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

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

[] a fhir:CodeSystem ;
  fhir:id [ fhir:v "v3-AmericanIndianAlaskaNativeLanguages"] ;
  fhir:language [ fhir:v "en"] ;
  fhir:text [
     fhir:status [ fhir:v "generated" ]
  ] ;
  fhir:url [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-AmericanIndianAlaskaNativeLanguages"], [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-AmericanIndianAlaskaNativeLanguages"] ;
  fhir:identifier ( [
     fhir:system [ fhir:v "urn:ietf:rfc:3986" ] ;
     fhir:value [ fhir:v "urn:oid:2.16.840.1.113883.5.1054" ]
  ] [
     fhir:system [ fhir:v "urn:ietf:rfc:3986" ] ;
     fhir:value [ fhir:v "urn:oid:2.16.840.1.113883.5.1054" ]
  ] ) ;
  fhir:version [ fhir:v "3.0.0"], [ fhir:v "3.0.0"] ;
  fhir:name [ fhir:v "AmericanIndianAlaskaNativeLanguages"], [ fhir:v "AmericanIndianAlaskaNativeLanguages"] ;
  fhir:title [ fhir:v "AmericanIndianAlaskaNativeLanguages"], [ fhir:v "AmericanIndianAlaskaNativeLanguages"] ;
  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 "American Indian and Alaska Native languages currently being used in the United States."], [ fhir:v "American Indian and Alaska Native languages currently being used in the United States."] ;
  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 "_Algic" ] ;
     fhir:display [ fhir:v "Algic" ] ;
     fhir:designation ( [
       fhir:language [ fhir:v "en" ] ;
       fhir:use [
         fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
         fhir:code [ fhir:v "display" ]
       ] ;
       fhir:value [ fhir:v "Algic" ]
     ] [
       fhir:language [ fhir:v "en" ] ;
       fhir:use [
         fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
         fhir:code [ fhir:v "display" ]
       ] ;
       fhir:value [ fhir:v "Algic" ]
     ] ) ;
     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 "20952" ]
     ] ) ;
     fhir:concept ( [
       fhir:code [ fhir:v "_Algonquian" ] ;
       fhir:display [ fhir:v "Algonquian" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Algonquian" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Algonquian" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Algonquian" ]
       ] ) ;
       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 "20953" ]
       ] ) ;
       fhir:concept ( [
         fhir:code [ fhir:v "_Arapahoan" ] ;
         fhir:display [ fhir:v "Arapahoan" ] ;
         fhir:designation ( [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "Arapahoan" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "Arapahoan" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "Arapahoan" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "Arapahoan" ]
         ] ) ;
         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 "20955" ]
         ] ) ;
         fhir:concept ( [
           fhir:code [ fhir:v "_ArapahoGrosVentre" ] ;
           fhir:display [ fhir:v "ArapahoGrosVentre" ] ;
           fhir:designation ( [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
               fhir:code [ fhir:v "display" ]
             ] ;
             fhir:value [ fhir:v "ArapahoGrosVentre" ]
           ] [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
               fhir:code [ fhir:v "display" ]
             ] ;
             fhir:value [ fhir:v "ArapahoGrosVentre" ]
           ] [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
               fhir:code [ fhir:v "display" ]
             ] ;
             fhir:value [ fhir:v "ArapahoGrosVentre" ]
           ] [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
               fhir:code [ fhir:v "display" ]
             ] ;
             fhir:value [ fhir:v "ArapahoGrosVentre" ]
           ] [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
               fhir:code [ fhir:v "display" ]
             ] ;
             fhir:value [ fhir:v "ArapahoGrosVentre" ]
           ] ) ;
           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 "20956" ]
           ] ) ;
           fhir:concept ( [
             fhir:code [ fhir:v "x-ARP" ] ;
             fhir:display [ fhir:v "Arapaho" ] ;
             fhir:designation ( [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 a sct:900000000000013009 ;
                 fhir:system [ fhir:v "http://snomed.info/sct" ] ;
                 fhir:code [ fhir:v "900000000000013009" ]
               ] ;
               fhir:value [ fhir:v "Arrapahoe" ]
             ] [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
                 fhir:code [ fhir:v "display" ]
               ] ;
               fhir:value [ fhir:v "Arapaho" ]
             ] [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
                 fhir:code [ fhir:v "display" ]
               ] ;
               fhir:value [ fhir:v "Arapaho" ]
             ] [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
                 fhir:code [ fhir:v "display" ]
               ] ;
               fhir:value [ fhir:v "Arapaho" ]
             ] [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
                 fhir:code [ fhir:v "display" ]
               ] ;
               fhir:value [ fhir:v "Arapaho" ]
             ] [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
                 fhir:code [ fhir:v "display" ]
               ] ;
               fhir:value [ fhir:v "Arapaho" ]
             ] ) ;
             fhir:property ( [
               fhir:code [ fhir:v "status" ] ;
               fhir:value [ fhir:v "active" ]
             ] [
               fhir:code [ fhir:v "internalId" ] ;
               fhir:value [ fhir:v "18151" ]
             ] )
           ] [
             fhir:code [ fhir:v "x-ATS" ] ;
             fhir:display [ fhir:v "Gros Ventre" ] ;
             fhir:designation ( [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 a sct:900000000000013009 ;
                 fhir:system [ fhir:v "http://snomed.info/sct" ] ;
                 fhir:code [ fhir:v "900000000000013009" ]
               ] ;
               fhir:value [ fhir:v "A'ananin" ]
             ] [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 a sct:900000000000013009 ;
                 fhir:system [ fhir:v "http://snomed.info/sct" ] ;
                 fhir:code [ fhir:v "900000000000013009" ]
               ] ;
               fhir:value [ fhir:v "Ahahnelin" ]
             ] [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 a sct:900000000000013009 ;
                 fhir:system [ fhir:v "http://snomed.info/sct" ] ;
                 fhir:code [ fhir:v "900000000000013009" ]
               ] ;
               fhir:value [ fhir:v "Ahe" ]
             ] [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 a sct:900000000000013009 ;
                 fhir:system [ fhir:v "http://snomed.info/sct" ] ;
                 fhir:code [ fhir:v "900000000000013009" ]
               ] ;
               fhir:value [ fhir:v "Atsina" ]
             ] [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 a sct:900000000000013009 ;
                 fhir:system [ fhir:v "http://snomed.info/sct" ] ;
                 fhir:code [ fhir:v "900000000000013009" ]
               ] ;
               fhir:value [ fhir:v "Fall Indians" ]
             ] [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 a sct:900000000000013009 ;
                 fhir:system [ fhir:v "http://snomed.info/sct" ] ;
                 fhir:code [ fhir:v "900000000000013009" ]
               ] ;
               fhir:value [ fhir:v "White Clay People" ]
             ] [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
                 fhir:code [ fhir:v "display" ]
               ] ;
               fhir:value [ fhir:v "Gros Ventre" ]
             ] [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
                 fhir:code [ fhir:v "display" ]
               ] ;
               fhir:value [ fhir:v "Gros Ventre" ]
             ] [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
                 fhir:code [ fhir:v "display" ]
               ] ;
               fhir:value [ fhir:v "Gros Ventre" ]
             ] [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
                 fhir:code [ fhir:v "display" ]
               ] ;
               fhir:value [ fhir:v "Gros Ventre" ]
             ] [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
                 fhir:code [ fhir:v "display" ]
               ] ;
               fhir:value [ fhir:v "Gros Ventre" ]
             ] ) ;
             fhir:property ( [
               fhir:code [ fhir:v "status" ] ;
               fhir:value [ fhir:v "active" ]
             ] [
               fhir:code [ fhir:v "internalId" ] ;
               fhir:value [ fhir:v "18144" ]
             ] )
           ] )
         ] )
       ] [
         fhir:code [ fhir:v "_CreeMontagnais" ] ;
         fhir:display [ fhir:v "CreeMontagnais" ] ;
         fhir:designation ( [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "CreeMontagnais" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "CreeMontagnais" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "CreeMontagnais" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "CreeMontagnais" ]
         ] ) ;
         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 "20972" ]
         ] ) ;
         fhir:concept ( [
           fhir:code [ fhir:v "_Cree" ] ;
           fhir:display [ fhir:v "Cree" ] ;
           fhir:designation ( [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
               fhir:code [ fhir:v "display" ]
             ] ;
             fhir:value [ fhir:v "Cree" ]
           ] [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
               fhir:code [ fhir:v "display" ]
             ] ;
             fhir:value [ fhir:v "Cree" ]
           ] [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
               fhir:code [ fhir:v "display" ]
             ] ;
             fhir:value [ fhir:v "Cree" ]
           ] [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
               fhir:code [ fhir:v "display" ]
             ] ;
             fhir:value [ fhir:v "Cree" ]
           ] [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
               fhir:code [ fhir:v "display" ]
             ] ;
             fhir:value [ fhir:v "Cree" ]
           ] ) ;
           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 "20971" ]
           ] ) ;
           fhir:concept ( [
             fhir:code [ fhir:v "x-CRP" ] ;
             fhir:display [ fhir:v "Western Cree" ] ;
             fhir:designation ( [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 a sct:900000000000013009 ;
                 fhir:system [ fhir:v "http://snomed.info/sct" ] ;
                 fhir:code [ fhir:v "900000000000013009" ]
               ] ;
               fhir:value [ fhir:v "Mitchif" ]
             ] [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 a sct:900000000000013009 ;
                 fhir:system [ fhir:v "http://snomed.info/sct" ] ;
                 fhir:code [ fhir:v "900000000000013009" ]
               ] ;
               fhir:value [ fhir:v "Plains Cree" ]
             ] [
               fhir:language [ fhir:v "en" ] ;
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               fhir:value [ fhir:v "Western Swampy Cree" ]
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               fhir:value [ fhir:v "active" ]
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         fhir:display [ fhir:v "EasternAlgonquin" ] ;
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             fhir:code [ fhir:v "display" ]
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             fhir:code [ fhir:v "display" ]
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           fhir:language [ fhir:v "en" ] ;
           fhir:use [
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             fhir:code [ fhir:v "display" ]
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           fhir:language [ fhir:v "en" ] ;
           fhir:use [
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             fhir:code [ fhir:v "display" ]
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           fhir:value [ fhir:v "true" ]
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           fhir:value [ fhir:v "active" ]
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           fhir:code [ fhir:v "internalId" ] ;
           fhir:value [ fhir:v "20979" ]
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           fhir:display [ fhir:v "Abenakian" ] ;
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             fhir:language [ fhir:v "en" ] ;
             fhir:use [
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             fhir:value [ fhir:v "true" ]
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             fhir:value [ fhir:v "active" ]
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             fhir:code [ fhir:v "internalId" ] ;
             fhir:value [ fhir:v "20950" ]
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             fhir:display [ fhir:v "Eastern Abenaki" ] ;
             fhir:designation ( [
               fhir:language [ fhir:v "en" ] ;
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                 fhir:system [ fhir:v "http://snomed.info/sct" ] ;
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                 fhir:system [ fhir:v "http://snomed.info/sct" ] ;
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               fhir:value [ fhir:v "Penobscot" ]
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                 fhir:code [ fhir:v "display" ]
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               fhir:language [ fhir:v "en" ] ;
               fhir:use [
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                 fhir:code [ fhir:v "display" ]
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               fhir:language [ fhir:v "en" ] ;
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               fhir:value [ fhir:v "active" ]
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             fhir:display [ fhir:v "Western Abenaki" ] ;
             fhir:designation ( [
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               fhir:language [ fhir:v "en" ] ;
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               fhir:language [ fhir:v "en" ] ;
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                 fhir:system [ fhir:v "http://snomed.info/sct" ] ;
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               fhir:value [ fhir:v "St. Francis" ]
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                 fhir:code [ fhir:v "display" ]
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               fhir:use [
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                 fhir:code [ fhir:v "display" ]
               ] ;
               fhir:value [ fhir:v "Western Abenaki" ]
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                 fhir:code [ fhir:v "display" ]
               ] ;
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               fhir:language [ fhir:v "en" ] ;
               fhir:use [
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                 fhir:code [ fhir:v "display" ]
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               fhir:value [ fhir:v "active" ]
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             fhir:display [ fhir:v "Maliseet-Passamaquoddy" ] ;
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                 fhir:code [ fhir:v "display" ]
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                 fhir:code [ fhir:v "display" ]
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                 fhir:code [ fhir:v "display" ]
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               fhir:language [ fhir:v "en" ] ;
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                 fhir:code [ fhir:v "display" ]
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               fhir:value [ fhir:v "active" ]
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               fhir:code [ fhir:v "internalId" ] ;
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           fhir:display [ fhir:v "Delawaran" ] ;
           fhir:designation ( [
             fhir:language [ fhir:v "en" ] ;
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               fhir:code [ fhir:v "display" ]
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             fhir:language [ fhir:v "en" ] ;
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               fhir:code [ fhir:v "display" ]
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             fhir:language [ fhir:v "en" ] ;
             fhir:use [
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               fhir:code [ fhir:v "display" ]
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             fhir:language [ fhir:v "en" ] ;
             fhir:use [
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               fhir:code [ fhir:v "display" ]
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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 "Delawaran" ]
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             fhir:value [ fhir:v "true" ]
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             fhir:value [ fhir:v "active" ]
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             fhir:code [ fhir:v "internalId" ] ;
             fhir:value [ fhir:v "20975" ]
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           fhir:concept ( [
             fhir:code [ fhir:v "x-DEL" ] ;
             fhir:display [ fhir:v "Unami Delaware" ] ;
             fhir:designation ( [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
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                 fhir:system [ fhir:v "http://snomed.info/sct" ] ;
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               fhir:value [ fhir:v "Delaware" ]
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               fhir:language [ fhir:v "en" ] ;
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                 fhir:system [ fhir:v "http://snomed.info/sct" ] ;
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               fhir:value [ fhir:v "Lenape" ]
             ] [
               fhir:language [ fhir:v "en" ] ;
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                 fhir:system [ fhir:v "http://snomed.info/sct" ] ;
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               fhir:value [ fhir:v "Lenni-Lenape" ]
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                 fhir:code [ fhir:v "display" ]
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               fhir:language [ fhir:v "en" ] ;
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                 fhir:code [ fhir:v "display" ]
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               fhir:value [ fhir:v "Unami Delaware" ]
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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 "Unami Delaware" ]
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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" ]
               ] ;
               fhir:value [ fhir:v "Unami Delaware" ]
             ] [
               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:code [ fhir:v "status" ] ;
               fhir:value [ fhir:v "active" ]
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               fhir:code [ fhir:v "internalId" ] ;
               fhir:value [ fhir:v "18185" ]
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         ] [
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           fhir:display [ fhir:v "Micmac" ] ;
           fhir:designation ( [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               a sct:900000000000013009 ;
               fhir:system [ fhir:v "http://snomed.info/sct" ] ;
               fhir:code [ fhir:v "900000000000013009" ]
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             fhir:value [ fhir:v "Restigouche" ]
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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 "Micmac" ]
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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:language [ fhir:v "en" ] ;
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               fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
               fhir:code [ fhir:v "display" ]
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             fhir:language [ fhir:v "en" ] ;
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               fhir:code [ fhir:v "display" ]
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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 "18172" ]
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       ] [
         fhir:code [ fhir:v "_Ojibwayan" ] ;
         fhir:display [ fhir:v "Ojibwayan" ] ;
         fhir: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 "Ojibwayan" ]
         ] [
           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: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: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 "Ojibwayan" ]
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           fhir:code [ fhir:v "notSelectable" ] ;
           fhir:value [ fhir:v "true" ]
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           fhir:code [ fhir:v "status" ] ;
           fhir:value [ fhir:v "active" ]
         ] [
           fhir:code [ fhir:v "internalId" ] ;
           fhir:value [ fhir:v "21003" ]
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         fhir:concept ( [
           fhir:code [ fhir:v "x-OJB" ] ;
           fhir:display [ fhir:v "Southern Ojibwa" ] ;
           fhir:designation ( [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               a sct:900000000000013009 ;
               fhir:system [ fhir:v "http://snomed.info/sct" ] ;
               fhir:code [ fhir:v "900000000000013009" ]
             ] ;
             fhir:value [ fhir:v "Chippewa" ]
           ] [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               a sct:900000000000013009 ;
               fhir:system [ fhir:v "http://snomed.info/sct" ] ;
               fhir:code [ fhir:v "900000000000013009" ]
             ] ;
             fhir:value [ fhir:v "Mississippi Ojibwa" ]
           ] [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               a sct:900000000000013009 ;
               fhir:system [ fhir:v "http://snomed.info/sct" ] ;
               fhir:code [ fhir:v "900000000000013009" ]
             ] ;
             fhir:value [ fhir:v "Saulteaux" ]
           ] [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               a sct:900000000000013009 ;
               fhir:system [ fhir:v "http://snomed.info/sct" ] ;
               fhir:code [ fhir:v "900000000000013009" ]
             ] ;
             fhir:value [ fhir:v "Western Ojibwa" ]
           ] [
             fhir:language [ fhir: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 Ojibwa" ]
           ] [
             fhir:language [ fhir: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 Ojibwa" ]
           ] [
             fhir:language [ fhir: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 Ojibwa" ]
           ] [
             fhir:language [ fhir: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 Ojibwa" ]
           ] ) ;
           fhir:property ( [
             fhir:code [ fhir:v "status" ] ;
             fhir:value [ fhir:v "active" ]
           ] [
             fhir:code [ fhir:v "internalId" ] ;
             fhir:value [ fhir:v "18157" ]
           ] )
         ] [
           fhir:code [ fhir:v "x-POT" ] ;
           fhir:display [ fhir:v "Potawatami" ] ;
           fhir:designation ( [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               a sct:900000000000013009 ;
               fhir:system [ fhir:v "http://snomed.info/sct" ] ;
               fhir:code [ fhir:v "900000000000013009" ]
             ] ;
             fhir:value [ fhir:v "Pottawotomi" ]
           ] [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
               fhir:code [ fhir:v "display" ]
             ] ;
             fhir:value [ fhir:v "Potawatami" ]
           ] [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
               fhir:code [ fhir:v "display" ]
             ] ;
             fhir:value [ fhir:v "Potawatami" ]
           ] [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
               fhir:code [ fhir:v "display" ]
             ] ;
             fhir:value [ fhir:v "Potawatami" ]
           ] [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
               fhir:code [ fhir:v "display" ]
             ] ;
             fhir:value [ fhir:v "Potawatami" ]
           ] ) ;
           fhir:property ( [
             fhir:code [ fhir:v "status" ] ;
             fhir:value [ fhir:v "active" ]
           ] [
             fhir:code [ fhir:v "internalId" ] ;
             fhir:value [ fhir:v "18162" ]
           ] )
         ] )
       ] [
         fhir:code [ fhir:v "_SaukFoxKickapoo" ] ;
         fhir:display [ fhir:v "SaukFoxKickapoo" ] ;
         fhir:designation ( [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "SaukFoxKickapoo" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "SaukFoxKickapoo" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "SaukFoxKickapoo" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "SaukFoxKickapoo" ]
         ] ) ;
         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 "21016" ]
         ] ) ;
         fhir:concept ( [
           fhir:code [ fhir:v "x-KIC" ] ;
           fhir:display [ fhir:v "Kickapoo" ] ;
           fhir:designation ( [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               a sct:900000000000013009 ;
               fhir:system [ fhir:v "http://snomed.info/sct" ] ;
               fhir:code [ fhir:v "900000000000013009" ]
             ] ;
             fhir:value [ fhir:v "Kikapu" ]
           ] [
             fhir:language [ fhir: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" ]
           ] [
             fhir:language [ fhir: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" ]
           ] [
             fhir:language [ fhir: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" ]
           ] [
             fhir:language [ fhir: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" ]
           ] ) ;
           fhir:property ( [
             fhir:code [ fhir:v "status" ] ;
             fhir:value [ fhir:v "active" ]
           ] [
             fhir:code [ fhir:v "internalId" ] ;
             fhir:value [ fhir:v "18168" ]
           ] )
         ] [
           fhir:code [ fhir:v "x-SAC" ] ;
           fhir:display [ fhir:v "Mesquakie" ] ;
           fhir:designation ( [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               a sct:900000000000013009 ;
               fhir:system [ fhir:v "http://snomed.info/sct" ] ;
               fhir:code [ fhir:v "900000000000013009" ]
             ] ;
             fhir:value [ fhir:v "Sac and Fox" ]
           ] [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               a sct:900000000000013009 ;
               fhir:system [ fhir:v "http://snomed.info/sct" ] ;
               fhir:code [ fhir:v "900000000000013009" ]
             ] ;
             fhir:value [ fhir:v "Sauk-Fox" ]
           ] [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
               fhir:code [ fhir:v "display" ]
             ] ;
             fhir:value [ fhir:v "Mesquakie" ]
           ] [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
               fhir:code [ fhir:v "display" ]
             ] ;
             fhir:value [ fhir:v "Mesquakie" ]
           ] [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
               fhir:code [ fhir:v "display" ]
             ] ;
             fhir:value [ fhir:v "Mesquakie" ]
           ] [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
               fhir:code [ fhir:v "display" ]
             ] ;
             fhir:value [ fhir:v "Mesquakie" ]
           ] ) ;
           fhir:property ( [
             fhir:code [ fhir:v "status" ] ;
             fhir:value [ fhir:v "active" ]
           ] [
             fhir:code [ fhir:v "internalId" ] ;
             fhir:value [ fhir:v "18165" ]
           ] )
         ] [
           fhir:code [ fhir:v "x-SJW" ] ;
           fhir:display [ fhir:v "Shawnee" ] ;
           fhir:designation ( [
             fhir:language [ fhir: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" ]
           ] [
             fhir:language [ fhir: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" ]
           ] [
             fhir:language [ fhir: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" ]
           ] [
             fhir:language [ fhir: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" ]
           ] ) ;
           fhir:property ( [
             fhir:code [ fhir:v "status" ] ;
             fhir:value [ fhir:v "active" ]
           ] [
             fhir:code [ fhir:v "internalId" ] ;
             fhir:value [ fhir:v "18170" ]
           ] )
         ] )
       ] [
         fhir:code [ fhir:v "x-BLC" ] ;
         fhir:display [ fhir:v "Blackfoot" ] ;
         fhir:designation ( [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             a sct:900000000000013009 ;
             fhir:system [ fhir:v "http://snomed.info/sct" ] ;
             fhir:code [ fhir:v "900000000000013009" ]
           ] ;
           fhir:value [ fhir:v "Pikanii" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "Blackfoot" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "Blackfoot" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "Blackfoot" ]
         ] ) ;
         fhir:property ( [
           fhir:code [ fhir:v "status" ] ;
           fhir:value [ fhir:v "active" ]
         ] [
           fhir:code [ fhir:v "internalId" ] ;
           fhir:value [ fhir:v "18133" ]
         ] )
       ] [
         fhir:code [ fhir:v "x-CHY" ] ;
         fhir:display [ fhir:v "Cheyenne" ] ;
         fhir:designation ( [
           fhir:language [ fhir: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" ]
         ] [
           fhir:language [ fhir: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" ]
         ] [
           fhir:language [ fhir: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" ]
         ] ) ;
         fhir:property ( [
           fhir:code [ fhir:v "status" ] ;
           fhir:value [ fhir:v "active" ]
         ] [
           fhir:code [ fhir:v "internalId" ] ;
           fhir:value [ fhir:v "18153" ]
         ] )
       ] [
         fhir:code [ fhir:v "x-MEZ" ] ;
         fhir:display [ fhir:v "Menominee" ] ;
         fhir:designation ( [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             a sct:900000000000013009 ;
             fhir:system [ fhir:v "http://snomed.info/sct" ] ;
             fhir:code [ fhir:v "900000000000013009" ]
           ] ;
           fhir:value [ fhir:v "Menomini" ]
         ] [
           fhir:language [ fhir: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" ]
         ] [
           fhir:language [ fhir: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" ]
         ] [
           fhir:language [ fhir: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" ]
         ] ) ;
         fhir:property ( [
           fhir:code [ fhir:v "status" ] ;
           fhir:value [ fhir:v "active" ]
         ] [
           fhir:code [ fhir:v "internalId" ] ;
           fhir:value [ fhir:v "18154" ]
         ] )
       ] )
     ] [
       fhir:code [ fhir:v "_Ritwan" ] ;
       fhir:display [ fhir:v "Ritwan" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Ritwan" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Ritwan" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Ritwan" ]
       ] ) ;
       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 "21012" ]
       ] ) ;
       fhir:concept ( [
         fhir:code [ fhir:v "x-YUR" ] ;
         fhir:display [ fhir:v "Yurok" ] ;
         fhir:designation ( [
           fhir:language [ fhir: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" ]
         ] [
           fhir:language [ fhir: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" ]
         ] [
           fhir:language [ fhir: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" ]
         ] ) ;
         fhir:property ( [
           fhir:code [ fhir:v "status" ] ;
           fhir:value [ fhir:v "active" ]
         ] [
           fhir:code [ fhir:v "internalId" ] ;
           fhir:value [ fhir:v "18190" ]
         ] )
       ] )
     ] )
  ] [
     fhir:code [ fhir:v "_Caddoan" ] ;
     fhir:display [ fhir:v "Caddoan" ] ;
     fhir:designation ( [
       fhir:language [ fhir:v "en" ] ;
       fhir:use [
         fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
         fhir:code [ fhir:v "display" ]
       ] ;
       fhir:value [ fhir:v "Caddoan" ]
     ] [
       fhir:language [ fhir:v "en" ] ;
       fhir:use [
         fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
         fhir:code [ fhir:v "display" ]
       ] ;
       fhir:value [ fhir:v "Caddoan" ]
     ] ) ;
     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 "20959" ]
     ] ) ;
     fhir:concept ( [
       fhir:code [ fhir:v "_NorthernCaddoan" ] ;
       fhir:display [ fhir:v "NorthernCaddoan" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "NorthernCaddoan" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "NorthernCaddoan" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "NorthernCaddoan" ]
       ] ) ;
       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 "21000" ]
       ] ) ;
       fhir:concept ( [
         fhir:code [ fhir:v "x-ARI" ] ;
         fhir:display [ fhir:v "Arikara" ] ;
         fhir:designation ( [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             a sct:900000000000013009 ;
             fhir:system [ fhir:v "http://snomed.info/sct" ] ;
             fhir:code [ fhir:v "900000000000013009" ]
           ] ;
           fhir:value [ fhir:v "Arikaree" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             a sct:900000000000013009 ;
             fhir:system [ fhir:v "http://snomed.info/sct" ] ;
             fhir:code [ fhir:v "900000000000013009" ]
           ] ;
           fhir:value [ fhir:v "Arikari" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             a sct:900000000000013009 ;
             fhir:system [ fhir:v "http://snomed.info/sct" ] ;
             fhir:code [ fhir:v "900000000000013009" ]
           ] ;
           fhir:value [ fhir:v "Arikaris" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             a sct:900000000000013009 ;
             fhir:system [ fhir:v "http://snomed.info/sct" ] ;
             fhir:code [ fhir:v "900000000000013009" ]
           ] ;
           fhir:value [ fhir:v "Ree" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             a sct:900000000000013009 ;
             fhir:system [ fhir:v "http://snomed.info/sct" ] ;
             fhir:code [ fhir:v "900000000000013009" ]
           ] ;
           fhir:value [ fhir:v "Ris" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "Arikara" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "Arikara" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "Arikara" ]
         ] ) ;
         fhir:property ( [
           fhir:code [ fhir:v "status" ] ;
           fhir:value [ fhir:v "active" ]
         ] [
           fhir:code [ fhir:v "internalId" ] ;
           fhir:value [ fhir:v "18225" ]
         ] )
       ] [
         fhir:code [ fhir:v "x-PAW" ] ;
         fhir:display [ fhir:v "Pawnee" ] ;
         fhir:designation ( [
           fhir:language [ fhir: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" ]
         ] [
           fhir:language [ fhir: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" ]
         ] [
           fhir:language [ fhir: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" ]
         ] ) ;
         fhir:property ( [
           fhir:code [ fhir:v "status" ] ;
           fhir:value [ fhir:v "active" ]
         ] [
           fhir:code [ fhir:v "internalId" ] ;
           fhir:value [ fhir:v "18231" ]
         ] )
       ] [
         fhir:code [ fhir:v "x-WIC" ] ;
         fhir:display [ fhir:v "Wichita" ] ;
         fhir:designation ( [
           fhir:language [ fhir: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" ]
         ] [
           fhir:language [ fhir: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" ]
         ] [
           fhir:language [ fhir: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" ]
         ] ) ;
         fhir:property ( [
           fhir:code [ fhir:v "status" ] ;
           fhir:value [ fhir:v "active" ]
         ] [
           fhir:code [ fhir:v "internalId" ] ;
           fhir:value [ fhir:v "18232" ]
         ] )
       ] )
     ] [
       fhir:code [ fhir:v "_SouthernCaddoan" ] ;
       fhir:display [ fhir:v "SouthernCaddoan" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "SouthernCaddoan" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "SouthernCaddoan" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "SouthernCaddoan" ]
       ] ) ;
       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 "21023" ]
       ] ) ;
       fhir:concept ( [
         fhir:code [ fhir:v "x-CAD" ] ;
         fhir:display [ fhir:v "Caddo" ] ;
         fhir:designation ( [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             a sct:900000000000013009 ;
             fhir:system [ fhir:v "http://snomed.info/sct" ] ;
             fhir:code [ fhir:v "900000000000013009" ]
           ] ;
           fhir:value [ fhir:v "Caddoe" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             a sct:900000000000013009 ;
             fhir:system [ fhir:v "http://snomed.info/sct" ] ;
             fhir:code [ fhir:v "900000000000013009" ]
           ] ;
           fhir:value [ fhir:v "Kado" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             a sct:900000000000013009 ;
             fhir:system [ fhir:v "http://snomed.info/sct" ] ;
             fhir:code [ fhir:v "900000000000013009" ]
           ] ;
           fhir:value [ fhir:v "Kadohadacho" ]
         ] [
           fhir:language [ fhir: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" ]
         ] [
           fhir:language [ fhir: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" ]
         ] [
           fhir:language [ fhir: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" ]
         ] ) ;
         fhir:property ( [
           fhir:code [ fhir:v "status" ] ;
           fhir:value [ fhir:v "active" ]
         ] [
           fhir:code [ fhir:v "internalId" ] ;
           fhir:value [ fhir:v "18234" ]
         ] )
       ] )
     ] )
  ] [
     fhir:code [ fhir:v "_Chimakuan" ] ;
     fhir:display [ fhir:v "Chimakuan" ] ;
     fhir:designation ( [
       fhir:language [ fhir:v "en" ] ;
       fhir:use [
         fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
         fhir:code [ fhir:v "display" ]
       ] ;
       fhir:value [ fhir:v "Chimakuan" ]
     ] [
       fhir:language [ fhir:v "en" ] ;
       fhir:use [
         fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
         fhir:code [ fhir:v "display" ]
       ] ;
       fhir:value [ fhir:v "Chimakuan" ]
     ] ) ;
     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 "20966" ]
     ] ) ;
     fhir:concept ( [
       fhir:code [ fhir:v "x-QUI" ] ;
       fhir:display [ fhir:v "Quileute" ] ;
       fhir:designation ( [
         fhir:language [ fhir: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" ]
       ] [
         fhir:language [ fhir: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" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "18239" ]
       ] )
     ] )
  ] [
     fhir:code [ fhir:v "_EskimoAleut" ] ;
     fhir:display [ fhir:v "EskimoAleut" ] ;
     fhir:designation ( [
       fhir:language [ fhir:v "en" ] ;
       fhir:use [
         fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
         fhir:code [ fhir:v "display" ]
       ] ;
       fhir:value [ fhir:v "EskimoAleut" ]
     ] [
       fhir:language [ fhir:v "en" ] ;
       fhir:use [
         fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
         fhir:code [ fhir:v "display" ]
       ] ;
       fhir:value [ fhir:v "EskimoAleut" ]
     ] ) ;
     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 "20982" ]
     ] ) ;
     fhir:concept ( [
       fhir:code [ fhir:v "_Aleut" ] ;
       fhir:display [ fhir:v "Aleut" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Aleut" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Aleut" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Aleut" ]
       ] ) ;
       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 "20951" ]
       ] ) ;
       fhir:concept ( [
         fhir:code [ fhir:v "x-ALW" ] ;
         fhir:display [ fhir:v "Aleut" ] ;
         fhir:designation ( [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "Aleut" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "Aleut" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "Aleut" ]
         ] ) ;
         fhir:property ( [
           fhir:code [ fhir:v "status" ] ;
           fhir:value [ fhir:v "active" ]
         ] [
           fhir:code [ fhir:v "internalId" ] ;
           fhir:value [ fhir:v "18222" ]
         ] )
       ] )
     ] [
       fhir:code [ fhir:v "_Eskimoan" ] ;
       fhir:display [ fhir:v "Eskimoan" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Eskimoan" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Eskimoan" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Eskimoan" ]
       ] ) ;
       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 "20983" ]
       ] ) ;
       fhir:concept ( [
         fhir:code [ fhir:v "_InuitInupiaq" ] ;
         fhir:display [ fhir:v "InuitInupiaq" ] ;
         fhir:designation ( [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "InuitInupiaq" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "InuitInupiaq" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "InuitInupiaq" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "InuitInupiaq" ]
         ] ) ;
         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 "20986" ]
         ] ) ;
         fhir:concept ( [
           fhir:code [ fhir:v "x-ESI" ] ;
           fhir:display [ fhir:v "North Alaskan Inuktitut" ] ;
           fhir:designation ( [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               a sct:900000000000013009 ;
               fhir:system [ fhir:v "http://snomed.info/sct" ] ;
               fhir:code [ fhir:v "900000000000013009" ]
             ] ;
             fhir:value [ fhir:v "Inupiaq" ]
           ] [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               a sct:900000000000013009 ;
               fhir:system [ fhir:v "http://snomed.info/sct" ] ;
               fhir:code [ fhir:v "900000000000013009" ]
             ] ;
             fhir:value [ fhir:v "Inupiat Eskimo" ]
           ] [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               a sct:900000000000013009 ;
               fhir:system [ fhir:v "http://snomed.info/sct" ] ;
               fhir:code [ fhir:v "900000000000013009" ]
             ] ;
             fhir:value [ fhir:v "Inupik" ]
           ] [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               a sct:900000000000013009 ;
               fhir:system [ fhir:v "http://snomed.info/sct" ] ;
               fhir:code [ fhir:v "900000000000013009" ]
             ] ;
             fhir:value [ fhir:v "North Alaskan Eskimo" ]
           ] [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               a sct:900000000000013009 ;
               fhir:system [ fhir:v "http://snomed.info/sct" ] ;
               fhir:code [ fhir:v "900000000000013009" ]
             ] ;
             fhir:value [ fhir:v "North Alaskan Inupiaq" ]
           ] [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
               fhir:code [ fhir:v "display" ]
             ] ;
             fhir:value [ fhir:v "North Alaskan Inuktitut" ]
           ] [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
               fhir:code [ fhir:v "display" ]
             ] ;
             fhir:value [ fhir:v "North Alaskan Inuktitut" ]
           ] [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
               fhir:code [ fhir:v "display" ]
             ] ;
             fhir:value [ fhir:v "North Alaskan Inuktitut" ]
           ] [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
               fhir:code [ fhir:v "display" ]
             ] ;
             fhir:value [ fhir:v "North Alaskan Inuktitut" ]
           ] ) ;
           fhir:property ( [
             fhir:code [ fhir:v "status" ] ;
             fhir:value [ fhir:v "active" ]
           ] [
             fhir:code [ fhir:v "internalId" ] ;
             fhir:value [ fhir:v "18211" ]
           ] )
         ] [
           fhir:code [ fhir:v "x-ESK" ] ;
           fhir:display [ fhir:v "Northwest Alaska Inuktitut" ] ;
           fhir:designation ( [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               a sct:900000000000013009 ;
               fhir:system [ fhir:v "http://snomed.info/sct" ] ;
               fhir:code [ fhir:v "900000000000013009" ]
             ] ;
             fhir:value [ fhir:v "Inupiatun" ]
           ] [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               a sct:900000000000013009 ;
               fhir:system [ fhir:v "http://snomed.info/sct" ] ;
               fhir:code [ fhir:v "900000000000013009" ]
             ] ;
             fhir:value [ fhir:v "Northwest Alaska Inupiat Eskimo" ]
           ] [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               a sct:900000000000013009 ;
               fhir:system [ fhir:v "http://snomed.info/sct" ] ;
               fhir:code [ fhir:v "900000000000013009" ]
             ] ;
             fhir:value [ fhir:v "Seward Peninsula Inupiaq" ]
           ] [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
               fhir:code [ fhir:v "display" ]
             ] ;
             fhir:value [ fhir:v "Northwest Alaska Inuktitut" ]
           ] [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
               fhir:code [ fhir:v "display" ]
             ] ;
             fhir:value [ fhir:v "Northwest Alaska Inuktitut" ]
           ] [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
               fhir:code [ fhir:v "display" ]
             ] ;
             fhir:value [ fhir:v "Northwest Alaska Inuktitut" ]
           ] [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
               fhir:code [ fhir:v "display" ]
             ] ;
             fhir:value [ fhir:v "Northwest Alaska Inuktitut" ]
           ] ) ;
           fhir:property ( [
             fhir:code [ fhir:v "status" ] ;
             fhir:value [ fhir:v "active" ]
           ] [
             fhir:code [ fhir:v "internalId" ] ;
             fhir:value [ fhir:v "18217" ]
           ] )
         ] )
       ] [
         fhir:code [ fhir:v "_SirenikskiYupik" ] ;
         fhir:display [ fhir:v "SirenikskiYupik" ] ;
         fhir:designation ( [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "SirenikskiYupik" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "SirenikskiYupik" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "SirenikskiYupik" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "SirenikskiYupik" ]
         ] ) ;
         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 "21021" ]
         ] ) ;
         fhir:concept ( [
           fhir:code [ fhir:v "x-EMS" ] ;
           fhir:display [ fhir:v "Pacific Yupik Gulf" ] ;
           fhir:designation ( [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               a sct:900000000000013009 ;
               fhir:system [ fhir:v "http://snomed.info/sct" ] ;
               fhir:code [ fhir:v "900000000000013009" ]
             ] ;
             fhir:value [ fhir:v "Aleut" ]
           ] [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               a sct:900000000000013009 ;
               fhir:system [ fhir:v "http://snomed.info/sct" ] ;
               fhir:code [ fhir:v "900000000000013009" ]
             ] ;
             fhir:value [ fhir:v "Alutiiq" ]
           ] [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               a sct:900000000000013009 ;
               fhir:system [ fhir:v "http://snomed.info/sct" ] ;
               fhir:code [ fhir:v "900000000000013009" ]
             ] ;
             fhir:value [ fhir:v "Chugach Eskimo" ]
           ] [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               a sct:900000000000013009 ;
               fhir:system [ fhir:v "http://snomed.info/sct" ] ;
               fhir:code [ fhir:v "900000000000013009" ]
             ] ;
             fhir:value [ fhir:v "Koniag-Chugach" ]
           ] [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               a sct:900000000000013009 ;
               fhir:system [ fhir:v "http://snomed.info/sct" ] ;
               fhir:code [ fhir:v "900000000000013009" ]
             ] ;
             fhir:value [ fhir:v "Pacific Yupik" ]
           ] [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               a sct:900000000000013009 ;
               fhir:system [ fhir:v "http://snomed.info/sct" ] ;
               fhir:code [ fhir:v "900000000000013009" ]
             ] ;
             fhir:value [ fhir:v "South Alaska Eskimo" ]
           ] [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               a sct:900000000000013009 ;
               fhir:system [ fhir:v "http://snomed.info/sct" ] ;
               fhir:code [ fhir:v "900000000000013009" ]
             ] ;
             fhir:value [ fhir:v "Sugcestun" ]
           ] [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               a sct:900000000000013009 ;
               fhir:system [ fhir:v "http://snomed.info/sct" ] ;
               fhir:code [ fhir:v "900000000000013009" ]
             ] ;
             fhir:value [ fhir:v "Sugpiak Eskimo" ]
           ] [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               a sct:900000000000013009 ;
               fhir:system [ fhir:v "http://snomed.info/sct" ] ;
               fhir:code [ fhir:v "900000000000013009" ]
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             fhir:value [ fhir:v "Sugpiaq Eskimo" ]
           ] [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               a sct:900000000000013009 ;
               fhir:system [ fhir:v "http://snomed.info/sct" ] ;
               fhir:code [ fhir:v "900000000000013009" ]
             ] ;
             fhir:value [ fhir:v "Suk" ]
           ] [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
               fhir:code [ fhir:v "display" ]
             ] ;
             fhir:value [ fhir:v "Pacific Yupik Gulf" ]
           ] [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
               fhir:code [ fhir:v "display" ]
             ] ;
             fhir:value [ fhir:v "Pacific Yupik Gulf" ]
           ] [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
               fhir:code [ fhir:v "display" ]
             ] ;
             fhir:value [ fhir:v "Pacific Yupik Gulf" ]
           ] [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
               fhir:code [ fhir:v "display" ]
             ] ;
             fhir:value [ fhir:v "Pacific Yupik Gulf" ]
           ] ) ;
           fhir:property ( [
             fhir:code [ fhir:v "status" ] ;
             fhir:value [ fhir:v "active" ]
           ] [
             fhir:code [ fhir:v "internalId" ] ;
             fhir:value [ fhir:v "18199" ]
           ] )
         ] [
           fhir:code [ fhir:v "x-ESS" ] ;
           fhir:display [ fhir:v "Central Siberian Yupik" ] ;
           fhir:designation ( [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               a sct:900000000000013009 ;
               fhir:system [ fhir:v "http://snomed.info/sct" ] ;
               fhir:code [ fhir:v "900000000000013009" ]
             ] ;
             fhir:value [ fhir:v "St. Lawrence Island Eskimo" ]
           ] [
             fhir:language [ fhir: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 Siberian Yupik" ]
           ] [
             fhir:language [ fhir: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 Siberian Yupik" ]
           ] [
             fhir:language [ fhir: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 Siberian Yupik" ]
           ] [
             fhir:language [ fhir: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 Siberian Yupik" ]
           ] ) ;
           fhir:property ( [
             fhir:code [ fhir:v "status" ] ;
             fhir:value [ fhir:v "active" ]
           ] [
             fhir:code [ fhir:v "internalId" ] ;
             fhir:value [ fhir:v "18194" ]
           ] )
         ] [
           fhir:code [ fhir:v "x-ESU" ] ;
           fhir:display [ fhir:v "Central Alaskan Yupik" ] ;
           fhir:designation ( [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               a sct:900000000000013009 ;
               fhir:system [ fhir:v "http://snomed.info/sct" ] ;
               fhir:code [ fhir:v "900000000000013009" ]
             ] ;
             fhir:value [ fhir:v "Central Yupik" ]
           ] [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               a sct:900000000000013009 ;
               fhir:system [ fhir:v "http://snomed.info/sct" ] ;
               fhir:code [ fhir:v "900000000000013009" ]
             ] ;
             fhir:value [ fhir:v "West Alaska Eskimo" ]
           ] [
             fhir:language [ fhir: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 Alaskan Yupik" ]
           ] [
             fhir:language [ fhir: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 Alaskan Yupik" ]
           ] [
             fhir:language [ fhir: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 Alaskan Yupik" ]
           ] [
             fhir:language [ fhir: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 Alaskan Yupik" ]
           ] ) ;
           fhir:property ( [
             fhir:code [ fhir:v "status" ] ;
             fhir:value [ fhir:v "active" ]
           ] [
             fhir:code [ fhir:v "internalId" ] ;
             fhir:value [ fhir:v "18196" ]
           ] )
         ] )
       ] )
     ] )
  ] [
     fhir:code [ fhir:v "_Hokan" ] ;
     fhir:display [ fhir:v "Hokan" ] ;
     fhir:designation ( [
       fhir:language [ fhir:v "en" ] ;
       fhir:use [
         fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
         fhir:code [ fhir:v "display" ]
       ] ;
       fhir:value [ fhir:v "Hokan" ]
     ] [
       fhir:language [ fhir:v "en" ] ;
       fhir:use [
         fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
         fhir:code [ fhir:v "display" ]
       ] ;
       fhir:value [ fhir:v "Hokan" ]
     ] ) ;
     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 "20984" ]
     ] ) ;
     fhir:concept ( [
       fhir:code [ fhir:v "_CochimiYuman" ] ;
       fhir:display [ fhir:v "CochimiYuman" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "CochimiYuman" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "CochimiYuman" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "CochimiYuman" ]
       ] ) ;
       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 "20969" ]
       ] ) ;
       fhir:concept ( [
         fhir:code [ fhir:v "_Yuman" ] ;
         fhir:display [ fhir:v "Yuman" ] ;
         fhir:designation ( [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "Yuman" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "Yuman" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "Yuman" ]
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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" ]
           ] ;
           fhir:value [ fhir:v "Yuman" ]
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         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 "21045" ]
         ] ) ;
         fhir:concept ( [
           fhir:code [ fhir:v "_DeltaCalifornia" ] ;
           fhir:display [ fhir:v "DeltaCalifornia" ] ;
           fhir:designation ( [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
               fhir:code [ fhir:v "display" ]
             ] ;
             fhir:value [ fhir:v "DeltaCalifornia" ]
           ] [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
               fhir:code [ fhir:v "display" ]
             ] ;
             fhir:value [ fhir:v "DeltaCalifornia" ]
           ] [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
               fhir:code [ fhir:v "display" ]
             ] ;
             fhir:value [ fhir:v "DeltaCalifornia" ]
           ] [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
               fhir:code [ fhir:v "display" ]
             ] ;
             fhir:value [ fhir:v "DeltaCalifornia" ]
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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" ]
             ] ;
             fhir:value [ fhir:v "DeltaCalifornia" ]
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           fhir:property ( [
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             fhir:value [ fhir:v "true" ]
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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 "20976" ]
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           fhir:concept ( [
             fhir:code [ fhir:v "_Diegueno" ] ;
             fhir:display [ fhir:v "Diegueno" ] ;
             fhir: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 "Diegueno" ]
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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:language [ fhir:v "en" ] ;
               fhir:use [
                 fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
                 fhir:code [ fhir:v "display" ]
               ] ;
               fhir:value [ fhir:v "Diegueno" ]
             ] [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
                 fhir:code [ fhir:v "display" ]
               ] ;
               fhir:value [ fhir:v "Diegueno" ]
             ] [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
                 fhir:code [ fhir:v "display" ]
               ] ;
               fhir:value [ fhir:v "Diegueno" ]
             ] [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
                 fhir:code [ fhir:v "display" ]
               ] ;
               fhir:value [ fhir:v "Diegueno" ]
             ] ) ;
             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 "20978" ]
             ] ) ;
             fhir:concept ( [
               fhir:code [ fhir:v "x-DIH" ] ;
               fhir:display [ fhir:v "Kumeyaay" ] ;
               fhir:designation ( [
                 fhir:language [ fhir:v "en" ] ;
                 fhir:use [
                   a sct:900000000000013009 ;
                   fhir:system [ fhir:v "http://snomed.info/sct" ] ;
                   fhir:code [ fhir:v "900000000000013009" ]
                 ] ;
                 fhir:value [ fhir:v "Campo" ]
               ] [
                 fhir:language [ fhir:v "en" ] ;
                 fhir:use [
                   a sct:900000000000013009 ;
                   fhir:system [ fhir:v "http://snomed.info/sct" ] ;
                   fhir:code [ fhir:v "900000000000013009" ]
                 ] ;
                 fhir:value [ fhir:v "Diegueño" ]
               ] [
                 fhir:language [ fhir:v "en" ] ;
                 fhir:use [
                   a sct:900000000000013009 ;
                   fhir:system [ fhir:v "http://snomed.info/sct" ] ;
                   fhir:code [ fhir:v "900000000000013009" ]
                 ] ;
                 fhir:value [ fhir:v "Kamia" ]
               ] [
                 fhir:language [ fhir:v "en" ] ;
                 fhir:use [
                   a sct:900000000000013009 ;
                   fhir:system [ fhir:v "http://snomed.info/sct" ] ;
                   fhir:code [ fhir:v "900000000000013009" ]
                 ] ;
                 fhir:value [ fhir:v "Kumiái" ]
               ] [
                 fhir:language [ fhir:v "en" ] ;
                 fhir:use [
                   fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
                   fhir:code [ fhir:v "display" ]
                 ] ;
                 fhir:value [ fhir:v "Kumeyaay" ]
               ] [
                 fhir:language [ fhir:v "en" ] ;
                 fhir:use [
                   fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
                   fhir:code [ fhir:v "display" ]
                 ] ;
                 fhir:value [ fhir:v "Kumeyaay" ]
               ] [
                 fhir:language [ fhir:v "en" ] ;
                 fhir:use [
                   fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
                   fhir:code [ fhir:v "display" ]
                 ] ;
                 fhir:value [ fhir:v "Kumeyaay" ]
               ] [
                 fhir:language [ fhir:v "en" ] ;
                 fhir:use [
                   fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
                   fhir:code [ fhir:v "display" ]
                 ] ;
                 fhir:value [ fhir:v "Kumeyaay" ]
               ] [
                 fhir:language [ fhir:v "en" ] ;
                 fhir:use [
                   fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
                   fhir:code [ fhir:v "display" ]
                 ] ;
                 fhir:value [ fhir:v "Kumeyaay" ]
               ] [
                 fhir:language [ fhir:v "en" ] ;
                 fhir:use [
                   fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
                   fhir:code [ fhir:v "display" ]
                 ] ;
                 fhir:value [ fhir:v "Kumeyaay" ]
               ] ) ;
               fhir:property ( [
                 fhir:code [ fhir:v "status" ] ;
                 fhir:value [ fhir:v "active" ]
               ] [
                 fhir:code [ fhir:v "internalId" ] ;
                 fhir:value [ fhir:v "18293" ]
               ] )
             ] )
           ] [
             fhir:code [ fhir:v "x-COC" ] ;
             fhir:display [ fhir:v "Cocopa" ] ;
             fhir:designation ( [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 a sct:900000000000013009 ;
                 fhir:system [ fhir:v "http://snomed.info/sct" ] ;
                 fhir:code [ fhir:v "900000000000013009" ]
               ] ;
               fhir:value [ fhir:v "Cocopah" ]
             ] [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 a sct:900000000000013009 ;
                 fhir:system [ fhir:v "http://snomed.info/sct" ] ;
                 fhir:code [ fhir:v "900000000000013009" ]
               ] ;
               fhir:value [ fhir:v "Cucapá" ]
             ] [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 a sct:900000000000013009 ;
                 fhir:system [ fhir:v "http://snomed.info/sct" ] ;
                 fhir:code [ fhir:v "900000000000013009" ]
               ] ;
               fhir:value [ fhir:v "Delta River Yuman" ]
             ] [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 a sct:900000000000013009 ;
                 fhir:system [ fhir:v "http://snomed.info/sct" ] ;
                 fhir:code [ fhir:v "900000000000013009" ]
               ] ;
               fhir:value [ fhir:v "Kikima" ]
             ] [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 a sct:900000000000013009 ;
                 fhir:system [ fhir:v "http://snomed.info/sct" ] ;
                 fhir:code [ fhir:v "900000000000013009" ]
               ] ;
               fhir:value [ fhir:v "Kwikapa" ]
             ] [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
                 fhir:code [ fhir:v "display" ]
               ] ;
               fhir:value [ fhir:v "Cocopa" ]
             ] [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
                 fhir:code [ fhir:v "display" ]
               ] ;
               fhir:value [ fhir:v "Cocopa" ]
             ] [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
                 fhir:code [ fhir:v "display" ]
               ] ;
               fhir:value [ fhir:v "Cocopa" ]
             ] [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
                 fhir:code [ fhir:v "display" ]
               ] ;
               fhir:value [ fhir:v "Cocopa" ]
             ] [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
                 fhir:code [ fhir:v "display" ]
               ] ;
               fhir:value [ fhir:v "Cocopa" ]
             ] ) ;
             fhir:property ( [
               fhir:code [ fhir:v "status" ] ;
               fhir:value [ fhir:v "active" ]
             ] [
               fhir:code [ fhir:v "internalId" ] ;
               fhir:value [ fhir:v "18298" ]
             ] )
           ] )
         ] [
           fhir:code [ fhir:v "_Pai" ] ;
           fhir:display [ fhir:v "Pai" ] ;
           fhir:designation ( [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
               fhir:code [ fhir:v "display" ]
             ] ;
             fhir:value [ fhir:v "Pai" ]
           ] [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
               fhir:code [ fhir:v "display" ]
             ] ;
             fhir:value [ fhir:v "Pai" ]
           ] [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
               fhir:code [ fhir:v "display" ]
             ] ;
             fhir:value [ fhir:v "Pai" ]
           ] [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
               fhir:code [ fhir:v "display" ]
             ] ;
             fhir:value [ fhir:v "Pai" ]
           ] [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
               fhir:code [ fhir:v "display" ]
             ] ;
             fhir:value [ fhir:v "Pai" ]
           ] ) ;
           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 "21006" ]
           ] ) ;
           fhir:concept ( [
             fhir:code [ fhir:v "x-YUF" ] ;
             fhir:display [ fhir:v "Havasupai" ] ;
             fhir:designation ( [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 a sct:900000000000013009 ;
                 fhir:system [ fhir:v "http://snomed.info/sct" ] ;
                 fhir:code [ fhir:v "900000000000013009" ]
               ] ;
               fhir:value [ fhir:v "Upland Yuman" ]
             ] [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 a sct:900000000000013009 ;
                 fhir:system [ fhir:v "http://snomed.info/sct" ] ;
                 fhir:code [ fhir:v "900000000000013009" ]
               ] ;
               fhir:value [ fhir:v "Upper Colorado River Yuman" ]
             ] [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 a sct:900000000000013009 ;
                 fhir:system [ fhir:v "http://snomed.info/sct" ] ;
                 fhir:code [ fhir:v "900000000000013009" ]
               ] ;
               fhir:value [ fhir:v "Walapai" ]
             ] [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 a sct:900000000000013009 ;
                 fhir:system [ fhir:v "http://snomed.info/sct" ] ;
                 fhir:code [ fhir:v "900000000000013009" ]
               ] ;
               fhir:value [ fhir:v "Yavapai" ]
             ] [
               fhir:language [ fhir: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" ]
             ] [
               fhir:language [ fhir: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" ]
             ] [
               fhir:language [ fhir: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" ]
             ] [
               fhir:language [ fhir: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" ]
             ] [
               fhir:language [ fhir: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" ]
             ] ) ;
             fhir:property ( [
               fhir:code [ fhir:v "status" ] ;
               fhir:value [ fhir:v "active" ]
             ] [
               fhir:code [ fhir:v "internalId" ] ;
               fhir:value [ fhir:v "18277" ]
             ] )
           ] )
         ] [
           fhir:code [ fhir:v "_River" ] ;
           fhir:display [ fhir:v "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 "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 "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 "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 "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 "River" ]
           ] ) ;
           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 "21013" ]
           ] ) ;
           fhir:concept ( [
             fhir:code [ fhir:v "x-MOV" ] ;
             fhir:display [ fhir:v "Mohave" ] ;
             fhir:designation ( [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 a sct:900000000000013009 ;
                 fhir:system [ fhir:v "http://snomed.info/sct" ] ;
                 fhir:code [ fhir:v "900000000000013009" ]
               ] ;
               fhir:value [ fhir:v "Mojave" ]
             ] [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
                 fhir:code [ fhir:v "display" ]
               ] ;
               fhir:value [ fhir:v "Mohave" ]
             ] [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
                 fhir:code [ fhir:v "display" ]
               ] ;
               fhir:value [ fhir:v "Mohave" ]
             ] [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
                 fhir:code [ fhir:v "display" ]
               ] ;
               fhir:value [ fhir:v "Mohave" ]
             ] [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
                 fhir:code [ fhir:v "display" ]
               ] ;
               fhir:value [ fhir:v "Mohave" ]
             ] [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
                 fhir:code [ fhir:v "display" ]
               ] ;
               fhir:value [ fhir:v "Mohave" ]
             ] ) ;
             fhir:property ( [
               fhir:code [ fhir:v "status" ] ;
               fhir:value [ fhir:v "active" ]
             ] [
               fhir:code [ fhir:v "internalId" ] ;
               fhir:value [ fhir:v "18289" ]
             ] )
           ] [
             fhir:code [ fhir:v "x-MRC" ] ;
             fhir:display [ fhir:v "Maricopa" ] ;
             fhir:designation ( [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 a sct:900000000000013009 ;
                 fhir:system [ fhir:v "http://snomed.info/sct" ] ;
                 fhir:code [ fhir:v "900000000000013009" ]
               ] ;
               fhir:value [ fhir:v "Cocomaricopa" ]
             ] [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
                 fhir:code [ fhir:v "display" ]
               ] ;
               fhir:value [ fhir:v "Maricopa" ]
             ] [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
                 fhir:code [ fhir:v "display" ]
               ] ;
               fhir:value [ fhir:v "Maricopa" ]
             ] [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
                 fhir:code [ fhir:v "display" ]
               ] ;
               fhir:value [ fhir:v "Maricopa" ]
             ] [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
                 fhir:code [ fhir:v "display" ]
               ] ;
               fhir:value [ fhir:v "Maricopa" ]
             ] [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
                 fhir:code [ fhir:v "display" ]
               ] ;
               fhir:value [ fhir:v "Maricopa" ]
             ] ) ;
             fhir:property ( [
               fhir:code [ fhir:v "status" ] ;
               fhir:value [ fhir:v "active" ]
             ] [
               fhir:code [ fhir:v "internalId" ] ;
               fhir:value [ fhir:v "18287" ]
             ] )
           ] [
             fhir:code [ fhir:v "x-YUM" ] ;
             fhir:display [ fhir:v "Quechan" ] ;
             fhir:designation ( [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 a sct:900000000000013009 ;
                 fhir:system [ fhir:v "http://snomed.info/sct" ] ;
                 fhir:code [ fhir:v "900000000000013009" ]
               ] ;
               fhir:value [ fhir:v "Kechan" ]
             ] [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 a sct:900000000000013009 ;
                 fhir:system [ fhir:v "http://snomed.info/sct" ] ;
                 fhir:code [ fhir:v "900000000000013009" ]
               ] ;
               fhir:value [ fhir:v "Quecl" ]
             ] [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 a sct:900000000000013009 ;
                 fhir:system [ fhir:v "http://snomed.info/sct" ] ;
                 fhir:code [ fhir:v "900000000000013009" ]
               ] ;
               fhir:value [ fhir:v "Yuma" ]
             ] [
               fhir:language [ fhir: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" ]
             ] [
               fhir:language [ fhir: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" ]
             ] [
               fhir:language [ fhir: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" ]
             ] [
               fhir:language [ fhir: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" ]
             ] [
               fhir:language [ fhir: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" ]
             ] ) ;
             fhir:property ( [
               fhir:code [ fhir:v "status" ] ;
               fhir:value [ fhir:v "active" ]
             ] [
               fhir:code [ fhir:v "internalId" ] ;
               fhir:value [ fhir:v "18283" ]
             ] )
           ] )
         ] )
       ] )
     ] [
       fhir:code [ fhir:v "_Palaihnihan" ] ;
       fhir:display [ fhir:v "Palaihnihan" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Palaihnihan" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Palaihnihan" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Palaihnihan" ]
       ] ) ;
       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 "21007" ]
       ] ) ;
       fhir:concept ( [
         fhir:code [ fhir:v "x-ACH" ] ;
         fhir:display [ fhir:v "Achumawi" ] ;
         fhir:designation ( [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             a sct:900000000000013009 ;
             fhir:system [ fhir:v "http://snomed.info/sct" ] ;
             fhir:code [ fhir:v "900000000000013009" ]
           ] ;
           fhir:value [ fhir:v "Achomawi" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             a sct:900000000000013009 ;
             fhir:system [ fhir:v "http://snomed.info/sct" ] ;
             fhir:code [ fhir:v "900000000000013009" ]
           ] ;
           fhir:value [ fhir:v "Pitt 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 "Achumawi" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "Achumawi" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "Achumawi" ]
         ] ) ;
         fhir:property ( [
           fhir:code [ fhir:v "status" ] ;
           fhir:value [ fhir:v "active" ]
         ] [
           fhir:code [ fhir:v "internalId" ] ;
           fhir:value [ fhir:v "18249" ]
         ] )
       ] [
         fhir:code [ fhir:v "x-ATW" ] ;
         fhir:display [ fhir:v "Atsugewi" ] ;
         fhir:designation ( [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "Atsugewi" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "Atsugewi" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "Atsugewi" ]
         ] ) ;
         fhir:property ( [
           fhir:code [ fhir:v "status" ] ;
           fhir:value [ fhir:v "active" ]
         ] [
           fhir:code [ fhir:v "internalId" ] ;
           fhir:value [ fhir:v "18252" ]
         ] )
       ] )
     ] [
       fhir:code [ fhir:v "_Pomoan" ] ;
       fhir:display [ fhir:v "Pomoan" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Pomoan" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Pomoan" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Pomoan" ]
       ] ) ;
       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 "21011" ]
       ] ) ;
       fhir:concept ( [
         fhir:code [ fhir:v "x-KJU" ] ;
         fhir:display [ fhir:v "Kashaya" ] ;
         fhir:designation ( [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             a sct:900000000000013009 ;
             fhir:system [ fhir:v "http://snomed.info/sct" ] ;
             fhir:code [ fhir:v "900000000000013009" ]
           ] ;
           fhir:value [ fhir:v "Southwestern Pomo" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "Kashaya" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "Kashaya" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "Kashaya" ]
         ] ) ;
         fhir:property ( [
           fhir:code [ fhir:v "status" ] ;
           fhir:value [ fhir:v "active" ]
         ] [
           fhir:code [ fhir:v "internalId" ] ;
           fhir:value [ fhir:v "18272" ]
         ] )
       ] [
         fhir:code [ fhir:v "x-PEF" ] ;
         fhir:display [ fhir:v "Northeastern Pomo" ] ;
         fhir:designation ( [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             a sct:900000000000013009 ;
             fhir:system [ fhir:v "http://snomed.info/sct" ] ;
             fhir:code [ fhir:v "900000000000013009" ]
           ] ;
           fhir:value [ fhir:v "Salt Pomo" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "Northeastern Pomo" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "Northeastern Pomo" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "Northeastern Pomo" ]
         ] ) ;
         fhir:property ( [
           fhir:code [ fhir:v "status" ] ;
           fhir:value [ fhir:v "active" ]
         ] [
           fhir:code [ fhir:v "internalId" ] ;
           fhir:value [ fhir:v "18254" ]
         ] )
       ] [
         fhir:code [ fhir:v "x-PEO" ] ;
         fhir:display [ fhir:v "Southeastern Pomo" ] ;
         fhir:designation ( [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "Southeastern Pomo" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "Southeastern Pomo" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "Southeastern Pomo" ]
         ] ) ;
         fhir:property ( [
           fhir:code [ fhir:v "status" ] ;
           fhir:value [ fhir:v "active" ]
         ] [
           fhir:code [ fhir:v "internalId" ] ;
           fhir:value [ fhir:v "18256" ]
         ] )
       ] [
         fhir:code [ fhir:v "x-PEQ" ] ;
         fhir:display [ fhir:v "Southern Pomo" ] ;
         fhir:designation ( [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             a sct:900000000000013009 ;
             fhir:system [ fhir:v "http://snomed.info/sct" ] ;
             fhir:code [ fhir:v "900000000000013009" ]
           ] ;
           fhir:value [ fhir:v "Lower Lake Pomo" ]
         ] [
           fhir:language [ fhir: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 Pomo" ]
         ] [
           fhir:language [ fhir: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 Pomo" ]
         ] [
           fhir:language [ fhir: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 Pomo" ]
         ] ) ;
         fhir:property ( [
           fhir:code [ fhir:v "status" ] ;
           fhir:value [ fhir:v "active" ]
         ] [
           fhir:code [ fhir:v "internalId" ] ;
           fhir:value [ fhir:v "18270" ]
         ] )
       ] [
         fhir:code [ fhir:v "x-POO" ] ;
         fhir:display [ fhir:v "Central Pomo" ] ;
         fhir:designation ( [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             a sct:900000000000013009 ;
             fhir:system [ fhir:v "http://snomed.info/sct" ] ;
             fhir:code [ fhir:v "900000000000013009" ]
           ] ;
           fhir:value [ fhir:v "Ballo-Kai-Pomo" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             a sct:900000000000013009 ;
             fhir:system [ fhir:v "http://snomed.info/sct" ] ;
             fhir:code [ fhir:v "900000000000013009" ]
           ] ;
           fhir:value [ fhir:v "Cabanapo" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             a sct:900000000000013009 ;
             fhir:system [ fhir:v "http://snomed.info/sct" ] ;
             fhir:code [ fhir:v "900000000000013009" ]
           ] ;
           fhir:value [ fhir:v "Habenapo" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             a sct:900000000000013009 ;
             fhir:system [ fhir:v "http://snomed.info/sct" ] ;
             fhir:code [ fhir:v "900000000000013009" ]
           ] ;
           fhir:value [ fhir:v "H'hana" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             a sct:900000000000013009 ;
             fhir:system [ fhir:v "http://snomed.info/sct" ] ;
             fhir:code [ fhir:v "900000000000013009" ]
           ] ;
           fhir:value [ fhir:v "Kábinapek" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             a sct:900000000000013009 ;
             fhir:system [ fhir:v "http://snomed.info/sct" ] ;
             fhir:code [ fhir:v "900000000000013009" ]
           ] ;
           fhir:value [ fhir:v "Khabenapo" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             a sct:900000000000013009 ;
             fhir:system [ fhir:v "http://snomed.info/sct" ] ;
             fhir:code [ fhir:v "900000000000013009" ]
           ] ;
           fhir:value [ fhir:v "Khana" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             a sct:900000000000013009 ;
             fhir:system [ fhir:v "http://snomed.info/sct" ] ;
             fhir:code [ fhir:v "900000000000013009" ]
           ] ;
           fhir:value [ fhir:v "Kulanapan" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             a sct:900000000000013009 ;
             fhir:system [ fhir:v "http://snomed.info/sct" ] ;
             fhir:code [ fhir:v "900000000000013009" ]
           ] ;
           fhir:value [ fhir:v "Kulanapo" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             a sct:900000000000013009 ;
             fhir:system [ fhir:v "http://snomed.info/sct" ] ;
             fhir:code [ fhir:v "900000000000013009" ]
           ] ;
           fhir:value [ fhir:v "Venaambakaia" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             a sct:900000000000013009 ;
             fhir:system [ fhir:v "http://snomed.info/sct" ] ;
             fhir:code [ fhir:v "900000000000013009" ]
           ] ;
           fhir:value [ fhir:v "Venambakaiia" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             a sct:900000000000013009 ;
             fhir:system [ fhir:v "http://snomed.info/sct" ] ;
             fhir:code [ fhir:v "900000000000013009" ]
           ] ;
           fhir:value [ fhir:v "Yokaia" ]
         ] [
           fhir:language [ fhir: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 Pomo" ]
         ] [
           fhir:language [ fhir: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 Pomo" ]
         ] [
           fhir:language [ fhir: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 Pomo" ]
         ] ) ;
         fhir:property ( [
           fhir:code [ fhir:v "status" ] ;
           fhir:value [ fhir:v "active" ]
         ] [
           fhir:code [ fhir:v "internalId" ] ;
           fhir:value [ fhir:v "18257" ]
         ] )
       ] )
     ] [
       fhir:code [ fhir:v "_Shasta" ] ;
       fhir:display [ fhir:v "Shasta" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Shasta" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Shasta" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Shasta" ]
       ] ) ;
       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 "21018" ]
       ] ) ;
       fhir:concept ( [
         fhir:code [ fhir:v "x-SHT" ] ;
         fhir:display [ fhir:v "Shasta" ] ;
         fhir:designation ( [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             a sct:900000000000013009 ;
             fhir:system [ fhir:v "http://snomed.info/sct" ] ;
             fhir:code [ fhir:v "900000000000013009" ]
           ] ;
           fhir:value [ fhir:v "Sastean" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             a sct:900000000000013009 ;
             fhir:system [ fhir:v "http://snomed.info/sct" ] ;
             fhir:code [ fhir:v "900000000000013009" ]
           ] ;
           fhir:value [ fhir:v "Shastan" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "Shasta" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "Shasta" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "Shasta" ]
         ] ) ;
         fhir:property ( [
           fhir:code [ fhir:v "status" ] ;
           fhir:value [ fhir:v "active" ]
         ] [
           fhir:code [ fhir:v "internalId" ] ;
           fhir:value [ fhir:v "18245" ]
         ] )
       ] )
     ] [
       fhir:code [ fhir:v "x-KYH" ] ;
       fhir:display [ fhir:v "Karok" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           a sct:900000000000013009 ;
           fhir:system [ fhir:v "http://snomed.info/sct" ] ;
           fhir:code [ fhir:v "900000000000013009" ]
         ] ;
         fhir:value [ fhir:v "Karuk" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Karok" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Karok" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "18242" ]
       ] )
     ] [
       fhir:code [ fhir:v "x-WAS" ] ;
       fhir:display [ fhir:v "Washoe" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           a sct:900000000000013009 ;
           fhir:system [ fhir:v "http://snomed.info/sct" ] ;
           fhir:code [ fhir:v "900000000000013009" ]
         ] ;
         fhir:value [ fhir:v "Washo" ]
       ] [
         fhir:language [ fhir: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" ]
       ] [
         fhir:language [ fhir: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" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "18304" ]
       ] )
     ] )
  ] [
     fhir:code [ fhir:v "_Iroquoian" ] ;
     fhir:display [ fhir:v "Iroquoian" ] ;
     fhir:designation ( [
       fhir:language [ fhir:v "en" ] ;
       fhir:use [
         fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
         fhir:code [ fhir:v "display" ]
       ] ;
       fhir:value [ fhir:v "Iroquoian" ]
     ] [
       fhir:language [ fhir:v "en" ] ;
       fhir:use [
         fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
         fhir:code [ fhir:v "display" ]
       ] ;
       fhir:value [ fhir:v "Iroquoian" ]
     ] ) ;
     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 "20987" ]
     ] ) ;
     fhir:concept ( [
       fhir:code [ fhir:v "_NorthernIroquoian" ] ;
       fhir:display [ fhir:v "NorthernIroquoian" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "NorthernIroquoian" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "NorthernIroquoian" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "NorthernIroquoian" ]
       ] ) ;
       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 "21001" ]
       ] ) ;
       fhir:concept ( [
         fhir:code [ fhir:v "x-CAY" ] ;
         fhir:display [ fhir:v "Cayuga" ] ;
         fhir:designation ( [
           fhir:language [ fhir: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" ]
         ] [
           fhir:language [ fhir: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" ]
         ] [
           fhir:language [ fhir: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" ]
         ] ) ;
         fhir:property ( [
           fhir:code [ fhir:v "status" ] ;
           fhir:value [ fhir:v "active" ]
         ] [
           fhir:code [ fhir:v "internalId" ] ;
           fhir:value [ fhir:v "18310" ]
         ] )
       ] [
         fhir:code [ fhir:v "x-MOH" ] ;
         fhir:display [ fhir:v "Mohawk" ] ;
         fhir:designation ( [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             a sct:900000000000013009 ;
             fhir:system [ fhir:v "http://snomed.info/sct" ] ;
             fhir:code [ fhir:v "900000000000013009" ]
           ] ;
           fhir:value [ fhir:v "Kanien'kehaka" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "Mohawk" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "Mohawk" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "Mohawk" ]
         ] ) ;
         fhir:property ( [
           fhir:code [ fhir:v "status" ] ;
           fhir:value [ fhir:v "active" ]
         ] [
           fhir:code [ fhir:v "internalId" ] ;
           fhir:value [ fhir:v "18313" ]
         ] )
       ] [
         fhir:code [ fhir:v "x-ONE" ] ;
         fhir:display [ fhir:v "Oneida" ] ;
         fhir:designation ( [
           fhir:language [ fhir: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" ]
         ] [
           fhir:language [ fhir: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" ]
         ] [
           fhir:language [ fhir: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" ]
         ] ) ;
         fhir:property ( [
           fhir:code [ fhir:v "status" ] ;
           fhir:value [ fhir:v "active" ]
         ] [
           fhir:code [ fhir:v "internalId" ] ;
           fhir:value [ fhir:v "18315" ]
         ] )
       ] [
         fhir:code [ fhir:v "x-ONO" ] ;
         fhir:display [ fhir:v "Onondaga" ] ;
         fhir:designation ( [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             a sct:900000000000013009 ;
             fhir:system [ fhir:v "http://snomed.info/sct" ] ;
             fhir:code [ fhir:v "900000000000013009" ]
           ] ;
           fhir:value [ fhir:v "Onandaga" ]
         ] [
           fhir:language [ fhir: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" ]
         ] [
           fhir:language [ fhir: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" ]
         ] [
           fhir:language [ fhir: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" ]
         ] ) ;
         fhir:property ( [
           fhir:code [ fhir:v "status" ] ;
           fhir:value [ fhir:v "active" ]
         ] [
           fhir:code [ fhir:v "internalId" ] ;
           fhir:value [ fhir:v "18311" ]
         ] )
       ] [
         fhir:code [ fhir:v "x-SEE" ] ;
         fhir:display [ fhir:v "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 "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 "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 "Seneca" ]
         ] ) ;
         fhir:property ( [
           fhir:code [ fhir:v "status" ] ;
           fhir:value [ fhir:v "active" ]
         ] [
           fhir:code [ fhir:v "internalId" ] ;
           fhir:value [ fhir:v "18309" ]
         ] )
       ] [
         fhir:code [ fhir:v "x-TUS" ] ;
         fhir:display [ fhir:v "Tuscarora" ] ;
         fhir:designation ( [
           fhir:language [ fhir: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" ]
         ] [
           fhir:language [ fhir: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" ]
         ] [
           fhir:language [ fhir: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" ]
         ] ) ;
         fhir:property ( [
           fhir:code [ fhir:v "status" ] ;
           fhir:value [ fhir:v "active" ]
         ] [
           fhir:code [ fhir:v "internalId" ] ;
           fhir:value [ fhir:v "18308" ]
         ] )
       ] )
     ] [
       fhir:code [ fhir:v "x-CER" ] ;
       fhir:display [ fhir:v "Cherokee" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           a sct:900000000000013009 ;
           fhir:system [ fhir:v "http://snomed.info/sct" ] ;
           fhir:code [ fhir:v "900000000000013009" ]
         ] ;
         fhir:value [ fhir:v "Tsalagi" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           a sct:900000000000013009 ;
           fhir:system [ fhir:v "http://snomed.info/sct" ] ;
           fhir:code [ fhir:v "900000000000013009" ]
         ] ;
         fhir:value [ fhir:v "Tslagi" ]
       ] [
         fhir:language [ fhir: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" ]
       ] [
         fhir:language [ fhir: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" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "18316" ]
       ] )
     ] )
  ] [
     fhir:code [ fhir:v "_Keresan" ] ;
     fhir:display [ fhir:v "Keresan" ] ;
     fhir:designation ( [
       fhir:language [ fhir:v "en" ] ;
       fhir:use [
         fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
         fhir:code [ fhir:v "display" ]
       ] ;
       fhir:value [ fhir:v "Keresan" ]
     ] [
       fhir:language [ fhir:v "en" ] ;
       fhir:use [
         fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
         fhir:code [ fhir:v "display" ]
       ] ;
       fhir:value [ fhir:v "Keresan" ]
     ] ) ;
     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 "20989" ]
     ] ) ;
     fhir:concept ( [
       fhir:code [ fhir:v "x-KEE" ] ;
       fhir:display [ fhir:v "Rio Grande Keresan" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           a sct:900000000000013009 ;
           fhir:system [ fhir:v "http://snomed.info/sct" ] ;
           fhir:code [ fhir:v "900000000000013009" ]
         ] ;
         fhir:value [ fhir:v "Eastern Keres Pueblo" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           a sct:900000000000013009 ;
           fhir:system [ fhir:v "http://snomed.info/sct" ] ;
           fhir:code [ fhir:v "900000000000013009" ]
         ] ;
         fhir:value [ fhir:v "Eastern Keresan" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Rio Grande Keresan" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Rio Grande Keresan" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "18324" ]
       ] )
     ] [
       fhir:code [ fhir:v "x-KJQ" ] ;
       fhir:display [ fhir:v "Acoma-Laguna" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           a sct:900000000000013009 ;
           fhir:system [ fhir:v "http://snomed.info/sct" ] ;
           fhir:code [ fhir:v "900000000000013009" ]
         ] ;
         fhir:value [ fhir:v "Western Keres" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           a sct:900000000000013009 ;
           fhir:system [ fhir:v "http://snomed.info/sct" ] ;
           fhir:code [ fhir:v "900000000000013009" ]
         ] ;
         fhir:value [ fhir:v "Western Keres Pueblo" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           a sct:900000000000013009 ;
           fhir:system [ fhir:v "http://snomed.info/sct" ] ;
           fhir:code [ fhir:v "900000000000013009" ]
         ] ;
         fhir:value [ fhir:v "Western Keresan" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Acoma-Laguna" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Acoma-Laguna" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "18320" ]
       ] )
     ] )
  ] [
     fhir:code [ fhir:v "_KiowaTanoan" ] ;
     fhir:display [ fhir:v "KiowaTanoan" ] ;
     fhir:designation ( [
       fhir:language [ fhir:v "en" ] ;
       fhir:use [
         fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
         fhir:code [ fhir:v "display" ]
       ] ;
       fhir:value [ fhir:v "KiowaTanoan" ]
     ] [
       fhir:language [ fhir:v "en" ] ;
       fhir:use [
         fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
         fhir:code [ fhir:v "display" ]
       ] ;
       fhir:value [ fhir:v "KiowaTanoan" ]
     ] ) ;
     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 "20990" ]
     ] ) ;
     fhir:concept ( [
       fhir:code [ fhir:v "_Tiwa" ] ;
       fhir:display [ fhir:v "Tiwa" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Tiwa" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Tiwa" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Tiwa" ]
       ] ) ;
       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 "21031" ]
       ] ) ;
       fhir:concept ( [
         fhir:code [ fhir:v "x-TAO" ] ;
         fhir:display [ fhir:v "Northern Tiwa" ] ;
         fhir:designation ( [
           fhir:language [ fhir: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 Tiwa" ]
         ] [
           fhir:language [ fhir: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 Tiwa" ]
         ] [
           fhir:language [ fhir: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 Tiwa" ]
         ] ) ;
         fhir:property ( [
           fhir:code [ fhir:v "status" ] ;
           fhir:value [ fhir:v "active" ]
         ] [
           fhir:code [ fhir:v "internalId" ] ;
           fhir:value [ fhir:v "18332" ]
         ] )
       ] [
         fhir:code [ fhir:v "x-TIX" ] ;
         fhir:display [ fhir:v "Southern Tiwa" ] ;
         fhir:designation ( [
           fhir:language [ fhir: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 Tiwa" ]
         ] [
           fhir:language [ fhir: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 Tiwa" ]
         ] [
           fhir:language [ fhir: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 Tiwa" ]
         ] ) ;
         fhir:property ( [
           fhir:code [ fhir:v "status" ] ;
           fhir:value [ fhir:v "active" ]
         ] [
           fhir:code [ fhir:v "internalId" ] ;
           fhir:value [ fhir:v "18333" ]
         ] )
       ] )
     ] [
       fhir:code [ fhir:v "x-KIO" ] ;
       fhir:display [ fhir:v "Kiowa" ] ;
       fhir:designation ( [
         fhir:language [ fhir: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" ]
       ] [
         fhir:language [ fhir: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" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "18328" ]
       ] )
     ] [
       fhir:code [ fhir:v "x-TEW" ] ;
       fhir:display [ fhir:v "Tewa" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Tewa" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Tewa" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "18334" ]
       ] )
     ] [
       fhir:code [ fhir:v "x-TOW" ] ;
       fhir:display [ fhir:v "Jemez" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           a sct:900000000000013009 ;
           fhir:system [ fhir:v "http://snomed.info/sct" ] ;
           fhir:code [ fhir:v "900000000000013009" ]
         ] ;
         fhir:value [ fhir:v "Towa" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Jemez" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Jemez" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "18329" ]
       ] )
     ] )
  ] [
     fhir:code [ fhir:v "_Muskogean" ] ;
     fhir:display [ fhir:v "Muskogean" ] ;
     fhir:designation ( [
       fhir:language [ fhir:v "en" ] ;
       fhir:use [
         fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
         fhir:code [ fhir:v "display" ]
       ] ;
       fhir:value [ fhir:v "Muskogean" ]
     ] [
       fhir:language [ fhir:v "en" ] ;
       fhir:use [
         fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
         fhir:code [ fhir:v "display" ]
       ] ;
       fhir:value [ fhir:v "Muskogean" ]
     ] ) ;
     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 "20997" ]
     ] ) ;
     fhir:concept ( [
       fhir:code [ fhir:v "_CentralMuskogean" ] ;
       fhir:display [ fhir:v "CentralMuskogean" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "CentralMuskogean" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "CentralMuskogean" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "CentralMuskogean" ]
       ] ) ;
       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 "20963" ]
       ] ) ;
       fhir:concept ( [
         fhir:code [ fhir:v "x-AKZ" ] ;
         fhir:display [ fhir:v "Alabama" ] ;
         fhir:designation ( [
           fhir:language [ fhir: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" ]
         ] [
           fhir:language [ fhir: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" ]
         ] [
           fhir:language [ fhir: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" ]
         ] ) ;
         fhir:property ( [
           fhir:code [ fhir:v "status" ] ;
           fhir:value [ fhir:v "active" ]
         ] [
           fhir:code [ fhir:v "internalId" ] ;
           fhir:value [ fhir:v "18343" ]
         ] )
       ] [
         fhir:code [ fhir:v "x-CKU" ] ;
         fhir:display [ fhir:v "Koasati" ] ;
         fhir:designation ( [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             a sct:900000000000013009 ;
             fhir:system [ fhir:v "http://snomed.info/sct" ] ;
             fhir:code [ fhir:v "900000000000013009" ]
           ] ;
           fhir:value [ fhir:v "Coushatta" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "Koasati" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "Koasati" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "Koasati" ]
         ] ) ;
         fhir:property ( [
           fhir:code [ fhir:v "status" ] ;
           fhir:value [ fhir:v "active" ]
         ] [
           fhir:code [ fhir:v "internalId" ] ;
           fhir:value [ fhir:v "18348" ]
         ] )
       ] [
         fhir:code [ fhir:v "x-MIK" ] ;
         fhir:display [ fhir:v "Mikasuki" ] ;
         fhir:designation ( [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             a sct:900000000000013009 ;
             fhir:system [ fhir:v "http://snomed.info/sct" ] ;
             fhir:code [ fhir:v "900000000000013009" ]
           ] ;
           fhir:value [ fhir:v "Hitchiti" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
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             fhir:system [ fhir:v "http://snomed.info/sct" ] ;
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           fhir:value [ fhir:v "Miccosukee" ]
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           fhir:language [ fhir:v "en" ] ;
           fhir:use [
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             fhir:system [ fhir:v "http://snomed.info/sct" ] ;
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           fhir:value [ fhir:v "Mikasuki Seminole" ]
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           fhir:language [ fhir:v "en" ] ;
           fhir:use [
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             fhir:code [ fhir:v "display" ]
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             fhir:code [ fhir:v "display" ]
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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 "Mikasuki" ]
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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 "18344" ]
         ] )
       ] )
     ] [
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       fhir:display [ fhir:v "WesternMuskogean" ] ;
       fhir:designation ( [
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           fhir:code [ fhir:v "display" ]
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         fhir:value [ fhir:v "WesternMuskogean" ]
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           fhir:code [ fhir:v "display" ]
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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" ]
         ] ;
         fhir:value [ fhir:v "WesternMuskogean" ]
       ] ) ;
       fhir:property ( [
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         fhir:value [ fhir:v "true" ]
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         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "21040" ]
       ] ) ;
       fhir:concept ( [
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         fhir:display [ fhir:v "Choctaw" ] ;
         fhir:designation ( [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
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             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "Choctaw" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
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             fhir:code [ fhir:v "display" ]
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           fhir:value [ fhir:v "Choctaw" ]
         ] [
           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 "Choctaw" ]
         ] ) ;
         fhir:property ( [
           fhir:code [ fhir:v "status" ] ;
           fhir:value [ fhir:v "active" ]
         ] [
           fhir:code [ fhir:v "internalId" ] ;
           fhir:value [ fhir:v "18341" ]
         ] )
       ] [
         fhir:code [ fhir:v "x-CIC" ] ;
         fhir:display [ fhir:v "Chickasaw" ] ;
         fhir:designation ( [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "Chickasaw" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "Chickasaw" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "Chickasaw" ]
         ] ) ;
         fhir:property ( [
           fhir:code [ fhir:v "status" ] ;
           fhir:value [ fhir:v "active" ]
         ] [
           fhir:code [ fhir:v "internalId" ] ;
           fhir:value [ fhir:v "18340" ]
         ] )
       ] )
     ] [
       fhir:code [ fhir:v "x-CRK" ] ;
       fhir:display [ fhir:v "Creek" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           a sct:900000000000013009 ;
           fhir:system [ fhir:v "http://snomed.info/sct" ] ;
           fhir:code [ fhir:v "900000000000013009" ]
         ] ;
         fhir:value [ fhir:v "Muskogee" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "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 "Creek" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "18350" ]
       ] )
     ] )
  ] [
     fhir:code [ fhir:v "_Nadene" ] ;
     fhir:display [ fhir:v "Nadene" ] ;
     fhir:designation ( [
       fhir:language [ fhir:v "en" ] ;
       fhir:use [
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         fhir:code [ fhir:v "display" ]
       ] ;
       fhir:value [ fhir:v "Nadene" ]
     ] [
       fhir:language [ fhir:v "en" ] ;
       fhir:use [
         fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
         fhir:code [ fhir:v "display" ]
       ] ;
       fhir:value [ fhir:v "Nadene" ]
     ] ) ;
     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 "20998" ]
     ] ) ;
     fhir:concept ( [
       fhir:code [ fhir:v "_AthapaskanEyak" ] ;
       fhir:display [ fhir:v "AthapaskanEyak" ] ;
       fhir: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 "AthapaskanEyak" ]
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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" ]
         ] ;
         fhir:value [ fhir:v "AthapaskanEyak" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "AthapaskanEyak" ]
       ] ) ;
       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 "20958" ]
       ] ) ;
       fhir:concept ( [
         fhir:code [ fhir:v "_Athapaskan" ] ;
         fhir:display [ fhir:v "Athapaskan" ] ;
         fhir:designation ( [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "Athapaskan" ]
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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" ]
           ] ;
           fhir:value [ fhir:v "Athapaskan" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "Athapaskan" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "Athapaskan" ]
         ] ) ;
         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 "20957" ]
         ] ) ;
         fhir:concept ( [
           fhir:code [ fhir:v "_Apachean" ] ;
           fhir:display [ fhir:v "Apachean" ] ;
           fhir:designation ( [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
               fhir:code [ fhir:v "display" ]
             ] ;
             fhir:value [ fhir:v "Apachean" ]
           ] [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
               fhir:code [ fhir:v "display" ]
             ] ;
             fhir:value [ fhir:v "Apachean" ]
           ] [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
               fhir:code [ fhir:v "display" ]
             ] ;
             fhir:value [ fhir:v "Apachean" ]
           ] [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
               fhir:code [ fhir:v "display" ]
             ] ;
             fhir:value [ fhir:v "Apachean" ]
           ] [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
               fhir:code [ fhir:v "display" ]
             ] ;
             fhir:value [ fhir:v "Apachean" ]
           ] ) ;
           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 "20954" ]
           ] ) ;
           fhir:concept ( [
             fhir:code [ fhir:v "_EasternApachean" ] ;
             fhir:display [ fhir:v "EasternApachean" ] ;
             fhir:designation ( [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
                 fhir:code [ fhir:v "display" ]
               ] ;
               fhir:value [ fhir:v "EasternApachean" ]
             ] [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
                 fhir:code [ fhir:v "display" ]
               ] ;
               fhir:value [ fhir:v "EasternApachean" ]
             ] [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
                 fhir:code [ fhir:v "display" ]
               ] ;
               fhir:value [ fhir:v "EasternApachean" ]
             ] [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
                 fhir:code [ fhir:v "display" ]
               ] ;
               fhir:value [ fhir:v "EasternApachean" ]
             ] [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
                 fhir:code [ fhir:v "display" ]
               ] ;
               fhir:value [ fhir:v "EasternApachean" ]
             ] [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
                 fhir:code [ fhir:v "display" ]
               ] ;
               fhir:value [ fhir:v "EasternApachean" ]
             ] ) ;
             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 "20980" ]
             ] ) ;
             fhir:concept ( [
               fhir:code [ fhir:v "x-APJ" ] ;
               fhir:display [ fhir:v "Jicarilla" ] ;
               fhir:designation ( [
                 fhir:language [ fhir:v "en" ] ;
                 fhir:use [
                   a sct:900000000000013009 ;
                   fhir:system [ fhir:v "http://snomed.info/sct" ] ;
                   fhir:code [ fhir:v "900000000000013009" ]
                 ] ;
                 fhir:value [ fhir:v "Jicarilla Apache" ]
               ] [
                 fhir:language [ fhir: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" ]
               ] [
                 fhir:language [ fhir: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" ]
               ] [
                 fhir:language [ fhir: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" ]
               ] [
                 fhir:language [ fhir: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" ]
               ] [
                 fhir:language [ fhir: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" ]
               ] [
                 fhir:language [ fhir: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" ]
               ] ) ;
               fhir:property ( [
                 fhir:code [ fhir:v "status" ] ;
                 fhir:value [ fhir:v "active" ]
               ] [
                 fhir:code [ fhir:v "internalId" ] ;
                 fhir:value [ fhir:v "18408" ]
               ] )
             ] [
               fhir:code [ fhir:v "x-APL" ] ;
               fhir:display [ fhir:v "Lipan" ] ;
               fhir:designation ( [
                 fhir:language [ fhir:v "en" ] ;
                 fhir:use [
                   a sct:900000000000013009 ;
                   fhir:system [ fhir:v "http://snomed.info/sct" ] ;
                   fhir:code [ fhir:v "900000000000013009" ]
                 ] ;
                 fhir:value [ fhir:v "Lipan Apache" ]
               ] [
                 fhir:language [ fhir:v "en" ] ;
                 fhir:use [
                   fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
                   fhir:code [ fhir:v "display" ]
                 ] ;
                 fhir:value [ fhir:v "Lipan" ]
               ] [
                 fhir:language [ fhir:v "en" ] ;
                 fhir:use [
                   fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
                   fhir:code [ fhir:v "display" ]
                 ] ;
                 fhir:value [ fhir:v "Lipan" ]
               ] [
                 fhir:language [ fhir:v "en" ] ;
                 fhir:use [
                   fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
                   fhir:code [ fhir:v "display" ]
                 ] ;
                 fhir:value [ fhir:v "Lipan" ]
               ] [
                 fhir:language [ fhir:v "en" ] ;
                 fhir:use [
                   fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
                   fhir:code [ fhir:v "display" ]
                 ] ;
                 fhir:value [ fhir:v "Lipan" ]
               ] [
                 fhir:language [ fhir:v "en" ] ;
                 fhir:use [
                   fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
                   fhir:code [ fhir:v "display" ]
                 ] ;
                 fhir:value [ fhir:v "Lipan" ]
               ] [
                 fhir:language [ fhir:v "en" ] ;
                 fhir:use [
                   fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
                   fhir:code [ fhir:v "display" ]
                 ] ;
                 fhir:value [ fhir:v "Lipan" ]
               ] ) ;
               fhir:property ( [
                 fhir:code [ fhir:v "status" ] ;
                 fhir:value [ fhir:v "active" ]
               ] [
                 fhir:code [ fhir:v "internalId" ] ;
                 fhir:value [ fhir:v "18410" ]
               ] )
             ] )
           ] [
             fhir:code [ fhir:v "_WesternApachean" ] ;
             fhir:display [ fhir:v "WesternApachean" ] ;
             fhir:designation ( [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
                 fhir:code [ fhir:v "display" ]
               ] ;
               fhir:value [ fhir:v "WesternApachean" ]
             ] [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
                 fhir:code [ fhir:v "display" ]
               ] ;
               fhir:value [ fhir:v "WesternApachean" ]
             ] [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
                 fhir:code [ fhir:v "display" ]
               ] ;
               fhir:value [ fhir:v "WesternApachean" ]
             ] [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
                 fhir:code [ fhir:v "display" ]
               ] ;
               fhir:value [ fhir:v "WesternApachean" ]
             ] [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
                 fhir:code [ fhir:v "display" ]
               ] ;
               fhir:value [ fhir:v "WesternApachean" ]
             ] [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
                 fhir:code [ fhir:v "display" ]
               ] ;
               fhir:value [ fhir:v "WesternApachean" ]
             ] ) ;
             fhir:property ( [
               fhir:code [ fhir:v "notSelectable" ] ;
               fhir:value [ fhir:v "true" ]
             ] [
               fhir:code [ fhir:v "status" ] ;
               fhir:value [ fhir:v "active" ]
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               fhir:code [ fhir:v "internalId" ] ;
               fhir:value [ fhir:v "21038" ]
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               fhir:display [ fhir:v "Mescalero-Chiricahua" ] ;
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                 fhir:value [ fhir:v "Mescalero-Chiricahua" ]
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                   fhir:code [ fhir:v "display" ]
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                 fhir:use [
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                   fhir:code [ fhir:v "display" ]
                 ] ;
                 fhir:value [ fhir:v "Mescalero-Chiricahua" ]
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                 fhir:value [ fhir:v "active" ]
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                 fhir:value [ fhir:v "18406" ]
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               fhir:display [ fhir:v "Western Apache" ] ;
               fhir:designation ( [
                 fhir:language [ fhir:v "en" ] ;
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                 fhir:value [ fhir:v "Coyotero" ]
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                   fhir:code [ fhir:v "display" ]
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                 fhir:value [ fhir:v "Western Apache" ]
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                   fhir:code [ fhir:v "display" ]
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                 fhir:value [ fhir:v "Western Apache" ]
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                 fhir:value [ fhir:v "Western Apache" ]
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                 fhir:value [ fhir:v "active" ]
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                 fhir:code [ fhir:v "internalId" ] ;
                 fhir:value [ fhir:v "18404" ]
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               fhir:code [ fhir:v "x-NAV" ] ;
               fhir:display [ fhir:v "Dine" ] ;
               fhir:designation ( [
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                 fhir:value [ fhir:v "Navajo" ]
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                 fhir:use [
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                   fhir:code [ fhir:v "display" ]
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                 fhir:value [ fhir:v "active" ]
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                 fhir:value [ fhir:v "18401" ]
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             fhir:display [ fhir:v "Kiowa Apache" ] ;
             fhir:designation ( [
               fhir:language [ fhir:v "en" ] ;
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                 fhir:code [ fhir:v "display" ]
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               fhir:use [
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                 fhir:code [ fhir:v "display" ]
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               fhir:language [ fhir:v "en" ] ;
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                 fhir:code [ fhir:v "display" ]
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               fhir:language [ fhir:v "en" ] ;
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                 fhir:code [ fhir:v "display" ]
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               fhir:value [ fhir:v "Kiowa Apache" ]
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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 "18412" ]
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           fhir:display [ fhir:v "CentralAlaskaYukon" ] ;
           fhir:designation ( [
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               fhir:code [ fhir:v "display" ]
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             fhir:language [ fhir:v "en" ] ;
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             fhir:language [ fhir:v "en" ] ;
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             fhir:language [ fhir:v "en" ] ;
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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 "active" ]
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             fhir:code [ fhir:v "internalId" ] ;
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             fhir:display [ fhir:v "KoyukonIngalik" ] ;
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               fhir:language [ fhir:v "en" ] ;
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               fhir:language [ fhir:v "en" ] ;
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               fhir:value [ fhir:v "20991" ]
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               fhir:display [ fhir:v "Holikachuk" ] ;
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                 fhir:language [ fhir:v "en" ] ;
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                 fhir:language [ fhir:v "en" ] ;
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                   fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
                   fhir:code [ fhir:v "display" ]
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                 fhir:language [ fhir:v "en" ] ;
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                 fhir:language [ fhir:v "en" ] ;
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                 fhir:language [ fhir:v "en" ] ;
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                   fhir:code [ fhir:v "display" ]
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                 fhir:language [ fhir:v "en" ] ;
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                 fhir:value [ fhir:v "active" ]
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                 fhir:value [ fhir:v "18367" ]
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             ] [
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               fhir:display [ fhir:v "Koyukon" ] ;
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                 fhir:language [ fhir:v "en" ] ;
                 fhir:use [
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                   fhir:code [ fhir:v "display" ]
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                 fhir:language [ fhir:v "en" ] ;
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                 fhir:language [ fhir:v "en" ] ;
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                 fhir:language [ fhir:v "en" ] ;
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                   fhir:code [ fhir:v "display" ]
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                 fhir:language [ fhir:v "en" ] ;
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                   fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
                   fhir:code [ fhir:v "display" ]
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                 fhir:code [ fhir:v "status" ] ;
                 fhir:value [ fhir:v "active" ]
               ] [
                 fhir:code [ fhir:v "internalId" ] ;
                 fhir:value [ fhir:v "18369" ]
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           ] [
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             fhir:display [ fhir:v "KutchinHan" ] ;
             fhir:designation ( [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
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                 fhir:code [ fhir:v "display" ]
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               fhir:language [ fhir:v "en" ] ;
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               fhir:language [ fhir:v "en" ] ;
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                 fhir:code [ fhir:v "display" ]
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               fhir:language [ fhir:v "en" ] ;
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                 fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
                 fhir:code [ fhir:v "display" ]
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               fhir:language [ fhir:v "en" ] ;
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                 fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
                 fhir:code [ fhir:v "display" ]
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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:property ( [
               fhir:code [ fhir:v "notSelectable" ] ;
               fhir:value [ fhir:v "true" ]
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               fhir:code [ fhir:v "status" ] ;
               fhir:value [ fhir:v "active" ]
             ] [
               fhir:code [ fhir:v "internalId" ] ;
               fhir:value [ fhir:v "20992" ]
             ] ) ;
             fhir:concept ( [
               fhir:code [ fhir:v "x-HAA" ] ;
               fhir:display [ fhir:v "Han" ] ;
               fhir:designation ( [
                 fhir:language [ fhir:v "en" ] ;
                 fhir:use [
                   a sct:900000000000013009 ;
                   fhir:system [ fhir:v "http://snomed.info/sct" ] ;
                   fhir:code [ fhir:v "900000000000013009" ]
                 ] ;
                 fhir:value [ fhir:v "Dawson" ]
               ] [
                 fhir:language [ fhir:v "en" ] ;
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                   fhir:system [ fhir:v "http://snomed.info/sct" ] ;
                   fhir:code [ fhir:v "900000000000013009" ]
                 ] ;
                 fhir:value [ fhir:v "Han-Kutchin" ]
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                 fhir:language [ fhir:v "en" ] ;
                 fhir:use [
                   a sct:900000000000013009 ;
                   fhir:system [ fhir:v "http://snomed.info/sct" ] ;
                   fhir:code [ fhir:v "900000000000013009" ]
                 ] ;
                 fhir:value [ fhir:v "Moosehide" ]
               ] [
                 fhir:language [ fhir:v "en" ] ;
                 fhir:use [
                   fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
                   fhir:code [ fhir:v "display" ]
                 ] ;
                 fhir:value [ fhir:v "Han" ]
               ] [
                 fhir:language [ fhir:v "en" ] ;
                 fhir:use [
                   fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
                   fhir:code [ fhir:v "display" ]
                 ] ;
                 fhir:value [ fhir:v "Han" ]
               ] [
                 fhir:language [ fhir:v "en" ] ;
                 fhir:use [
                   fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
                   fhir:code [ fhir:v "display" ]
                 ] ;
                 fhir:value [ fhir:v "Han" ]
               ] [
                 fhir:language [ fhir:v "en" ] ;
                 fhir:use [
                   fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
                   fhir:code [ fhir:v "display" ]
                 ] ;
                 fhir:value [ fhir:v "Han" ]
               ] [
                 fhir:language [ fhir:v "en" ] ;
                 fhir:use [
                   fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
                   fhir:code [ fhir:v "display" ]
                 ] ;
                 fhir:value [ fhir:v "Han" ]
               ] [
                 fhir:language [ fhir:v "en" ] ;
                 fhir:use [
                   fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
                   fhir:code [ fhir:v "display" ]
                 ] ;
                 fhir:value [ fhir:v "Han" ]
               ] ) ;
               fhir:property ( [
                 fhir:code [ fhir:v "status" ] ;
                 fhir:value [ fhir:v "active" ]
               ] [
                 fhir:code [ fhir:v "internalId" ] ;
                 fhir:value [ fhir:v "18382" ]
               ] )
             ] [
               fhir:code [ fhir:v "x-KUC" ] ;
               fhir:display [ fhir:v "Kutchin" ] ;
               fhir:designation ( [
                 fhir:language [ fhir:v "en" ] ;
                 fhir:use [
                   a sct:900000000000013009 ;
                   fhir:system [ fhir:v "http://snomed.info/sct" ] ;
                   fhir:code [ fhir:v "900000000000013009" ]
                 ] ;
                 fhir:value [ fhir:v "Gwich'in" ]
               ] [
                 fhir:language [ fhir:v "en" ] ;
                 fhir:use [
                   fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
                   fhir:code [ fhir:v "display" ]
                 ] ;
                 fhir:value [ fhir:v "Kutchin" ]
               ] [
                 fhir:language [ fhir:v "en" ] ;
                 fhir:use [
                   fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
                   fhir:code [ fhir:v "display" ]
                 ] ;
                 fhir:value [ fhir:v "Kutchin" ]
               ] [
                 fhir:language [ fhir:v "en" ] ;
                 fhir:use [
                   fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
                   fhir:code [ fhir:v "display" ]
                 ] ;
                 fhir:value [ fhir:v "Kutchin" ]
               ] [
                 fhir:language [ fhir:v "en" ] ;
                 fhir:use [
                   fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
                   fhir:code [ fhir:v "display" ]
                 ] ;
                 fhir:value [ fhir:v "Kutchin" ]
               ] [
                 fhir:language [ fhir:v "en" ] ;
                 fhir:use [
                   fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
                   fhir:code [ fhir:v "display" ]
                 ] ;
                 fhir:value [ fhir:v "Kutchin" ]
               ] [
                 fhir:language [ fhir:v "en" ] ;
                 fhir:use [
                   fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
                   fhir:code [ fhir:v "display" ]
                 ] ;
                 fhir:value [ fhir:v "Kutchin" ]
               ] ) ;
               fhir:property ( [
                 fhir:code [ fhir:v "status" ] ;
                 fhir:value [ fhir:v "active" ]
               ] [
                 fhir:code [ fhir:v "internalId" ] ;
                 fhir:value [ fhir:v "18380" ]
               ] )
             ] )
           ] [
             fhir:code [ fhir:v "_TananaTutchone" ] ;
             fhir:display [ fhir:v "TananaTutchone" ] ;
             fhir:designation ( [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
                 fhir:code [ fhir:v "display" ]
               ] ;
               fhir:value [ fhir:v "TananaTutchone" ]
             ] [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
                 fhir:code [ fhir:v "display" ]
               ] ;
               fhir:value [ fhir:v "TananaTutchone" ]
             ] [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
                 fhir:code [ fhir:v "display" ]
               ] ;
               fhir:value [ fhir:v "TananaTutchone" ]
             ] [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
                 fhir:code [ fhir:v "display" ]
               ] ;
               fhir:value [ fhir:v "TananaTutchone" ]
             ] [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
                 fhir:code [ fhir:v "display" ]
               ] ;
               fhir:value [ fhir:v "TananaTutchone" ]
             ] [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
                 fhir:code [ fhir:v "display" ]
               ] ;
               fhir:value [ fhir:v "TananaTutchone" ]
             ] ) ;
             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 "21028" ]
             ] ) ;
             fhir:concept ( [
               fhir:code [ fhir:v "_Tanana" ] ;
               fhir:display [ fhir:v "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 "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 "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 "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 "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 "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 "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 "Tanana" ]
               ] ) ;
               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 "21027" ]
               ] ) ;
               fhir:concept ( [
                 fhir:code [ fhir:v "x-TAA" ] ;
                 fhir:display [ fhir:v "Lower 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 "Lower 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 "Lower 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 "Lower 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 "Lower 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 "Lower 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 "Lower 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 "Lower Tanana" ]
                 ] ) ;
                 fhir:property ( [
                   fhir:code [ fhir:v "status" ] ;
                   fhir:value [ fhir:v "active" ]
                 ] [
                   fhir:code [ fhir:v "internalId" ] ;
                   fhir:value [ fhir:v "18375" ]
                 ] )
               ] [
                 fhir:code [ fhir:v "x-TAU" ] ;
                 fhir:display [ fhir:v "Upper Tanana" ] ;
                 fhir:designation ( [
                   fhir:language [ fhir:v "en" ] ;
                   fhir:use [
                     a sct:900000000000013009 ;
                     fhir:system [ fhir:v "http://snomed.info/sct" ] ;
                     fhir:code [ fhir:v "900000000000013009" ]
                   ] ;
                   fhir:value [ fhir:v "Nabesna" ]
                 ] [
                   fhir:language [ fhir: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 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 "Upper 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 "Upper 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 "Upper 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 "Upper 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 "Upper 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 "Upper Tanana" ]
                 ] ) ;
                 fhir:property ( [
                   fhir:code [ fhir:v "status" ] ;
                   fhir:value [ fhir:v "active" ]
                 ] [
                   fhir:code [ fhir:v "internalId" ] ;
                   fhir:value [ fhir:v "18377" ]
                 ] )
               ] [
                 fhir:code [ fhir:v "x-TCB" ] ;
                 fhir:display [ fhir:v "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 "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 "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 "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 "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 "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 "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 "Tanacross" ]
                 ] ) ;
                 fhir:property ( [
                   fhir:code [ fhir:v "status" ] ;
                   fhir:value [ fhir:v "active" ]
                 ] [
                   fhir:code [ fhir:v "internalId" ] ;
                   fhir:value [ fhir:v "18376" ]
                 ] )
               ] )
             ] [
               fhir:code [ fhir:v "x-KUU" ] ;
               fhir:display [ fhir:v "Upper Kuskokwim" ] ;
               fhir:designation ( [
                 fhir:language [ fhir:v "en" ] ;
                 fhir:use [
                   a sct:900000000000013009 ;
                   fhir:system [ fhir:v "http://snomed.info/sct" ] ;
                   fhir:code [ fhir:v "900000000000013009" ]
                 ] ;
                 fhir:value [ fhir:v "Mcgrath Ingalik" ]
               ] [
                 fhir:language [ fhir: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 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 "Upper 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 "Upper 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 "Upper 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 "Upper 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 "Upper Kuskokwim" ]
               ] ) ;
               fhir:property ( [
                 fhir:code [ fhir:v "status" ] ;
                 fhir:value [ fhir:v "active" ]
               ] [
                 fhir:code [ fhir:v "internalId" ] ;
                 fhir:value [ fhir:v "18372" ]
               ] )
             ] )
           ] )
         ] [
           fhir:code [ fhir:v "_PacificCoastAthapaskan" ] ;
           fhir:display [ fhir:v "PacificCoastAthapaskan" ] ;
           fhir:designation ( [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
               fhir:code [ fhir:v "display" ]
             ] ;
             fhir:value [ fhir:v "PacificCoastAthapaskan" ]
           ] [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
               fhir:code [ fhir:v "display" ]
             ] ;
             fhir:value [ fhir:v "PacificCoastAthapaskan" ]
           ] [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
               fhir:code [ fhir:v "display" ]
             ] ;
             fhir:value [ fhir:v "PacificCoastAthapaskan" ]
           ] [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
               fhir:code [ fhir:v "display" ]
             ] ;
             fhir:value [ fhir:v "PacificCoastAthapaskan" ]
           ] [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
               fhir:code [ fhir:v "display" ]
             ] ;
             fhir:value [ fhir:v "PacificCoastAthapaskan" ]
           ] ) ;
           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 "21005" ]
           ] ) ;
           fhir:concept ( [
             fhir:code [ fhir:v "_CaliforniaAthapaskan" ] ;
             fhir:display [ fhir:v "CaliforniaAthapaskan" ] ;
             fhir:designation ( [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
                 fhir:code [ fhir:v "display" ]
               ] ;
               fhir:value [ fhir:v "CaliforniaAthapaskan" ]
             ] [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
                 fhir:code [ fhir:v "display" ]
               ] ;
               fhir:value [ fhir:v "CaliforniaAthapaskan" ]
             ] [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
                 fhir:code [ fhir:v "display" ]
               ] ;
               fhir:value [ fhir:v "CaliforniaAthapaskan" ]
             ] [
               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:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "18353" ]
       ] )
     ] )
  ] [
     fhir:code [ fhir:v "_Penutian" ] ;
     fhir:display [ fhir:v "Penutian" ] ;
     fhir:designation ( [
       fhir:language [ fhir:v "en" ] ;
       fhir:use [
         fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
         fhir:code [ fhir:v "display" ]
       ] ;
       fhir:value [ fhir:v "Penutian" ]
     ] [
       fhir:language [ fhir:v "en" ] ;
       fhir:use [
         fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
         fhir:code [ fhir:v "display" ]
       ] ;
       fhir:value [ fhir:v "Penutian" ]
     ] ) ;
     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 "21008" ]
     ] ) ;
     fhir:concept ( [
       fhir:code [ fhir:v "_Chinookan" ] ;
       fhir:display [ fhir:v "Chinookan" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Chinookan" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Chinookan" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Chinookan" ]
       ] ) ;
       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 "20967" ]
       ] ) ;
       fhir:concept ( [
         fhir:code [ fhir:v "_UpperChinook" ] ;
         fhir:display [ fhir:v "UpperChinook" ] ;
         fhir:designation ( [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "UpperChinook" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "UpperChinook" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "UpperChinook" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "UpperChinook" ]
         ] ) ;
         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 "21034" ]
         ] ) ;
         fhir:concept ( [
           fhir:code [ fhir:v "x-WAC" ] ;
           fhir:display [ fhir:v "Kiksht" ] ;
           fhir:designation ( [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               a sct:900000000000013009 ;
               fhir:system [ fhir:v "http://snomed.info/sct" ] ;
               fhir:code [ fhir:v "900000000000013009" ]
             ] ;
             fhir:value [ fhir:v "Cascades-Wasco-Wishram" ]
           ] [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               a sct:900000000000013009 ;
               fhir:system [ fhir:v "http://snomed.info/sct" ] ;
               fhir:code [ fhir:v "900000000000013009" ]
             ] ;
             fhir:value [ fhir:v "Multnomah-Clackamas" ]
           ] [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               a sct:900000000000013009 ;
               fhir:system [ fhir:v "http://snomed.info/sct" ] ;
               fhir:code [ fhir:v "900000000000013009" ]
             ] ;
             fhir:value [ fhir:v "Upper Chinook" ]
           ] [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               a sct:900000000000013009 ;
               fhir:system [ fhir:v "http://snomed.info/sct" ] ;
               fhir:code [ fhir:v "900000000000013009" ]
             ] ;
             fhir:value [ fhir:v "Wasco-Wishram" ]
           ] [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
               fhir:code [ fhir:v "display" ]
             ] ;
             fhir:value [ fhir:v "Kiksht" ]
           ] [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
               fhir:code [ fhir:v "display" ]
             ] ;
             fhir:value [ fhir:v "Kiksht" ]
           ] [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
               fhir:code [ fhir:v "display" ]
             ] ;
             fhir:value [ fhir:v "Kiksht" ]
           ] [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
               fhir:code [ fhir:v "display" ]
             ] ;
             fhir:value [ fhir:v "Kiksht" ]
           ] ) ;
           fhir:property ( [
             fhir:code [ fhir:v "status" ] ;
             fhir:value [ fhir:v "active" ]
           ] [
             fhir:code [ fhir:v "internalId" ] ;
             fhir:value [ fhir:v "18416" ]
           ] )
         ] )
       ] )
     ] [
       fhir:code [ fhir:v "_Coosan" ] ;
       fhir:display [ fhir:v "Coosan" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Coosan" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Coosan" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Coosan" ]
       ] ) ;
       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 "20970" ]
       ] ) ;
       fhir:concept ( [
         fhir:code [ fhir:v "x-COS" ] ;
         fhir:display [ fhir:v "Hanis" ] ;
         fhir:designation ( [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             a sct:900000000000013009 ;
             fhir:system [ fhir:v "http://snomed.info/sct" ] ;
             fhir:code [ fhir:v "900000000000013009" ]
           ] ;
           fhir:value [ fhir:v "Coos" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "Hanis" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "Hanis" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "Hanis" ]
         ] ) ;
         fhir:property ( [
           fhir:code [ fhir:v "status" ] ;
           fhir:value [ fhir:v "active" ]
         ] [
           fhir:code [ fhir:v "internalId" ] ;
           fhir:value [ fhir:v "18422" ]
         ] )
       ] )
     ] [
       fhir:code [ fhir:v "_Maiduan" ] ;
       fhir:display [ fhir:v "Maiduan" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Maiduan" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Maiduan" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Maiduan" ]
       ] ) ;
       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 "20993" ]
       ] ) ;
       fhir:concept ( [
         fhir:code [ fhir:v "x-MAI" ] ;
         fhir:display [ fhir:v "Northwest Maidu" ] ;
         fhir:designation ( [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             a sct:900000000000013009 ;
             fhir:system [ fhir:v "http://snomed.info/sct" ] ;
             fhir:code [ fhir:v "900000000000013009" ]
           ] ;
           fhir:value [ fhir:v "Concow" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             a sct:900000000000013009 ;
             fhir:system [ fhir:v "http://snomed.info/sct" ] ;
             fhir:code [ fhir:v "900000000000013009" ]
           ] ;
           fhir:value [ fhir:v "Digger" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             a sct:900000000000013009 ;
             fhir:system [ fhir:v "http://snomed.info/sct" ] ;
             fhir:code [ fhir:v "900000000000013009" ]
           ] ;
           fhir:value [ fhir:v "Holólupai" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             a sct:900000000000013009 ;
             fhir:system [ fhir:v "http://snomed.info/sct" ] ;
             fhir:code [ fhir:v "900000000000013009" ]
           ] ;
           fhir:value [ fhir:v "Konkau" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             a sct:900000000000013009 ;
             fhir:system [ fhir:v "http://snomed.info/sct" ] ;
             fhir:code [ fhir:v "900000000000013009" ]
           ] ;
           fhir:value [ fhir:v "Konkow" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             a sct:900000000000013009 ;
             fhir:system [ fhir:v "http://snomed.info/sct" ] ;
             fhir:code [ fhir:v "900000000000013009" ]
           ] ;
           fhir:value [ fhir:v "Maiduan" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             a sct:900000000000013009 ;
             fhir:system [ fhir:v "http://snomed.info/sct" ] ;
             fhir:code [ fhir:v "900000000000013009" ]
           ] ;
           fhir:value [ fhir:v "Meidoo" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             a sct:900000000000013009 ;
             fhir:system [ fhir:v "http://snomed.info/sct" ] ;
             fhir:code [ fhir:v "900000000000013009" ]
           ] ;
           fhir:value [ fhir:v "Michopdo" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             a sct:900000000000013009 ;
             fhir:system [ fhir:v "http://snomed.info/sct" ] ;
             fhir:code [ fhir:v "900000000000013009" ]
           ] ;
           fhir:value [ fhir:v "Nákum" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             a sct:900000000000013009 ;
             fhir:system [ fhir:v "http://snomed.info/sct" ] ;
             fhir:code [ fhir:v "900000000000013009" ]
           ] ;
           fhir:value [ fhir:v "Secumne" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             a sct:900000000000013009 ;
             fhir:system [ fhir:v "http://snomed.info/sct" ] ;
             fhir:code [ fhir:v "900000000000013009" ]
           ] ;
           fhir:value [ fhir:v "Sekumne" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             a sct:900000000000013009 ;
             fhir:system [ fhir:v "http://snomed.info/sct" ] ;
             fhir:code [ fhir:v "900000000000013009" ]
           ] ;
           fhir:value [ fhir:v "Tsamak" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             a sct:900000000000013009 ;
             fhir:system [ fhir:v "http://snomed.info/sct" ] ;
             fhir:code [ fhir:v "900000000000013009" ]
           ] ;
           fhir:value [ fhir:v "Yuba" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "Northwest Maidu" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "Northwest Maidu" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "Northwest Maidu" ]
         ] ) ;
         fhir:property ( [
           fhir:code [ fhir:v "status" ] ;
           fhir:value [ fhir:v "active" ]
         ] [
           fhir:code [ fhir:v "internalId" ] ;
           fhir:value [ fhir:v "18438" ]
         ] )
       ] [
         fhir:code [ fhir:v "x-NMU" ] ;
         fhir:display [ fhir:v "Northeast Maidu" ] ;
         fhir:designation ( [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             a sct:900000000000013009 ;
             fhir:system [ fhir:v "http://snomed.info/sct" ] ;
             fhir:code [ fhir:v "900000000000013009" ]
           ] ;
           fhir:value [ fhir:v "Mountain Maidu" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "Northeast Maidu" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "Northeast Maidu" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "Northeast Maidu" ]
         ] ) ;
         fhir:property ( [
           fhir:code [ fhir:v "status" ] ;
           fhir:value [ fhir:v "active" ]
         ] [
           fhir:code [ fhir:v "internalId" ] ;
           fhir:value [ fhir:v "18436" ]
         ] )
       ] [
         fhir:code [ fhir:v "x-NSZ" ] ;
         fhir:display [ fhir:v "Nisenan" ] ;
         fhir:designation ( [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             a sct:900000000000013009 ;
             fhir:system [ fhir:v "http://snomed.info/sct" ] ;
             fhir:code [ fhir:v "900000000000013009" ]
           ] ;
           fhir:value [ fhir:v "Neeshenam" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             a sct:900000000000013009 ;
             fhir:system [ fhir:v "http://snomed.info/sct" ] ;
             fhir:code [ fhir:v "900000000000013009" ]
           ] ;
           fhir:value [ fhir:v "Nishinam" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             a sct:900000000000013009 ;
             fhir:system [ fhir:v "http://snomed.info/sct" ] ;
             fhir:code [ fhir:v "900000000000013009" ]
           ] ;
           fhir:value [ fhir:v "Pujuni" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             a sct:900000000000013009 ;
             fhir:system [ fhir:v "http://snomed.info/sct" ] ;
             fhir:code [ fhir:v "900000000000013009" ]
           ] ;
           fhir:value [ fhir:v "Southern Maidu" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             a sct:900000000000013009 ;
             fhir:system [ fhir:v "http://snomed.info/sct" ] ;
             fhir:code [ fhir:v "900000000000013009" ]
           ] ;
           fhir:value [ fhir:v "Wapumni" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "Nisenan" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "Nisenan" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "Nisenan" ]
         ] ) ;
         fhir:property ( [
           fhir:code [ fhir:v "status" ] ;
           fhir:value [ fhir:v "active" ]
         ] [
           fhir:code [ fhir:v "internalId" ] ;
           fhir:value [ fhir:v "18452" ]
         ] )
       ] )
     ] [
       fhir:code [ fhir:v "_PlateauPenutian" ] ;
       fhir:display [ fhir:v "PlateauPenutian" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "PlateauPenutian" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "PlateauPenutian" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "PlateauPenutian" ]
       ] ) ;
       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 "21010" ]
       ] ) ;
       fhir:concept ( [
         fhir:code [ fhir:v "_Sahaptian" ] ;
         fhir:display [ fhir:v "Sahaptian" ] ;
         fhir:designation ( [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "Sahaptian" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "Sahaptian" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "Sahaptian" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "Sahaptian" ]
         ] ) ;
         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 "21014" ]
         ] ) ;
         fhir:concept ( [
           fhir:code [ fhir:v "x-UMA" ] ;
           fhir:display [ fhir:v "Umatilla" ] ;
           fhir:designation ( [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               a sct:900000000000013009 ;
               fhir:system [ fhir:v "http://snomed.info/sct" ] ;
               fhir:code [ fhir:v "900000000000013009" ]
             ] ;
             fhir:value [ fhir:v "Columbia River Sahaptin" ]
           ] [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
               fhir:code [ fhir:v "display" ]
             ] ;
             fhir:value [ fhir:v "Umatilla" ]
           ] [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
               fhir:code [ fhir:v "display" ]
             ] ;
             fhir:value [ fhir:v "Umatilla" ]
           ] [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
               fhir:code [ fhir:v "display" ]
             ] ;
             fhir:value [ fhir:v "Umatilla" ]
           ] [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
               fhir:code [ fhir:v "display" ]
             ] ;
             fhir:value [ fhir:v "Umatilla" ]
           ] ) ;
           fhir:property ( [
             fhir:code [ fhir:v "status" ] ;
             fhir:value [ fhir:v "active" ]
           ] [
             fhir:code [ fhir:v "internalId" ] ;
             fhir:value [ fhir:v "18503" ]
           ] )
         ] [
           fhir:code [ fhir:v "x-WAA" ] ;
           fhir:display [ fhir:v "Walla Walla" ] ;
           fhir:designation ( [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               a sct:900000000000013009 ;
               fhir:system [ fhir:v "http://snomed.info/sct" ] ;
               fhir:code [ fhir:v "900000000000013009" ]
             ] ;
             fhir:value [ fhir:v "Northeast Sahaptin" ]
           ] [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
               fhir:code [ fhir:v "display" ]
             ] ;
             fhir:value [ fhir:v "Walla Walla" ]
           ] [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
               fhir:code [ fhir:v "display" ]
             ] ;
             fhir:value [ fhir:v "Walla Walla" ]
           ] [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
               fhir:code [ fhir:v "display" ]
             ] ;
             fhir:value [ fhir:v "Walla Walla" ]
           ] [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
               fhir:code [ fhir:v "display" ]
             ] ;
             fhir:value [ fhir:v "Walla Walla" ]
           ] ) ;
           fhir:property ( [
             fhir:code [ fhir:v "status" ] ;
             fhir:value [ fhir:v "active" ]
           ] [
             fhir:code [ fhir:v "internalId" ] ;
             fhir:value [ fhir:v "18505" ]
           ] )
         ] [
           fhir:code [ fhir:v "x-WAR" ] ;
           fhir:display [ fhir:v "Tenino" ] ;
           fhir:designation ( [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               a sct:900000000000013009 ;
               fhir:system [ fhir:v "http://snomed.info/sct" ] ;
               fhir:code [ fhir:v "900000000000013009" ]
             ] ;
             fhir:value [ fhir:v "Warm Springs" ]
           ] [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
               fhir:code [ fhir:v "display" ]
             ] ;
             fhir:value [ fhir:v "Tenino" ]
           ] [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
               fhir:code [ fhir:v "display" ]
             ] ;
             fhir:value [ fhir:v "Tenino" ]
           ] [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
               fhir:code [ fhir:v "display" ]
             ] ;
             fhir:value [ fhir:v "Tenino" ]
           ] [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
               fhir:code [ fhir:v "display" ]
             ] ;
             fhir:value [ fhir:v "Tenino" ]
           ] ) ;
           fhir:property ( [
             fhir:code [ fhir:v "status" ] ;
             fhir:value [ fhir:v "active" ]
           ] [
             fhir:code [ fhir:v "internalId" ] ;
             fhir:value [ fhir:v "18501" ]
           ] )
         ] [
           fhir:code [ fhir:v "x-YAK" ] ;
           fhir:display [ fhir:v "Yakima" ] ;
           fhir:designation ( [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               a sct:900000000000013009 ;
               fhir:system [ fhir:v "http://snomed.info/sct" ] ;
               fhir:code [ fhir:v "900000000000013009" ]
             ] ;
             fhir:value [ fhir:v "Northwest Sahaptin" ]
           ] [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               a sct:900000000000013009 ;
               fhir:system [ fhir:v "http://snomed.info/sct" ] ;
               fhir:code [ fhir:v "900000000000013009" ]
             ] ;
             fhir:value [ fhir:v "Yakima And Klikitat" ]
           ] [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
               fhir:code [ fhir:v "display" ]
             ] ;
             fhir:value [ fhir:v "Yakima" ]
           ] [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
               fhir:code [ fhir:v "display" ]
             ] ;
             fhir:value [ fhir:v "Yakima" ]
           ] [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
               fhir:code [ fhir:v "display" ]
             ] ;
             fhir:value [ fhir:v "Yakima" ]
           ] [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
               fhir:code [ fhir:v "display" ]
             ] ;
             fhir:value [ fhir:v "Yakima" ]
           ] ) ;
           fhir:property ( [
             fhir:code [ fhir:v "status" ] ;
             fhir:value [ fhir:v "active" ]
           ] [
             fhir:code [ fhir:v "internalId" ] ;
             fhir:value [ fhir:v "18507" ]
           ] )
         ] )
       ] [
         fhir:code [ fhir:v "x-KLA" ] ;
         fhir:display [ fhir:v "Klamath-Modoc" ] ;
         fhir:designation ( [
           fhir:language [ fhir: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-Modoc" ]
         ] [
           fhir:language [ fhir: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-Modoc" ]
         ] [
           fhir:language [ fhir: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-Modoc" ]
         ] ) ;
         fhir:property ( [
           fhir:code [ fhir:v "status" ] ;
           fhir:value [ fhir:v "active" ]
         ] [
           fhir:code [ fhir:v "internalId" ] ;
           fhir:value [ fhir:v "18499" ]
         ] )
       ] [
         fhir:code [ fhir:v "x-NEZ" ] ;
         fhir:display [ fhir:v "Nez Perce" ] ;
         fhir:designation ( [
           fhir:language [ fhir: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" ]
         ] [
           fhir:language [ fhir: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" ]
         ] [
           fhir:language [ fhir: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" ]
         ] ) ;
         fhir:property ( [
           fhir:code [ fhir:v "status" ] ;
           fhir:value [ fhir:v "active" ]
         ] [
           fhir:code [ fhir:v "internalId" ] ;
           fhir:value [ fhir:v "18510" ]
         ] )
       ] )
     ] [
       fhir:code [ fhir:v "_Takelman" ] ;
       fhir:display [ fhir:v "Takelman" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Takelman" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Takelman" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Takelman" ]
       ] ) ;
       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 "21025" ]
       ] ) ;
       fhir:concept ( [
         fhir:code [ fhir:v "_Kalapuyan" ] ;
         fhir:display [ fhir:v "Kalapuyan" ] ;
         fhir:designation ( [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "Kalapuyan" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "Kalapuyan" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "Kalapuyan" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "Kalapuyan" ]
         ] ) ;
         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 "20988" ]
         ] ) ;
         fhir:concept ( [
           fhir:code [ fhir:v "x-KAL" ] ;
           fhir:display [ fhir:v "Central Kalapuyan" ] ;
           fhir:designation ( [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               a sct:900000000000013009 ;
               fhir:system [ fhir:v "http://snomed.info/sct" ] ;
               fhir:code [ fhir:v "900000000000013009" ]
             ] ;
             fhir:value [ fhir:v "Kalapuya" ]
           ] [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               a sct:900000000000013009 ;
               fhir:system [ fhir:v "http://snomed.info/sct" ] ;
               fhir:code [ fhir:v "900000000000013009" ]
             ] ;
             fhir:value [ fhir:v "Lukamiute" ]
           ] [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               a sct:900000000000013009 ;
               fhir:system [ fhir:v "http://snomed.info/sct" ] ;
               fhir:code [ fhir:v "900000000000013009" ]
             ] ;
             fhir:value [ fhir:v "Santiam" ]
           ] [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               a sct:900000000000013009 ;
               fhir:system [ fhir:v "http://snomed.info/sct" ] ;
               fhir:code [ fhir:v "900000000000013009" ]
             ] ;
             fhir:value [ fhir:v "Wapatu" ]
           ] [
             fhir:language [ fhir: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 Kalapuyan" ]
           ] [
             fhir:language [ fhir: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 Kalapuyan" ]
           ] [
             fhir:language [ fhir: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 Kalapuyan" ]
           ] [
             fhir:language [ fhir: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 Kalapuyan" ]
           ] ) ;
           fhir:property ( [
             fhir:code [ fhir:v "status" ] ;
             fhir:value [ fhir:v "active" ]
           ] [
             fhir:code [ fhir:v "internalId" ] ;
             fhir:value [ fhir:v "18426" ]
           ] )
         ] )
       ] )
     ] [
       fhir:code [ fhir:v "_Tsimshianic" ] ;
       fhir:display [ fhir:v "Tsimshianic" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Tsimshianic" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Tsimshianic" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Tsimshianic" ]
       ] ) ;
       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 "21033" ]
       ] ) ;
       fhir:concept ( [
         fhir:code [ fhir:v "x-TSI" ] ;
         fhir:display [ fhir:v "Coast Tsimshain" ] ;
         fhir:designation ( [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             a sct:900000000000013009 ;
             fhir:system [ fhir:v "http://snomed.info/sct" ] ;
             fhir:code [ fhir:v "900000000000013009" ]
           ] ;
           fhir:value [ fhir:v "Chimmezyan" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             a sct:900000000000013009 ;
             fhir:system [ fhir:v "http://snomed.info/sct" ] ;
             fhir:code [ fhir:v "900000000000013009" ]
           ] ;
           fhir:value [ fhir:v "Coast And Southern Tsimshian" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             a sct:900000000000013009 ;
             fhir:system [ fhir:v "http://snomed.info/sct" ] ;
             fhir:code [ fhir:v "900000000000013009" ]
           ] ;
           fhir:value [ fhir:v "Sm'algyax" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             a sct:900000000000013009 ;
             fhir:system [ fhir:v "http://snomed.info/sct" ] ;
             fhir:code [ fhir:v "900000000000013009" ]
           ] ;
           fhir:value [ fhir:v "Tsimpshean" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             a sct:900000000000013009 ;
             fhir:system [ fhir:v "http://snomed.info/sct" ] ;
             fhir:code [ fhir:v "900000000000013009" ]
           ] ;
           fhir:value [ fhir:v "Zimshian" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "Coast Tsimshain" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "Coast Tsimshain" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "Coast Tsimshain" ]
         ] ) ;
         fhir:property ( [
           fhir:code [ fhir:v "status" ] ;
           fhir:value [ fhir:v "active" ]
         ] [
           fhir:code [ fhir:v "internalId" ] ;
           fhir:value [ fhir:v "18512" ]
         ] )
       ] )
     ] [
       fhir:code [ fhir:v "_Utian" ] ;
       fhir:display [ fhir:v "Utian" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Utian" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Utian" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Utian" ]
       ] ) ;
       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 "21035" ]
       ] ) ;
       fhir:concept ( [
         fhir:code [ fhir:v "_Miwokan" ] ;
         fhir:display [ fhir:v "Miwokan" ] ;
         fhir:designation ( [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "Miwokan" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "Miwokan" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "Miwokan" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "Miwokan" ]
         ] ) ;
         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 "20996" ]
         ] ) ;
         fhir:concept ( [
           fhir:code [ fhir:v "_EasternMiwok" ] ;
           fhir:display [ fhir:v "EasternMiwok" ] ;
           fhir:designation ( [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
               fhir:code [ fhir:v "display" ]
             ] ;
             fhir:value [ fhir:v "EasternMiwok" ]
           ] [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
               fhir:code [ fhir:v "display" ]
             ] ;
             fhir:value [ fhir:v "EasternMiwok" ]
           ] [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
               fhir:code [ fhir:v "display" ]
             ] ;
             fhir:value [ fhir:v "EasternMiwok" ]
           ] [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
               fhir:code [ fhir:v "display" ]
             ] ;
             fhir:value [ fhir:v "EasternMiwok" ]
           ] [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
               fhir:code [ fhir:v "display" ]
             ] ;
             fhir:value [ fhir:v "EasternMiwok" ]
           ] ) ;
           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 "20981" ]
           ] ) ;
           fhir:concept ( [
             fhir:code [ fhir:v "x-CSM" ] ;
             fhir:display [ fhir:v "Central Sierra Miwok" ] ;
             fhir:designation ( [
               fhir:language [ fhir: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 Sierra Miwok" ]
             ] [
               fhir:language [ fhir: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 Sierra Miwok" ]
             ] [
               fhir:language [ fhir: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 Sierra Miwok" ]
             ] [
               fhir:language [ fhir: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 Sierra Miwok" ]
             ] [
               fhir:language [ fhir: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 Sierra Miwok" ]
             ] ) ;
             fhir:property ( [
               fhir:code [ fhir:v "status" ] ;
               fhir:value [ fhir:v "active" ]
             ] [
               fhir:code [ fhir:v "internalId" ] ;
               fhir:value [ fhir:v "18467" ]
             ] )
           ] [
             fhir:code [ fhir:v "x-NSQ" ] ;
             fhir:display [ fhir:v "Northern Sierra Miwok" ] ;
             fhir:designation ( [
               fhir:language [ fhir: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 Sierra Miwok" ]
             ] [
               fhir:language [ fhir: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 Sierra Miwok" ]
             ] [
               fhir:language [ fhir: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 Sierra Miwok" ]
             ] [
               fhir:language [ fhir: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 Sierra Miwok" ]
             ] [
               fhir:language [ fhir: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 Sierra Miwok" ]
             ] ) ;
             fhir:property ( [
               fhir:code [ fhir:v "status" ] ;
               fhir:value [ fhir:v "active" ]
             ] [
               fhir:code [ fhir:v "internalId" ] ;
               fhir:value [ fhir:v "18466" ]
             ] )
           ] [
             fhir:code [ fhir:v "x-PMW" ] ;
             fhir:display [ fhir:v "Plains Miwok" ] ;
             fhir:designation ( [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 a sct:900000000000013009 ;
                 fhir:system [ fhir:v "http://snomed.info/sct" ] ;
                 fhir:code [ fhir:v "900000000000013009" ]
               ] ;
               fhir:value [ fhir:v "Valley Miwok" ]
             ] [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
                 fhir:code [ fhir:v "display" ]
               ] ;
               fhir:value [ fhir:v "Plains Miwok" ]
             ] [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
                 fhir:code [ fhir:v "display" ]
               ] ;
               fhir:value [ fhir:v "Plains Miwok" ]
             ] [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
                 fhir:code [ fhir:v "display" ]
               ] ;
               fhir:value [ fhir:v "Plains Miwok" ]
             ] [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
                 fhir:code [ fhir:v "display" ]
               ] ;
               fhir:value [ fhir:v "Plains Miwok" ]
             ] [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
                 fhir:code [ fhir:v "display" ]
               ] ;
               fhir:value [ fhir:v "Plains Miwok" ]
             ] ) ;
             fhir:property ( [
               fhir:code [ fhir:v "status" ] ;
               fhir:value [ fhir:v "active" ]
             ] [
               fhir:code [ fhir:v "internalId" ] ;
               fhir:value [ fhir:v "18464" ]
             ] )
           ] [
             fhir:code [ fhir:v "x-SKD" ] ;
             fhir:display [ fhir:v "Southern Sierra Miwok" ] ;
             fhir:designation ( [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 a sct:900000000000013009 ;
                 fhir:system [ fhir:v "http://snomed.info/sct" ] ;
                 fhir:code [ fhir:v "900000000000013009" ]
               ] ;
               fhir:value [ fhir:v "Meewoc" ]
             ] [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 a sct:900000000000013009 ;
                 fhir:system [ fhir:v "http://snomed.info/sct" ] ;
                 fhir:code [ fhir:v "900000000000013009" ]
               ] ;
               fhir:value [ fhir:v "Mewoc" ]
             ] [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 a sct:900000000000013009 ;
                 fhir:system [ fhir:v "http://snomed.info/sct" ] ;
                 fhir:code [ fhir:v "900000000000013009" ]
               ] ;
               fhir:value [ fhir:v "Me-Wuk" ]
             ] [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 a sct:900000000000013009 ;
                 fhir:system [ fhir:v "http://snomed.info/sct" ] ;
                 fhir:code [ fhir:v "900000000000013009" ]
               ] ;
               fhir:value [ fhir:v "Miwoc" ]
             ] [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 a sct:900000000000013009 ;
                 fhir:system [ fhir:v "http://snomed.info/sct" ] ;
                 fhir:code [ fhir:v "900000000000013009" ]
               ] ;
               fhir:value [ fhir:v "Miwokan" ]
             ] [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 a sct:900000000000013009 ;
                 fhir:system [ fhir:v "http://snomed.info/sct" ] ;
                 fhir:code [ fhir:v "900000000000013009" ]
               ] ;
               fhir:value [ fhir:v "Mokélumne" ]
             ] [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 a sct:900000000000013009 ;
                 fhir:system [ fhir:v "http://snomed.info/sct" ] ;
                 fhir:code [ fhir:v "900000000000013009" ]
               ] ;
               fhir:value [ fhir:v "Moquelumnan" ]
             ] [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 a sct:900000000000013009 ;
                 fhir:system [ fhir:v "http://snomed.info/sct" ] ;
                 fhir:code [ fhir:v "900000000000013009" ]
               ] ;
               fhir:value [ fhir:v "San Raphael" ]
             ] [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 a sct:900000000000013009 ;
                 fhir:system [ fhir:v "http://snomed.info/sct" ] ;
                 fhir:code [ fhir:v "900000000000013009" ]
               ] ;
               fhir:value [ fhir:v "Talatui" ]
             ] [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 a sct:900000000000013009 ;
                 fhir:system [ fhir:v "http://snomed.info/sct" ] ;
                 fhir:code [ fhir:v "900000000000013009" ]
               ] ;
               fhir:value [ fhir:v "Talutui" ]
             ] [
               fhir:language [ fhir: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 Sierra Miwok" ]
             ] [
               fhir:language [ fhir: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 Sierra Miwok" ]
             ] [
               fhir:language [ fhir: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 Sierra Miwok" ]
             ] [
               fhir:language [ fhir: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 Sierra Miwok" ]
             ] [
               fhir:language [ fhir: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 Sierra Miwok" ]
             ] ) ;
             fhir:property ( [
               fhir:code [ fhir:v "status" ] ;
               fhir:value [ fhir:v "active" ]
             ] [
               fhir:code [ fhir:v "internalId" ] ;
               fhir:value [ fhir:v "18468" ]
             ] )
           ] )
         ] [
           fhir:code [ fhir:v "_WesternMiwok" ] ;
           fhir:display [ fhir:v "WesternMiwok" ] ;
           fhir:designation ( [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
               fhir:code [ fhir:v "display" ]
             ] ;
             fhir:value [ fhir:v "WesternMiwok" ]
           ] [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
               fhir:code [ fhir:v "display" ]
             ] ;
             fhir:value [ fhir:v "WesternMiwok" ]
           ] [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
               fhir:code [ fhir:v "display" ]
             ] ;
             fhir:value [ fhir:v "WesternMiwok" ]
           ] [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
               fhir:code [ fhir:v "display" ]
             ] ;
             fhir:value [ fhir:v "WesternMiwok" ]
           ] [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
               fhir:code [ fhir:v "display" ]
             ] ;
             fhir:value [ fhir:v "WesternMiwok" ]
           ] ) ;
           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 "21039" ]
           ] ) ;
           fhir:concept ( [
             fhir:code [ fhir:v "x-CSI" ] ;
             fhir:display [ fhir:v "Coast Miwok" ] ;
             fhir:designation ( [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
                 fhir:code [ fhir:v "display" ]
               ] ;
               fhir:value [ fhir:v "Coast Miwok" ]
             ] [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
                 fhir:code [ fhir:v "display" ]
               ] ;
               fhir:value [ fhir:v "Coast Miwok" ]
             ] [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
                 fhir:code [ fhir:v "display" ]
               ] ;
               fhir:value [ fhir:v "Coast Miwok" ]
             ] [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
                 fhir:code [ fhir:v "display" ]
               ] ;
               fhir:value [ fhir:v "Coast Miwok" ]
             ] [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
                 fhir:code [ fhir:v "display" ]
               ] ;
               fhir:value [ fhir:v "Coast Miwok" ]
             ] ) ;
             fhir:property ( [
               fhir:code [ fhir:v "status" ] ;
               fhir:value [ fhir:v "active" ]
             ] [
               fhir:code [ fhir:v "internalId" ] ;
               fhir:value [ fhir:v "18461" ]
             ] )
           ] [
             fhir:code [ fhir:v "x-LMW" ] ;
             fhir:display [ fhir:v "Lake Miwok" ] ;
             fhir:designation ( [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
                 fhir:code [ fhir:v "display" ]
               ] ;
               fhir:value [ fhir:v "Lake Miwok" ]
             ] [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
                 fhir:code [ fhir:v "display" ]
               ] ;
               fhir:value [ fhir:v "Lake Miwok" ]
             ] [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
                 fhir:code [ fhir:v "display" ]
               ] ;
               fhir:value [ fhir:v "Lake Miwok" ]
             ] [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
                 fhir:code [ fhir:v "display" ]
               ] ;
               fhir:value [ fhir:v "Lake Miwok" ]
             ] [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
                 fhir:code [ fhir:v "display" ]
               ] ;
               fhir:value [ fhir:v "Lake Miwok" ]
             ] ) ;
             fhir:property ( [
               fhir:code [ fhir:v "status" ] ;
               fhir:value [ fhir:v "active" ]
             ] [
               fhir:code [ fhir:v "internalId" ] ;
               fhir:value [ fhir:v "18462" ]
             ] )
           ] )
         ] )
       ] )
     ] [
       fhir:code [ fhir:v "_Wintuan" ] ;
       fhir:display [ fhir:v "Wintuan" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Wintuan" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Wintuan" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Wintuan" ]
       ] ) ;
       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 "21042" ]
       ] ) ;
       fhir:concept ( [
         fhir:code [ fhir:v "x-WIT" ] ;
         fhir:display [ fhir:v "Wintu-Nomlaki" ] ;
         fhir:designation ( [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             a sct:900000000000013009 ;
             fhir:system [ fhir:v "http://snomed.info/sct" ] ;
             fhir:code [ fhir:v "900000000000013009" ]
           ] ;
           fhir:value [ fhir:v "Wintu" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             a sct:900000000000013009 ;
             fhir:system [ fhir:v "http://snomed.info/sct" ] ;
             fhir:code [ fhir:v "900000000000013009" ]
           ] ;
           fhir:value [ fhir:v "Wintun" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "Wintu-Nomlaki" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "Wintu-Nomlaki" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "Wintu-Nomlaki" ]
         ] ) ;
         fhir:property ( [
           fhir:code [ fhir:v "status" ] ;
           fhir:value [ fhir:v "active" ]
         ] [
           fhir:code [ fhir:v "internalId" ] ;
           fhir:value [ fhir:v "18432" ]
         ] )
       ] )
     ] [
       fhir:code [ fhir:v "_Yokutsan" ] ;
       fhir:display [ fhir:v "Yokutsan" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Yokutsan" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Yokutsan" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Yokutsan" ]
       ] ) ;
       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 "21043" ]
       ] ) ;
       fhir:concept ( [
         fhir:code [ fhir:v "x-ENH" ] ;
         fhir:display [ fhir:v "Kings River" ] ;
         fhir:designation ( [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             a sct:900000000000013009 ;
             fhir:system [ fhir:v "http://snomed.info/sct" ] ;
             fhir:code [ fhir:v "900000000000013009" ]
           ] ;
           fhir:value [ fhir:v "Aiticha" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             a sct:900000000000013009 ;
             fhir:system [ fhir:v "http://snomed.info/sct" ] ;
             fhir:code [ fhir:v "900000000000013009" ]
           ] ;
           fhir:value [ fhir:v "Choinimni" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             a sct:900000000000013009 ;
             fhir:system [ fhir:v "http://snomed.info/sct" ] ;
             fhir:code [ fhir:v "900000000000013009" ]
           ] ;
           fhir:value [ fhir:v "Chukaimina" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             a sct:900000000000013009 ;
             fhir:system [ fhir:v "http://snomed.info/sct" ] ;
             fhir:code [ fhir:v "900000000000013009" ]
           ] ;
           fhir:value [ fhir:v "Entimbich" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             a sct:900000000000013009 ;
             fhir:system [ fhir:v "http://snomed.info/sct" ] ;
             fhir:code [ fhir:v "900000000000013009" ]
           ] ;
           fhir:value [ fhir:v "Kocheyali" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "Kings 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 "Kings 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 "Kings River" ]
         ] ) ;
         fhir:property ( [
           fhir:code [ fhir:v "status" ] ;
           fhir:value [ fhir:v "active" ]
         ] [
           fhir:code [ fhir:v "internalId" ] ;
           fhir:value [ fhir:v "18489" ]
         ] )
       ] [
         fhir:code [ fhir:v "x-GSH" ] ;
         fhir:display [ fhir:v "Gashowu" ] ;
         fhir:designation ( [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             a sct:900000000000013009 ;
             fhir:system [ fhir:v "http://snomed.info/sct" ] ;
             fhir:code [ fhir:v "900000000000013009" ]
           ] ;
           fhir:value [ fhir:v "Goshowi" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "Gashowu" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "Gashowu" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "Gashowu" ]
         ] ) ;
         fhir:property ( [
           fhir:code [ fhir:v "status" ] ;
           fhir:value [ fhir:v "active" ]
         ] [
           fhir:code [ fhir:v "internalId" ] ;
           fhir:value [ fhir:v "18480" ]
         ] )
       ] [
         fhir:code [ fhir:v "x-PYL" ] ;
         fhir:display [ fhir:v "Poso Creek" ] ;
         fhir:designation ( [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             a sct:900000000000013009 ;
             fhir:system [ fhir:v "http://snomed.info/sct" ] ;
             fhir:code [ fhir:v "900000000000013009" ]
           ] ;
           fhir:value [ fhir:v "Kumachisi" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             a sct:900000000000013009 ;
             fhir:system [ fhir:v "http://snomed.info/sct" ] ;
             fhir:code [ fhir:v "900000000000013009" ]
           ] ;
           fhir:value [ fhir:v "Paleuyami" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "Poso 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 "Poso 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 "Poso Creek" ]
         ] ) ;
         fhir:property ( [
           fhir:code [ fhir:v "status" ] ;
           fhir:value [ fhir:v "active" ]
         ] [
           fhir:code [ fhir:v "internalId" ] ;
           fhir:value [ fhir:v "18495" ]
         ] )
       ] [
         fhir:code [ fhir:v "x-TKH" ] ;
         fhir:display [ fhir:v "Tule-Kaweah" ] ;
         fhir:designation ( [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             a sct:900000000000013009 ;
             fhir:system [ fhir:v "http://snomed.info/sct" ] ;
             fhir:code [ fhir:v "900000000000013009" ]
           ] ;
           fhir:value [ fhir:v "Bokninuwad" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             a sct:900000000000013009 ;
             fhir:system [ fhir:v "http://snomed.info/sct" ] ;
             fhir:code [ fhir:v "900000000000013009" ]
           ] ;
           fhir:value [ fhir:v "Kawia" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             a sct:900000000000013009 ;
             fhir:system [ fhir:v "http://snomed.info/sct" ] ;
             fhir:code [ fhir:v "900000000000013009" ]
           ] ;
           fhir:value [ fhir:v "Wükchamni" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             a sct:900000000000013009 ;
             fhir:system [ fhir:v "http://snomed.info/sct" ] ;
             fhir:code [ fhir:v "900000000000013009" ]
           ] ;
           fhir:value [ fhir:v "Yawdanchi" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             a sct:900000000000013009 ;
             fhir:system [ fhir:v "http://snomed.info/sct" ] ;
             fhir:code [ fhir:v "900000000000013009" ]
           ] ;
           fhir:value [ fhir:v "Yokod" ]
         ] [
           fhir:language [ fhir: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-Kaweah" ]
         ] [
           fhir:language [ fhir: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-Kaweah" ]
         ] [
           fhir:language [ fhir: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-Kaweah" ]
         ] ) ;
         fhir:property ( [
           fhir:code [ fhir:v "status" ] ;
           fhir:value [ fhir:v "active" ]
         ] [
           fhir:code [ fhir:v "internalId" ] ;
           fhir:value [ fhir:v "18483" ]
         ] )
       ] )
     ] )
  ] [
     fhir:code [ fhir:v "_Pidgin" ] ;
     fhir:display [ fhir:v "Pidgin" ] ;
     fhir:designation ( [
       fhir:language [ fhir:v "en" ] ;
       fhir:use [
         fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
         fhir:code [ fhir:v "display" ]
       ] ;
       fhir:value [ fhir:v "Pidgin" ]
     ] [
       fhir:language [ fhir:v "en" ] ;
       fhir:use [
         fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
         fhir:code [ fhir:v "display" ]
       ] ;
       fhir:value [ fhir:v "Pidgin" ]
     ] ) ;
     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 "21009" ]
     ] ) ;
     fhir:concept ( [
       fhir:code [ fhir:v "x-CHH" ] ;
       fhir:display [ fhir:v "Chinook Wawa" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           a sct:900000000000013009 ;
           fhir:system [ fhir:v "http://snomed.info/sct" ] ;
           fhir:code [ fhir:v "900000000000013009" ]
         ] ;
         fhir:value [ fhir:v "Chinook Jargon" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           a sct:900000000000013009 ;
           fhir:system [ fhir:v "http://snomed.info/sct" ] ;
           fhir:code [ fhir:v "900000000000013009" ]
         ] ;
         fhir:value [ fhir:v "Chinook Pidgin" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           a sct:900000000000013009 ;
           fhir:system [ fhir:v "http://snomed.info/sct" ] ;
           fhir:code [ fhir:v "900000000000013009" ]
         ] ;
         fhir:value [ fhir:v "Tshinuk Wawa" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Chinook Wawa" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Chinook Wawa" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "18519" ]
       ] )
     ] )
  ] [
     fhir:code [ fhir:v "_Salishan" ] ;
     fhir:display [ fhir:v "Salishan" ] ;
     fhir:designation ( [
       fhir:language [ fhir:v "en" ] ;
       fhir:use [
         fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
         fhir:code [ fhir:v "display" ]
       ] ;
       fhir:value [ fhir:v "Salishan" ]
     ] [
       fhir:language [ fhir:v "en" ] ;
       fhir:use [
         fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
         fhir:code [ fhir:v "display" ]
       ] ;
       fhir:value [ fhir:v "Salishan" ]
     ] ) ;
     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 "21015" ]
     ] ) ;
     fhir:concept ( [
       fhir:code [ fhir:v "_CentralSalish" ] ;
       fhir:display [ fhir:v "CentralSalish" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "CentralSalish" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "CentralSalish" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "CentralSalish" ]
       ] ) ;
       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 "20965" ]
       ] ) ;
       fhir:concept ( [
         fhir:code [ fhir:v "x-CLM" ] ;
         fhir:display [ fhir:v "Clallam" ] ;
         fhir:designation ( [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             a sct:900000000000013009 ;
             fhir:system [ fhir:v "http://snomed.info/sct" ] ;
             fhir:code [ fhir:v "900000000000013009" ]
           ] ;
           fhir:value [ fhir:v "Klallam" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             a sct:900000000000013009 ;
             fhir:system [ fhir:v "http://snomed.info/sct" ] ;
             fhir:code [ fhir:v "900000000000013009" ]
           ] ;
           fhir:value [ fhir:v "Na'klallam" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             a sct:900000000000013009 ;
             fhir:system [ fhir:v "http://snomed.info/sct" ] ;
             fhir:code [ fhir:v "900000000000013009" ]
           ] ;
           fhir:value [ fhir:v "S'klallam" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "Clallam" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "Clallam" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "Clallam" ]
         ] ) ;
         fhir:property ( [
           fhir:code [ fhir:v "status" ] ;
           fhir:value [ fhir:v "active" ]
         ] [
           fhir:code [ fhir:v "internalId" ] ;
           fhir:value [ fhir:v "18528" ]
         ] )
       ] [
         fhir:code [ fhir:v "x-LUT" ] ;
         fhir:display [ fhir:v "Lushootseed" ] ;
         fhir:designation ( [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "Lushootseed" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "Lushootseed" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "Lushootseed" ]
         ] ) ;
         fhir:property ( [
           fhir:code [ fhir:v "status" ] ;
           fhir:value [ fhir:v "active" ]
         ] [
           fhir:code [ fhir:v "internalId" ] ;
           fhir:value [ fhir:v "18532" ]
         ] )
       ] [
         fhir:code [ fhir:v "x-STR" ] ;
         fhir:display [ fhir:v "Northern Straits" ] ;
         fhir:designation ( [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             a sct:900000000000013009 ;
             fhir:system [ fhir:v "http://snomed.info/sct" ] ;
             fhir:code [ fhir:v "900000000000013009" ]
           ] ;
           fhir:value [ fhir:v "Straits" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             a sct:900000000000013009 ;
             fhir:system [ fhir:v "http://snomed.info/sct" ] ;
             fhir:code [ fhir:v "900000000000013009" ]
           ] ;
           fhir:value [ fhir:v "Straits Salish" ]
         ] [
           fhir:language [ fhir: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 Straits" ]
         ] [
           fhir:language [ fhir: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 Straits" ]
         ] [
           fhir:language [ fhir: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 Straits" ]
         ] ) ;
         fhir:property ( [
           fhir:code [ fhir:v "status" ] ;
           fhir:value [ fhir:v "active" ]
         ] [
           fhir:code [ fhir:v "internalId" ] ;
           fhir:value [ fhir:v "18525" ]
         ] )
       ] )
     ] [
       fhir:code [ fhir:v "_InteriorSalish" ] ;
       fhir:display [ fhir:v "InteriorSalish" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "InteriorSalish" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "InteriorSalish" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "InteriorSalish" ]
       ] ) ;
       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 "20985" ]
       ] ) ;
       fhir:concept ( [
         fhir:code [ fhir:v "x-COL" ] ;
         fhir:display [ fhir:v "Columbian" ] ;
         fhir:designation ( [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             a sct:900000000000013009 ;
             fhir:system [ fhir:v "http://snomed.info/sct" ] ;
             fhir:code [ fhir:v "900000000000013009" ]
           ] ;
           fhir:value [ fhir:v "Columbia-Wenatchi" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             a sct:900000000000013009 ;
             fhir:system [ fhir:v "http://snomed.info/sct" ] ;
             fhir:code [ fhir:v "900000000000013009" ]
           ] ;
           fhir:value [ fhir:v "Wenatchee-Columbia" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "Columbian" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "Columbian" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "Columbian" ]
         ] ) ;
         fhir:property ( [
           fhir:code [ fhir:v "status" ] ;
           fhir:value [ fhir:v "active" ]
         ] [
           fhir:code [ fhir:v "internalId" ] ;
           fhir:value [ fhir:v "18545" ]
         ] )
       ] [
         fhir:code [ fhir:v "x-CRD" ] ;
         fhir:display [ fhir:v "Coeur D'alene" ] ;
         fhir:designation ( [
           fhir:language [ fhir: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" ]
         ] [
           fhir:language [ fhir: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" ]
         ] [
           fhir:language [ fhir: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" ]
         ] ) ;
         fhir:property ( [
           fhir:code [ fhir:v "status" ] ;
           fhir:value [ fhir:v "active" ]
         ] [
           fhir:code [ fhir:v "internalId" ] ;
           fhir:value [ fhir:v "18544" ]
         ] )
       ] [
         fhir:code [ fhir:v "x-FLA" ] ;
         fhir:display [ fhir:v "Kalispel" ] ;
         fhir:designation ( [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             a sct:900000000000013009 ;
             fhir:system [ fhir:v "http://snomed.info/sct" ] ;
             fhir:code [ fhir:v "900000000000013009" ]
           ] ;
           fhir:value [ fhir:v "Flathead-Kalispel" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             a sct:900000000000013009 ;
             fhir:system [ fhir:v "http://snomed.info/sct" ] ;
             fhir:code [ fhir:v "900000000000013009" ]
           ] ;
           fhir:value [ fhir:v "Kalispel-Flathead" ]
         ] [
           fhir:language [ fhir: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" ]
         ] [
           fhir:language [ fhir: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" ]
         ] [
           fhir:language [ fhir: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" ]
         ] ) ;
         fhir:property ( [
           fhir:code [ fhir:v "status" ] ;
           fhir:value [ fhir:v "active" ]
         ] [
           fhir:code [ fhir:v "internalId" ] ;
           fhir:value [ fhir:v "18541" ]
         ] )
       ] [
         fhir:code [ fhir:v "x-OKA" ] ;
         fhir:display [ fhir:v "Okanagan" ] ;
         fhir:designation ( [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             a sct:900000000000013009 ;
             fhir:system [ fhir:v "http://snomed.info/sct" ] ;
             fhir:code [ fhir:v "900000000000013009" ]
           ] ;
           fhir:value [ fhir:v "Okanagan-Colville" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             a sct:900000000000013009 ;
             fhir:system [ fhir:v "http://snomed.info/sct" ] ;
             fhir:code [ fhir:v "900000000000013009" ]
           ] ;
           fhir:value [ fhir:v "Okanagon" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             a sct:900000000000013009 ;
             fhir:system [ fhir:v "http://snomed.info/sct" ] ;
             fhir:code [ fhir:v "900000000000013009" ]
           ] ;
           fhir:value [ fhir:v "Okanogan" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "Okanagan" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "Okanagan" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "Okanagan" ]
         ] ) ;
         fhir:property ( [
           fhir:code [ fhir:v "status" ] ;
           fhir:value [ fhir:v "active" ]
         ] [
           fhir:code [ fhir:v "internalId" ] ;
           fhir:value [ fhir:v "18548" ]
         ] )
       ] )
     ] [
       fhir:code [ fhir:v "_Tsamosan" ] ;
       fhir:display [ fhir:v "Tsamosan" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Tsamosan" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Tsamosan" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Tsamosan" ]
       ] ) ;
       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 "21032" ]
       ] ) ;
       fhir:concept ( [
         fhir:code [ fhir:v "x-CEA" ] ;
         fhir:display [ fhir:v "Lower Chehalis" ] ;
         fhir:designation ( [
           fhir:language [ fhir: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 Chehalis" ]
         ] [
           fhir:language [ fhir: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 Chehalis" ]
         ] [
           fhir:language [ fhir: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 Chehalis" ]
         ] ) ;
         fhir:property ( [
           fhir:code [ fhir:v "status" ] ;
           fhir:value [ fhir:v "active" ]
         ] [
           fhir:code [ fhir:v "internalId" ] ;
           fhir:value [ fhir:v "18535" ]
         ] )
       ] [
         fhir:code [ fhir:v "x-CJH" ] ;
         fhir:display [ fhir:v "Upper Chehalis" ] ;
         fhir:designation ( [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             a sct:900000000000013009 ;
             fhir:system [ fhir:v "http://snomed.info/sct" ] ;
             fhir:code [ fhir:v "900000000000013009" ]
           ] ;
           fhir:value [ fhir:v "Chehalis" ]
         ] [
           fhir:language [ fhir: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 Chehalis" ]
         ] [
           fhir:language [ fhir: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 Chehalis" ]
         ] [
           fhir:language [ fhir: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 Chehalis" ]
         ] ) ;
         fhir:property ( [
           fhir:code [ fhir:v "status" ] ;
           fhir:value [ fhir:v "active" ]
         ] [
           fhir:code [ fhir:v "internalId" ] ;
           fhir:value [ fhir:v "18536" ]
         ] )
       ] [
         fhir:code [ fhir:v "x-COW" ] ;
         fhir:display [ fhir:v "Cowlitz" ] ;
         fhir:designation ( [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             a sct:900000000000013009 ;
             fhir:system [ fhir:v "http://snomed.info/sct" ] ;
             fhir:code [ fhir:v "900000000000013009" ]
           ] ;
           fhir:value [ fhir:v "Lower Cowlitz" ]
         ] [
           fhir:language [ fhir: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" ]
         ] [
           fhir:language [ fhir: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" ]
         ] [
           fhir:language [ fhir: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" ]
         ] ) ;
         fhir:property ( [
           fhir:code [ fhir:v "status" ] ;
           fhir:value [ fhir:v "active" ]
         ] [
           fhir:code [ fhir:v "internalId" ] ;
           fhir:value [ fhir:v "18538" ]
         ] )
       ] [
         fhir:code [ fhir:v "x-QUN" ] ;
         fhir:display [ fhir:v "Quinault" ] ;
         fhir:designation ( [
           fhir:language [ fhir: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" ]
         ] [
           fhir:language [ fhir: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" ]
         ] [
           fhir:language [ fhir: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" ]
         ] ) ;
         fhir:property ( [
           fhir:code [ fhir:v "status" ] ;
           fhir:value [ fhir:v "active" ]
         ] [
           fhir:code [ fhir:v "internalId" ] ;
           fhir:value [ fhir:v "18534" ]
         ] )
       ] )
     ] )
  ] [
     fhir:code [ fhir:v "_SiouanCatawba" ] ;
     fhir:display [ fhir:v "SiouanCatawba" ] ;
     fhir:designation ( [
       fhir:language [ fhir:v "en" ] ;
       fhir:use [
         fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
         fhir:code [ fhir:v "display" ]
       ] ;
       fhir:value [ fhir:v "SiouanCatawba" ]
     ] [
       fhir:language [ fhir:v "en" ] ;
       fhir:use [
         fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
         fhir:code [ fhir:v "display" ]
       ] ;
       fhir:value [ fhir:v "SiouanCatawba" ]
     ] ) ;
     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 "21020" ]
     ] ) ;
     fhir:concept ( [
       fhir:code [ fhir:v "_Siouan" ] ;
       fhir:display [ fhir:v "Siouan" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Siouan" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Siouan" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Siouan" ]
       ] ) ;
       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 "21019" ]
       ] ) ;
       fhir:concept ( [
         fhir:code [ fhir:v "_MississippiValley" ] ;
         fhir:display [ fhir:v "MississippiValley" ] ;
         fhir:designation ( [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "MississippiValley" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "MississippiValley" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "MississippiValley" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "MississippiValley" ]
         ] ) ;
         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 "20994" ]
         ] ) ;
         fhir:concept ( [
           fhir:code [ fhir:v "_ChiwereWinnebago" ] ;
           fhir:display [ fhir:v "ChiwereWinnebago" ] ;
           fhir:designation ( [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
               fhir:code [ fhir:v "display" ]
             ] ;
             fhir:value [ fhir:v "ChiwereWinnebago" ]
           ] [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
               fhir:code [ fhir:v "display" ]
             ] ;
             fhir:value [ fhir:v "ChiwereWinnebago" ]
           ] [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
               fhir:code [ fhir:v "display" ]
             ] ;
             fhir:value [ fhir:v "ChiwereWinnebago" ]
           ] [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
               fhir:code [ fhir:v "display" ]
             ] ;
             fhir:value [ fhir:v "ChiwereWinnebago" ]
           ] [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
               fhir:code [ fhir:v "display" ]
             ] ;
             fhir:value [ fhir:v "ChiwereWinnebago" ]
           ] ) ;
           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 "20968" ]
           ] ) ;
           fhir:concept ( [
             fhir:code [ fhir:v "x-IOW" ] ;
             fhir:display [ fhir:v "Chiwere" ] ;
             fhir:designation ( [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 a sct:900000000000013009 ;
                 fhir:system [ fhir:v "http://snomed.info/sct" ] ;
                 fhir:code [ fhir:v "900000000000013009" ]
               ] ;
               fhir:value [ fhir:v "Iowa-Oto" ]
             ] [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 a sct:900000000000013009 ;
                 fhir:system [ fhir:v "http://snomed.info/sct" ] ;
                 fhir:code [ fhir:v "900000000000013009" ]
               ] ;
               fhir:value [ fhir:v "Iowa-Otoe" ]
             ] [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
                 fhir:code [ fhir:v "display" ]
               ] ;
               fhir:value [ fhir:v "Chiwere" ]
             ] [
               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 "Chiwere" ]
             ] [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
                 fhir:code [ fhir:v "display" ]
               ] ;
               fhir:value [ fhir:v "Chiwere" ]
             ] [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
                 fhir:code [ fhir:v "display" ]
               ] ;
               fhir:value [ fhir:v "Chiwere" ]
             ] [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
                 fhir:code [ fhir:v "display" ]
               ] ;
               fhir:value [ fhir:v "Chiwere" ]
             ] ) ;
             fhir:property ( [
               fhir:code [ fhir:v "status" ] ;
               fhir:value [ fhir:v "active" ]
             ] [
               fhir:code [ fhir:v "internalId" ] ;
               fhir:value [ fhir:v "18594" ]
             ] )
           ] [
             fhir:code [ fhir:v "x-WIN" ] ;
             fhir:display [ fhir:v "Hocak" ] ;
             fhir:designation ( [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 a sct:900000000000013009 ;
                 fhir:system [ fhir:v "http://snomed.info/sct" ] ;
                 fhir:code [ fhir:v "900000000000013009" ]
               ] ;
               fhir:value [ fhir:v "Hocak Wazijaci" ]
             ] [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 a sct:900000000000013009 ;
                 fhir:system [ fhir:v "http://snomed.info/sct" ] ;
                 fhir:code [ fhir:v "900000000000013009" ]
               ] ;
               fhir:value [ fhir:v "Hocank" ]
             ] [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 a sct:900000000000013009 ;
                 fhir:system [ fhir:v "http://snomed.info/sct" ] ;
                 fhir:code [ fhir:v "900000000000013009" ]
               ] ;
               fhir:value [ fhir:v "Hochank" ]
             ] [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 a sct:900000000000013009 ;
                 fhir:system [ fhir:v "http://snomed.info/sct" ] ;
                 fhir:code [ fhir:v "900000000000013009" ]
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               fhir:value [ fhir:v "Hochunk" ]
             ] [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 a sct:900000000000013009 ;
                 fhir:system [ fhir:v "http://snomed.info/sct" ] ;
                 fhir:code [ fhir:v "900000000000013009" ]
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               fhir:value [ fhir:v "Winnebago" ]
             ] [
               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 "Hocak" ]
             ] [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
                 fhir:code [ fhir:v "display" ]
               ] ;
               fhir:value [ fhir:v "Hocak" ]
             ] [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
                 fhir:code [ fhir:v "display" ]
               ] ;
               fhir:value [ fhir:v "Hocak" ]
             ] [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
                 fhir:code [ fhir:v "display" ]
               ] ;
               fhir:value [ fhir:v "Hocak" ]
             ] [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
                 fhir:code [ fhir:v "display" ]
               ] ;
               fhir:value [ fhir:v "Hocak" ]
             ] ) ;
             fhir:property ( [
               fhir:code [ fhir:v "status" ] ;
               fhir:value [ fhir:v "active" ]
             ] [
               fhir:code [ fhir:v "internalId" ] ;
               fhir:value [ fhir:v "18597" ]
             ] )
           ] )
         ] [
           fhir:code [ fhir:v "_Dakotan" ] ;
           fhir:display [ fhir:v "Dakotan" ] ;
           fhir:designation ( [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
               fhir:code [ fhir:v "display" ]
             ] ;
             fhir:value [ fhir:v "Dakotan" ]
           ] [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
               fhir:code [ fhir:v "display" ]
             ] ;
             fhir:value [ fhir:v "Dakotan" ]
           ] [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
               fhir:code [ fhir:v "display" ]
             ] ;
             fhir:value [ fhir:v "Dakotan" ]
           ] [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
               fhir:code [ fhir:v "display" ]
             ] ;
             fhir:value [ fhir:v "Dakotan" ]
           ] [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
               fhir:code [ fhir:v "display" ]
             ] ;
             fhir:value [ fhir:v "Dakotan" ]
           ] ) ;
           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 "20974" ]
           ] ) ;
           fhir:concept ( [
             fhir:code [ fhir:v "x-ASB" ] ;
             fhir:display [ fhir:v "Assiniboine" ] ;
             fhir:designation ( [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 a sct:900000000000013009 ;
                 fhir:system [ fhir:v "http://snomed.info/sct" ] ;
                 fhir:code [ fhir:v "900000000000013009" ]
               ] ;
               fhir:value [ fhir:v "Assiniboin" ]
             ] [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 a sct:900000000000013009 ;
                 fhir:system [ fhir:v "http://snomed.info/sct" ] ;
                 fhir:code [ fhir:v "900000000000013009" ]
               ] ;
               fhir:value [ fhir:v "Hohe" ]
             ] [
               fhir:language [ fhir: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" ]
             ] [
               fhir:language [ fhir: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" ]
             ] [
               fhir:language [ fhir: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" ]
             ] [
               fhir:language [ fhir: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" ]
             ] [
               fhir:language [ fhir: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" ]
             ] ) ;
             fhir:property ( [
               fhir:code [ fhir:v "status" ] ;
               fhir:value [ fhir:v "active" ]
             ] [
               fhir:code [ fhir:v "internalId" ] ;
               fhir:value [ fhir:v "18577" ]
             ] )
           ] [
             fhir:code [ fhir:v "x-DHG" ] ;
             fhir:display [ fhir:v "Dakota" ] ;
             fhir:designation ( [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 a sct:900000000000013009 ;
                 fhir:system [ fhir:v "http://snomed.info/sct" ] ;
                 fhir:code [ fhir:v "900000000000013009" ]
               ] ;
               fhir:value [ fhir:v "Dakhota" ]
             ] [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 a sct:900000000000013009 ;
                 fhir:system [ fhir:v "http://snomed.info/sct" ] ;
                 fhir:code [ fhir:v "900000000000013009" ]
               ] ;
               fhir:value [ fhir:v "Santee" ]
             ] [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 a sct:900000000000013009 ;
                 fhir:system [ fhir:v "http://snomed.info/sct" ] ;
                 fhir:code [ fhir:v "900000000000013009" ]
               ] ;
               fhir:value [ fhir:v "Santee-Sisseton" ]
             ] [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 a sct:900000000000013009 ;
                 fhir:system [ fhir:v "http://snomed.info/sct" ] ;
                 fhir:code [ fhir:v "900000000000013009" ]
               ] ;
               fhir:value [ fhir:v "Sioux" ]
             ] [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
                 fhir:code [ fhir:v "display" ]
               ] ;
               fhir:value [ fhir:v "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 "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 "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 "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 "Dakota" ]
             ] ) ;
             fhir:property ( [
               fhir:code [ fhir:v "status" ] ;
               fhir:value [ fhir:v "active" ]
             ] [
               fhir:code [ fhir:v "internalId" ] ;
               fhir:value [ fhir:v "18568" ]
             ] )
           ] [
             fhir:code [ fhir:v "x-LKT" ] ;
             fhir:display [ fhir:v "Lakota" ] ;
             fhir:designation ( [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 a sct:900000000000013009 ;
                 fhir:system [ fhir:v "http://snomed.info/sct" ] ;
                 fhir:code [ fhir:v "900000000000013009" ]
               ] ;
               fhir:value [ fhir:v "Teton" ]
             ] [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 a sct:900000000000013009 ;
                 fhir:system [ fhir:v "http://snomed.info/sct" ] ;
                 fhir:code [ fhir:v "900000000000013009" ]
               ] ;
               fhir:value [ fhir:v "Lakhota" ]
             ] [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
                 fhir:code [ fhir:v "display" ]
               ] ;
               fhir:value [ fhir:v "Lakota" ]
             ] [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
                 fhir:code [ fhir:v "display" ]
               ] ;
               fhir:value [ fhir:v "Lakota" ]
             ] [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
                 fhir:code [ fhir:v "display" ]
               ] ;
               fhir:value [ fhir:v "Lakota" ]
             ] [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
                 fhir:code [ fhir:v "display" ]
               ] ;
               fhir:value [ fhir:v "Lakota" ]
             ] [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
                 fhir:code [ fhir:v "display" ]
               ] ;
               fhir:value [ fhir:v "Lakota" ]
             ] ) ;
             fhir:property ( [
               fhir:code [ fhir:v "status" ] ;
               fhir:value [ fhir:v "active" ]
             ] [
               fhir:code [ fhir:v "internalId" ] ;
               fhir:value [ fhir:v "18564" ]
             ] )
           ] [
             fhir:code [ fhir:v "x-NKT" ] ;
             fhir:display [ fhir:v "Nakota" ] ;
             fhir:designation ( [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 a sct:900000000000013009 ;
                 fhir:system [ fhir:v "http://snomed.info/sct" ] ;
                 fhir:code [ fhir:v "900000000000013009" ]
               ] ;
               fhir:value [ fhir:v "Nakoda" ]
             ] [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 a sct:900000000000013009 ;
                 fhir:system [ fhir:v "http://snomed.info/sct" ] ;
                 fhir:code [ fhir:v "900000000000013009" ]
               ] ;
               fhir:value [ fhir:v "Yankton" ]
             ] [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 a sct:900000000000013009 ;
                 fhir:system [ fhir:v "http://snomed.info/sct" ] ;
                 fhir:code [ fhir:v "900000000000013009" ]
               ] ;
               fhir:value [ fhir:v "Yankton-Yanktonais" ]
             ] [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
                 fhir:code [ fhir:v "display" ]
               ] ;
               fhir:value [ fhir:v "Nakota" ]
             ] [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
                 fhir:code [ fhir:v "display" ]
               ] ;
               fhir:value [ fhir:v "Nakota" ]
             ] [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
                 fhir:code [ fhir:v "display" ]
               ] ;
               fhir:value [ fhir:v "Nakota" ]
             ] [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
                 fhir:code [ fhir:v "display" ]
               ] ;
               fhir:value [ fhir:v "Nakota" ]
             ] [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
                 fhir:code [ fhir:v "display" ]
               ] ;
               fhir:value [ fhir:v "Nakota" ]
             ] ) ;
             fhir:property ( [
               fhir:code [ fhir:v "status" ] ;
               fhir:value [ fhir:v "active" ]
             ] [
               fhir:code [ fhir:v "internalId" ] ;
               fhir:value [ fhir:v "18573" ]
             ] )
           ] )
         ] [
           fhir:code [ fhir:v "_Dhegiha" ] ;
           fhir:display [ fhir:v "Dhegiha" ] ;
           fhir:designation ( [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
               fhir:code [ fhir:v "display" ]
             ] ;
             fhir:value [ fhir:v "Dhegiha" ]
           ] [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
               fhir:code [ fhir:v "display" ]
             ] ;
             fhir:value [ fhir:v "Dhegiha" ]
           ] [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
               fhir:code [ fhir:v "display" ]
             ] ;
             fhir:value [ fhir:v "Dhegiha" ]
           ] [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
               fhir:code [ fhir:v "display" ]
             ] ;
             fhir:value [ fhir:v "Dhegiha" ]
           ] [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
               fhir:code [ fhir:v "display" ]
             ] ;
             fhir:value [ fhir:v "Dhegiha" ]
           ] ) ;
           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 "20977" ]
           ] ) ;
           fhir:concept ( [
             fhir:code [ fhir:v "x-KAA" ] ;
             fhir:display [ fhir:v "Kansa" ] ;
             fhir:designation ( [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 a sct:900000000000013009 ;
                 fhir:system [ fhir:v "http://snomed.info/sct" ] ;
                 fhir:code [ fhir:v "900000000000013009" ]
               ] ;
               fhir:value [ fhir:v "Kanze" ]
             ] [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 a sct:900000000000013009 ;
                 fhir:system [ fhir:v "http://snomed.info/sct" ] ;
                 fhir:code [ fhir:v "900000000000013009" ]
               ] ;
               fhir:value [ fhir:v "Kaw" ]
             ] [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 a sct:900000000000013009 ;
                 fhir:system [ fhir:v "http://snomed.info/sct" ] ;
                 fhir:code [ fhir:v "900000000000013009" ]
               ] ;
               fhir:value [ fhir:v "Konze" ]
             ] [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
                 fhir:code [ fhir:v "display" ]
               ] ;
               fhir:value [ fhir:v "Kansa" ]
             ] [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
                 fhir:code [ fhir:v "display" ]
               ] ;
               fhir:value [ fhir:v "Kansa" ]
             ] [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
                 fhir:code [ fhir:v "display" ]
               ] ;
               fhir:value [ fhir:v "Kansa" ]
             ] [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
                 fhir:code [ fhir:v "display" ]
               ] ;
               fhir:value [ fhir:v "Kansa" ]
             ] [
               fhir:language [ fhir:v "en" ] ;
               fhir:use [
                 fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
                 fhir:code [ fhir:v "display" ]
               ] ;
               fhir:value [ fhir:v "Kansa" ]
             ] ) ;
             fhir:property ( [
               fhir:code [ fhir:v "status" ] ;
               fhir:value [ fhir:v "active" ]
             ] [
               fhir:code [ fhir:v "internalId" ] ;
               fhir:value [ fhir:v "18584" ]
             ] )
           ] [
             fhir:code [ fhir:v "x-OMA" ] ;
             fhir:display [ fhir:v "Omaha-Ponca" ] ;
             fhir: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:display [ fhir:v "Comanche" ] ;
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             fhir:value [ fhir:v "active" ]
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             fhir:value [ fhir:v "active" ]
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             fhir:value [ fhir:v "18612" ]
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           fhir:display [ fhir:v "Shoshone" ] ;
           fhir:designation ( [
             fhir:language [ fhir:v "en" ] ;
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               fhir:system [ fhir:v "http://snomed.info/sct" ] ;
               fhir:code [ fhir:v "900000000000013009" ]
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             fhir:language [ fhir:v "en" ] ;
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               fhir:code [ fhir:v "display" ]
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             fhir:language [ fhir:v "en" ] ;
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             fhir:language [ fhir:v "en" ] ;
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               fhir:code [ fhir:v "display" ]
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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" ]
             ] ;
             fhir:value [ fhir:v "Shoshone" ]
           ] ) ;
           fhir:property ( [
             fhir:code [ fhir:v "status" ] ;
             fhir:value [ fhir:v "active" ]
           ] [
             fhir:code [ fhir:v "internalId" ] ;
             fhir:value [ fhir:v "18614" ]
           ] )
         ] )
       ] [
         fhir:code [ fhir:v "_SouthernNumic" ] ;
         fhir:display [ fhir:v "SouthernNumic" ] ;
         fhir:designation ( [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "SouthernNumic" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "SouthernNumic" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "SouthernNumic" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "SouthernNumic" ]
         ] ) ;
         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 "21024" ]
         ] ) ;
         fhir:concept ( [
           fhir:code [ fhir:v "x-KAW" ] ;
           fhir:display [ fhir:v "Kawaiisu" ] ;
           fhir:designation ( [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
               fhir:code [ fhir:v "display" ]
             ] ;
             fhir:value [ fhir:v "Kawaiisu" ]
           ] [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
               fhir:code [ fhir:v "display" ]
             ] ;
             fhir:value [ fhir:v "Kawaiisu" ]
           ] [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
               fhir:code [ fhir:v "display" ]
             ] ;
             fhir:value [ fhir:v "Kawaiisu" ]
           ] [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
               fhir:code [ fhir:v "display" ]
             ] ;
             fhir:value [ fhir:v "Kawaiisu" ]
           ] ) ;
           fhir:property ( [
             fhir:code [ fhir:v "status" ] ;
             fhir:value [ fhir:v "active" ]
           ] [
             fhir:code [ fhir:v "internalId" ] ;
             fhir:value [ fhir:v "18618" ]
           ] )
         ] [
           fhir:code [ fhir:v "x-UTE" ] ;
           fhir:display [ fhir:v "Ute-Southern Paiute" ] ;
           fhir:designation ( [
             fhir:language [ fhir: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-Southern Paiute" ]
           ] [
             fhir:language [ fhir: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-Southern Paiute" ]
           ] [
             fhir:language [ fhir: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-Southern Paiute" ]
           ] [
             fhir:language [ fhir: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-Southern Paiute" ]
           ] ) ;
           fhir:property ( [
             fhir:code [ fhir:v "status" ] ;
             fhir:value [ fhir:v "active" ]
           ] [
             fhir:code [ fhir:v "internalId" ] ;
             fhir:value [ fhir:v "18619" ]
           ] )
         ] )
       ] [
         fhir:code [ fhir:v "_WesternNumic" ] ;
         fhir:display [ fhir:v "WesternNumic" ] ;
         fhir:designation ( [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "WesternNumic" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "WesternNumic" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "WesternNumic" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "WesternNumic" ]
         ] ) ;
         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 "21041" ]
         ] ) ;
         fhir:concept ( [
           fhir:code [ fhir:v "x-MON" ] ;
           fhir:display [ fhir:v "Mono" ] ;
           fhir:designation ( [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               a sct:900000000000013009 ;
               fhir:system [ fhir:v "http://snomed.info/sct" ] ;
               fhir:code [ fhir:v "900000000000013009" ]
             ] ;
             fhir:value [ fhir:v "Paviotso" ]
           ] [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
               fhir:code [ fhir:v "display" ]
             ] ;
             fhir:value [ fhir:v "Mono" ]
           ] [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
               fhir:code [ fhir:v "display" ]
             ] ;
             fhir:value [ fhir:v "Mono" ]
           ] [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
               fhir:code [ fhir:v "display" ]
             ] ;
             fhir:value [ fhir:v "Mono" ]
           ] [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
               fhir:code [ fhir:v "display" ]
             ] ;
             fhir:value [ fhir:v "Mono" ]
           ] ) ;
           fhir:property ( [
             fhir:code [ fhir:v "status" ] ;
             fhir:value [ fhir:v "active" ]
           ] [
             fhir:code [ fhir:v "internalId" ] ;
             fhir:value [ fhir:v "18608" ]
           ] )
         ] [
           fhir:code [ fhir:v "x-PAO" ] ;
           fhir:display [ fhir:v "Northern Paiute-Bannock" ] ;
           fhir:designation ( [
             fhir:language [ fhir: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 Paiute-Bannock" ]
           ] [
             fhir:language [ fhir: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 Paiute-Bannock" ]
           ] [
             fhir:language [ fhir: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 Paiute-Bannock" ]
           ] [
             fhir:language [ fhir: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 Paiute-Bannock" ]
           ] ) ;
           fhir:property ( [
             fhir:code [ fhir:v "status" ] ;
             fhir:value [ fhir:v "active" ]
           ] [
             fhir:code [ fhir:v "internalId" ] ;
             fhir:value [ fhir:v "18609" ]
           ] )
         ] )
       ] )
     ] [
       fhir:code [ fhir:v "_Takic" ] ;
       fhir:display [ fhir:v "Takic" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Takic" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Takic" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Takic" ]
       ] ) ;
       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 "21026" ]
       ] ) ;
       fhir:concept ( [
         fhir:code [ fhir:v "_Cupan" ] ;
         fhir:display [ fhir:v "Cupan" ] ;
         fhir:designation ( [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "Cupan" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "Cupan" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "Cupan" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "Cupan" ]
         ] ) ;
         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 "20973" ]
         ] ) ;
         fhir:concept ( [
           fhir:code [ fhir:v "x-CHL" ] ;
           fhir:display [ fhir:v "Cahuilla" ] ;
           fhir:designation ( [
             fhir:language [ fhir: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" ]
           ] [
             fhir:language [ fhir: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" ]
           ] [
             fhir:language [ fhir: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" ]
           ] [
             fhir:language [ fhir: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" ]
           ] ) ;
           fhir:property ( [
             fhir:code [ fhir:v "status" ] ;
             fhir:value [ fhir:v "active" ]
           ] [
             fhir:code [ fhir:v "internalId" ] ;
             fhir:value [ fhir:v "18625" ]
           ] )
         ] [
           fhir:code [ fhir:v "x-CUP" ] ;
           fhir:display [ fhir:v "Cupeno" ] ;
           fhir:designation ( [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
               fhir:code [ fhir:v "display" ]
             ] ;
             fhir:value [ fhir:v "Cupeno" ]
           ] [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
               fhir:code [ fhir:v "display" ]
             ] ;
             fhir:value [ fhir:v "Cupeno" ]
           ] [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
               fhir:code [ fhir:v "display" ]
             ] ;
             fhir:value [ fhir:v "Cupeno" ]
           ] [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
               fhir:code [ fhir:v "display" ]
             ] ;
             fhir:value [ fhir:v "Cupeno" ]
           ] ) ;
           fhir:property ( [
             fhir:code [ fhir:v "status" ] ;
             fhir:value [ fhir:v "active" ]
           ] [
             fhir:code [ fhir:v "internalId" ] ;
             fhir:value [ fhir:v "18626" ]
           ] )
         ] [
           fhir:code [ fhir:v "x-LUI" ] ;
           fhir:display [ fhir:v "Luiseno" ] ;
           fhir:designation ( [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
               fhir:code [ fhir:v "display" ]
             ] ;
             fhir:value [ fhir:v "Luiseno" ]
           ] [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
               fhir:code [ fhir:v "display" ]
             ] ;
             fhir:value [ fhir:v "Luiseno" ]
           ] [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
               fhir:code [ fhir:v "display" ]
             ] ;
             fhir:value [ fhir:v "Luiseno" ]
           ] [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
               fhir:code [ fhir:v "display" ]
             ] ;
             fhir:value [ fhir:v "Luiseno" ]
           ] ) ;
           fhir:property ( [
             fhir:code [ fhir:v "status" ] ;
             fhir:value [ fhir:v "active" ]
           ] [
             fhir:code [ fhir:v "internalId" ] ;
             fhir:value [ fhir:v "18627" ]
           ] )
         ] )
       ] [
         fhir:code [ fhir:v "_SerranoGabrielino" ] ;
         fhir:display [ fhir:v "SerranoGabrielino" ] ;
         fhir:designation ( [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "SerranoGabrielino" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "SerranoGabrielino" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "SerranoGabrielino" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "SerranoGabrielino" ]
         ] ) ;
         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 "21017" ]
         ] ) ;
         fhir:concept ( [
           fhir:code [ fhir:v "x-SER" ] ;
           fhir:display [ fhir:v "Serrano" ] ;
           fhir:designation ( [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
               fhir:code [ fhir:v "display" ]
             ] ;
             fhir:value [ fhir:v "Serrano" ]
           ] [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
               fhir:code [ fhir:v "display" ]
             ] ;
             fhir:value [ fhir:v "Serrano" ]
           ] [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
               fhir:code [ fhir:v "display" ]
             ] ;
             fhir:value [ fhir:v "Serrano" ]
           ] [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
               fhir:code [ fhir:v "display" ]
             ] ;
             fhir:value [ fhir:v "Serrano" ]
           ] ) ;
           fhir:property ( [
             fhir:code [ fhir:v "status" ] ;
             fhir:value [ fhir:v "active" ]
           ] [
             fhir:code [ fhir:v "internalId" ] ;
             fhir:value [ fhir:v "18623" ]
           ] )
         ] )
       ] )
     ] [
       fhir:code [ fhir:v "_Taracahitan" ] ;
       fhir:display [ fhir:v "Taracahitan" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Taracahitan" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Taracahitan" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Taracahitan" ]
       ] ) ;
       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 "21029" ]
       ] ) ;
       fhir:concept ( [
         fhir:code [ fhir:v "_Cahitan" ] ;
         fhir:display [ fhir:v "Cahitan" ] ;
         fhir:designation ( [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "Cahitan" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "Cahitan" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "Cahitan" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "Cahitan" ]
         ] ) ;
         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 "20960" ]
         ] ) ;
         fhir:concept ( [
           fhir:code [ fhir:v "x-YAQ" ] ;
           fhir:display [ fhir:v "Yaqui" ] ;
           fhir:designation ( [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
               fhir:code [ fhir:v "display" ]
             ] ;
             fhir:value [ fhir:v "Yaqui" ]
           ] [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
               fhir:code [ fhir:v "display" ]
             ] ;
             fhir:value [ fhir:v "Yaqui" ]
           ] [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
               fhir:code [ fhir:v "display" ]
             ] ;
             fhir:value [ fhir:v "Yaqui" ]
           ] [
             fhir:language [ fhir:v "en" ] ;
             fhir:use [
               fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
               fhir:code [ fhir:v "display" ]
             ] ;
             fhir:value [ fhir:v "Yaqui" ]
           ] ) ;
           fhir:property ( [
             fhir:code [ fhir:v "status" ] ;
             fhir:value [ fhir:v "active" ]
           ] [
             fhir:code [ fhir:v "internalId" ] ;
             fhir:value [ fhir:v "18638" ]
           ] )
         ] )
       ] )
     ] [
       fhir:code [ fhir:v "_Tepiman" ] ;
       fhir:display [ fhir:v "Tepiman" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Tepiman" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Tepiman" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Tepiman" ]
       ] ) ;
       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 "21030" ]
       ] ) ;
       fhir:concept ( [
         fhir:code [ fhir:v "x-PAP" ] ;
         fhir:display [ fhir:v "Papago-Pima" ] ;
         fhir:designation ( [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             a sct:900000000000013009 ;
             fhir:system [ fhir:v "http://snomed.info/sct" ] ;
             fhir:code [ fhir:v "900000000000013009" ]
           ] ;
           fhir:value [ fhir:v "Nebome" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             a sct:900000000000013009 ;
             fhir:system [ fhir:v "http://snomed.info/sct" ] ;
             fhir:code [ fhir:v "900000000000013009" ]
           ] ;
           fhir:value [ fhir:v "Nevome" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             a sct:900000000000013009 ;
             fhir:system [ fhir:v "http://snomed.info/sct" ] ;
             fhir:code [ fhir:v "900000000000013009" ]
           ] ;
           fhir:value [ fhir:v "O'odham" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             a sct:900000000000013009 ;
             fhir:system [ fhir:v "http://snomed.info/sct" ] ;
             fhir:code [ fhir:v "900000000000013009" ]
           ] ;
           fhir:value [ fhir:v "O'othham" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             a sct:900000000000013009 ;
             fhir:system [ fhir:v "http://snomed.info/sct" ] ;
             fhir:code [ fhir:v "900000000000013009" ]
           ] ;
           fhir:value [ fhir:v "Upper Piman" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "Papago-Pima" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "Papago-Pima" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
             fhir:code [ fhir:v "display" ]
           ] ;
           fhir:value [ fhir:v "Papago-Pima" ]
         ] ) ;
         fhir:property ( [
           fhir:code [ fhir:v "status" ] ;
           fhir:value [ fhir:v "active" ]
         ] [
           fhir:code [ fhir:v "internalId" ] ;
           fhir:value [ fhir:v "18630" ]
         ] )
       ] )
     ] [
       fhir:code [ fhir:v "x-HOP" ] ;
       fhir:display [ fhir:v "Hopi" ] ;
       fhir:designation ( [
         fhir:language [ fhir: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" ]
       ] [
         fhir:language [ fhir: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" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "18628" ]
       ] )
     ] [
       fhir:code [ fhir:v "x-TUB" ] ;
       fhir:display [ fhir:v "Tubatululabal" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Tubatululabal" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Tubatululabal" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "18620" ]
       ] )
     ] )
  ] [
     fhir:code [ fhir:v "_Wakashan" ] ;
     fhir:display [ fhir:v "Wakashan" ] ;
     fhir:designation ( [
       fhir:language [ fhir:v "en" ] ;
       fhir:use [
         fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
         fhir:code [ fhir:v "display" ]
       ] ;
       fhir:value [ fhir:v "Wakashan" ]
     ] [
       fhir:language [ fhir:v "en" ] ;
       fhir:use [
         fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
         fhir:code [ fhir:v "display" ]
       ] ;
       fhir:value [ fhir:v "Wakashan" ]
     ] ) ;
     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 "21037" ]
     ] ) ;
     fhir:concept ( [
       fhir:code [ fhir:v "_Nootkan" ] ;
       fhir:display [ fhir:v "Nootkan" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Nootkan" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Nootkan" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Nootkan" ]
       ] ) ;
       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 "20999" ]
       ] ) ;
       fhir:concept ( [
         fhir:code [ fhir:v "x-MYH" ] ;
         fhir:display [ fhir:v "Makah" ] ;
         fhir:designation ( [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             a sct:900000000000013009 ;
             fhir:system [ fhir:v "http://snomed.info/sct" ] ;
             fhir:code [ fhir:v "900000000000013009" ]
           ] ;
           fhir:value [ fhir:v "Kweedishchaaht" ]
         ] [
           fhir:language [ fhir:v "en" ] ;
           fhir:use [
             a sct:900000000000013009 ;
             fhir:system [ fhir:v "http://snomed.info/sct" ] ;
             fhir:code [ fhir:v "900000000000013009" ]
           ] ;
           fhir:value [ fhir:v "Kwe-Nee-Chee-Aht" ]
         ] [
           fhir:language [ fhir: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" ]
         ] [
           fhir:language [ fhir: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" ]
         ] [
           fhir:language [ fhir: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" ]
         ] ) ;
         fhir:property ( [
           fhir:code [ fhir:v "status" ] ;
           fhir:value [ fhir:v "active" ]
         ] [
           fhir:code [ fhir:v "internalId" ] ;
           fhir:value [ fhir:v "18643" ]
         ] )
       ] )
     ] )
  ] [
     fhir:code [ fhir:v "_Yukian" ] ;
     fhir:display [ fhir:v "Yukian" ] ;
     fhir:designation ( [
       fhir:language [ fhir:v "en" ] ;
       fhir:use [
         fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
         fhir:code [ fhir:v "display" ]
       ] ;
       fhir:value [ fhir:v "Yukian" ]
     ] [
       fhir:language [ fhir:v "en" ] ;
       fhir:use [
         fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
         fhir:code [ fhir:v "display" ]
       ] ;
       fhir:value [ fhir:v "Yukian" ]
     ] ) ;
     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 "21044" ]
     ] ) ;
     fhir:concept ( [
       fhir:code [ fhir:v "x-WAO" ] ;
       fhir:display [ fhir:v "Wappo" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Wappo" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Wappo" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "18648" ]
       ] )
     ] [
       fhir:code [ fhir:v "x-YUK" ] ;
       fhir:display [ fhir:v "Yuki" ] ;
       fhir:designation ( [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Yuki" ]
       ] [
         fhir:language [ fhir:v "en" ] ;
         fhir:use [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/designation-usage" ] ;
           fhir:code [ fhir:v "display" ]
         ] ;
         fhir:value [ fhir:v "Yuki" ]
       ] ) ;
       fhir:property ( [
         fhir:code [ fhir:v "status" ] ;
         fhir:value [ fhir:v "active" ]
       ] [
         fhir:code [ fhir:v "internalId" ] ;
         fhir:value [ fhir:v "18647" ]
       ] )
     ] )
  ] [
     fhir:code [ fhir:v "x-HAI" ] ;
     fhir:display [ fhir:v "Haida" ] ;
     fhir:property ( [
       fhir:code [ fhir:v "status" ] ;
       fhir:value [ fhir:v "active" ]
     ] [
       fhir:code [ fhir:v "internalId" ] ;
       fhir:value [ fhir:v "18240" ]
     ] )
  ] [
     fhir:code [ fhir:v "x-KUN" ] ;
     fhir:display [ fhir:v "Kootenai" ] ;
     fhir:designation ( [
       fhir:language [ fhir:v "en" ] ;
       fhir:use [
         a sct:900000000000013009 ;
         fhir:system [ fhir:v "http://snomed.info/sct" ] ;
         fhir:code [ fhir:v "900000000000013009" ]
       ] ;
       fhir:value [ fhir:v "Ktunaxa" ]
     ] [
       fhir:language [ fhir:v "en" ] ;
       fhir:use [
         a sct:900000000000013009 ;
         fhir:system [ fhir:v "http://snomed.info/sct" ] ;
         fhir:code [ fhir:v "900000000000013009" ]
       ] ;
       fhir:value [ fhir:v "Kutenai" ]
     ] ) ;
     fhir:property ( [
       fhir:code [ fhir:v "status" ] ;
       fhir:value [ fhir:v "active" ]
     ] [
       fhir:code [ fhir:v "internalId" ] ;
       fhir:value [ fhir:v "18335" ]
     ] )
  ] [
     fhir:code [ fhir:v "x-PSD" ] ;
     fhir:display [ fhir:v "Plains Indian Sign Language" ] ;
     fhir:property ( [
       fhir:code [ fhir:v "status" ] ;
       fhir:value [ fhir:v "active" ]
     ] [
       fhir:code [ fhir:v "internalId" ] ;
       fhir:value [ fhir:v "18651" ]
     ] )
  ] [
     fhir:code [ fhir:v "x-YUC" ] ;
     fhir:display [ fhir:v "Yuchi" ] ;
     fhir:property ( [
       fhir:code [ fhir:v "status" ] ;
       fhir:value [ fhir:v "active" ]
     ] [
       fhir:code [ fhir:v "internalId" ] ;
       fhir:value [ fhir:v "18639" ]
     ] )
  ] [
     fhir:code [ fhir:v "x-ZUN" ] ;
     fhir:display [ fhir:v "Zuni" ] ;
     fhir:designation ( [
       fhir:language [ fhir:v "en" ] ;
       fhir:use [
         a sct:900000000000013009 ;
         fhir:system [ fhir:v "http://snomed.info/sct" ] ;
         fhir:code [ fhir:v "900000000000013009" ]
       ] ;
       fhir:value [ fhir:v "Zuñi" ]
     ] ) ;
     fhir:property ( [
       fhir:code [ fhir:v "status" ] ;
       fhir:value [ fhir:v "active" ]
     ] [
       fhir:code [ fhir:v "internalId" ] ;
       fhir:value [ fhir:v "18649" ]
     ] )
  ] ) .

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

