir:code [ fhir:v "572" ] ;
       fhir:display [ fhir:v "Upper Mattaponi Tribe" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Upper Mattaponi Tribe" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Upper Mattaponi Tribe" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "30009" ]
       ] )
     ] [
       fhir:code [ fhir:v "573" ] ;
       fhir:display [ fhir:v "Cowlitz Indian Tribe" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Cowlitz Indian Tribe" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Cowlitz Indian Tribe" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "30010" ]
       ] )
     ] [
       fhir:code [ fhir:v "574" ] ;
       fhir:display [ fhir:v "Little Shell Tribe of Chippewa Indians of Montana" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Little Shell Tribe of Chippewa Indians of Montana" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Little Shell Tribe of Chippewa Indians of Montana" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "30011" ]
       ] )
     ] [
       fhir:code [ fhir:v "575" ] ;
       fhir:display [ fhir:v "Mashpee Wampanoag Tribe" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Mashpee Wampanoag Tribe" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Mashpee Wampanoag Tribe" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "30012" ]
       ] )
     ] [
       fhir:code [ fhir:v "576" ] ;
       fhir:display [ fhir:v "Pamunkey Indian Tribe" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Pamunkey Indian Tribe" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Pamunkey Indian Tribe" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "30013" ]
       ] )
     ] [
       fhir:code [ fhir:v "577" ] ;
       fhir:display [ fhir:v "Shinnecock Indian Nation" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Shinnecock Indian Nation" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Shinnecock Indian Nation" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "30014" ]
       ] )
     ] [
       fhir:code [ fhir:v "578" ] ;
       fhir:display [ fhir:v "Wilton Rancheria, California" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Wilton Rancheria, California" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Wilton Rancheria, California" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "30015" ]
       ] )
     ] [
       fhir:code [ fhir:v "579" ] ;
       fhir:display [ fhir:v "Tejon Indian Tribe" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Tejon Indian Tribe" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Tejon Indian Tribe" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "30016" ]
       ] )
     ] )
  ] ) .

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

