HL7 Terminology
1.0.0 - Publication

This page is part of the HL7 Terminology (v1.0.0: Release) based on FHIR R4. The current version which supercedes this version is 5.2.0. For a full list of available versions, see the Directory of published versions

HL7Realm - TTL Representation

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

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

 a fhir:CodeSystem;
  fhir:nodeRole fhir:treeRoot;
  fhir:Resource.id [ fhir:value "v3-hl7Realm"];
  fhir:Resource.language [ fhir:value "en"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"en\" lang=\"en\"><h2>HL7Realm</h2><div><p><strong>Description:</strong> Coded concepts representing Binding Realms (used for Context Binding of terminology in HL7 models) and/or Namespace Realms (used to help ensure unique identification of HL7 artifacts). This code system is partitioned into three sections: Affiliate realms, Binding realms and Namespace realms. All affiliate realm codes may automatically be used as both binding realms and namespace realms. Furthermore, affiliate realms are the only realms that have authority over the creation of binding realms. (Note that 'affiliate' includes the idea of both international affiliates and the HL7 International organization.) All other codes must be associated with an owning affiliate realm and must appear as a specialization of _BindingRealm or _NamespaceRealm. For affiliates whose concepts align with nations, the country codes from ISO 3166-1 2-character alpha are used for the code when possible so these codes should not be used for other realm types. It is recommended that binding realm and namespace codes submitted by affiliates use the realm code as a prefix to avoid possible collisions with ISO codes. However, tooling does not currently support namepace realm codes greater than 2 characters.</p>\n<p><em>Open Issue:</em> The name of the concept property &quot;owningAffiliate&quot; should be changed to better reflect that the property value is the human readable name of the organizational entity that manages the Realm identified by the Realm Code.</p>\n<p><em>Open Issue:</em> In spite of the inability of tooling to process codes longer than 2 characters, there is at least one realm codes ('SOA') that was added that is 3 characters in length.</p>\n</div><p><b>Properties</b></p><table class=\"grid\"><tr><td><b>Code</b></td><td><b>URL</b></td><td><b>Description</b></td><td><b>Type</b></td></tr><tr><td>Specializes</td><td/><td>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.</td><td>Coding</td></tr><tr><td>Generalizes</td><td/><td>Inverse of Specializes.  Only included as a derived relationship.</td><td>Coding</td></tr><tr><td>OwningAffiliate</td><td>http://terminology.hl7.org/CodeSystem/utg-concept-properties#OwningAffiliate</td><td>Identifies the affiliate responsible for a binding realm or namespace realm code.  Must be specified for all codes that are not specializations of AffiliateRealms. ConceptRelationshipProperties: [relationshipKind: other; isNavigable: false; functionalism: functional; reflexivity: irreflexive; symmetry: antisymetric; connected: false; transitivity: antitransitive; allowedForTargets: all codes from the hl7PublishingSection code system; requiredForSources: all codes which are not equal to ZZ and are not specializations of the abstract code AffiliateRealms; allowedForTargets: all codes which are specializations of the abstract code AffiliateRealms;]</td><td>Coding</td></tr><tr><td>internalId</td><td>http://terminology.hl7.org/CodeSystem/utg-concept-properties#v3-internal-id</td><td>The internal identifier for the concept in the HL7 Access database repository.</td><td>code</td></tr><tr><td>status</td><td>http://hl7.org/fhir/concept-properties#status</td><td>Designation of a concept's state.  Normally is not populated unless the state is retired..</td><td>code</td></tr><tr><td>notSelectable</td><td>http://hl7.org/fhir/concept-properties#notSelectable</td><td>Indicates that the code is abstract - only intended to be used as a selector for other concepts</td><td>boolean</td></tr><tr><td>subsumedBy</td><td>http://hl7.org/fhir/concept-properties#parent</td><td>The concept code of a parent concept</td><td>code</td></tr></table><p>This code system http://terminology.hl7.org/CodeSystem/v3-hl7Realm defines the following codes:</p><table class=\"codes\"><tr><td><b>Lvl</b></td><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td><td><b>HL7 Affiliate Owner</b></td><td><b>internalId</b></td><td><b>status</b></td><td><b>Not Selectable</b></td><td><b>Parent</b></td></tr><tr><td>1</td><td style=\"white-space:nowrap\">BindingRealms<a name=\"v3-hl7Realm-BindingRealms\"> </a></td><td>binding realms</td><td>**Description:** Concepts that can be used as Binding Realms when creating Binding Statements. These codes are permitted to appear in the InfrastructureRoot.realmCode attribute.</td><td/><td>23214</td><td>active</td><td>true</td><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">  AffiliateRealms<a name=\"v3-hl7Realm-AffiliateRealms\"> </a></td><td>Affiliate Realms</td><td>**Description:** Realm codes for official HL7 organizational bodies. This includes both the HL7 International organization as well as all recognized international affiliates (past and present). These groups have the ability to bind vocabulary and develop artifacts. As well, they have the ability to have &quot;ownership&quot; over other binding realms and namespace realms via the owningAffiliate property of those other realm codes.</td><td/><td>22941</td><td>active</td><td>true</td><td>BindingRealms</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    AR<a name=\"v3-hl7Realm-AR\"> </a></td><td>Argentina</td><td>**Description:** Realm code for use of Argentina</td><td/><td>22942</td><td>active</td><td/><td>AffiliateRealms</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    AT<a name=\"v3-hl7Realm-AT\"> </a></td><td>Austria</td><td>**Description:** Realm code for use of Austria</td><td/><td>22943</td><td>active</td><td/><td>AffiliateRealms</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    AU<a name=\"v3-hl7Realm-AU\"> </a></td><td>Australia</td><td>**Description:** Realm code for use of Australia</td><td/><td>22944</td><td>active</td><td/><td>AffiliateRealms</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    BR<a name=\"v3-hl7Realm-BR\"> </a></td><td>Brazil</td><td>**Description:** Realm code for use of Brazil</td><td/><td>22945</td><td>active</td><td/><td>AffiliateRealms</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    CA<a name=\"v3-hl7Realm-CA\"> </a></td><td>Canada</td><td>**Description:** Realm code for use of Canada</td><td/><td>22946</td><td>active</td><td/><td>AffiliateRealms</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    CH<a name=\"v3-hl7Realm-CH\"> </a></td><td>Switzerland</td><td>**Description:** Realm code for use of Switzerland</td><td/><td>22947</td><td>active</td><td/><td>AffiliateRealms</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    CL<a name=\"v3-hl7Realm-CL\"> </a></td><td>Chile</td><td>**Description:** Realm code for use of Chile</td><td/><td>22948</td><td>active</td><td/><td>AffiliateRealms</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    CN<a name=\"v3-hl7Realm-CN\"> </a></td><td>China</td><td>**Description:** Realm code for use of China</td><td/><td>22949</td><td>active</td><td/><td>AffiliateRealms</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    CO<a name=\"v3-hl7Realm-CO\"> </a></td><td>Columbia</td><td>**Description:** Realm code for use of Localized Version</td><td/><td>22977</td><td>active</td><td/><td>AffiliateRealms</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    CZ<a name=\"v3-hl7Realm-CZ\"> </a></td><td>Czech Republic</td><td>**Description:** Realm code for use of Czech Republic</td><td/><td>22950</td><td>active</td><td/><td>AffiliateRealms</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    DE<a name=\"v3-hl7Realm-DE\"> </a></td><td>Germany</td><td>**Description:** Realm code for use of Germany</td><td/><td>22951</td><td>active</td><td/><td>AffiliateRealms</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    DK<a name=\"v3-hl7Realm-DK\"> </a></td><td>Denmark</td><td>**Description:** Realm code for use of Denmark</td><td/><td>22952</td><td>active</td><td/><td>AffiliateRealms</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    ES<a name=\"v3-hl7Realm-ES\"> </a></td><td>Spain</td><td>**Description:** Realm code for use of Spain</td><td/><td>22953</td><td>active</td><td/><td>AffiliateRealms</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    FI<a name=\"v3-hl7Realm-FI\"> </a></td><td>Finland</td><td>**Description:** Realm code for use of Finland</td><td/><td>22954</td><td>active</td><td/><td>AffiliateRealms</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    FR<a name=\"v3-hl7Realm-FR\"> </a></td><td>France</td><td>**Description:** Realm code for use of France</td><td/><td>22955</td><td>active</td><td/><td>AffiliateRealms</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    GR<a name=\"v3-hl7Realm-GR\"> </a></td><td>Greece</td><td>**Description:** Realm code for use of Greece</td><td/><td>22956</td><td>active</td><td/><td>AffiliateRealms</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    HR<a name=\"v3-hl7Realm-HR\"> </a></td><td>Croatia</td><td>**Description:** Realm code for use of Croatia</td><td/><td>22957</td><td>active</td><td/><td>AffiliateRealms</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    IE<a name=\"v3-hl7Realm-IE\"> </a></td><td>Ireland</td><td>**Description:** Realm code for use of Ireland</td><td/><td>22958</td><td>active</td><td/><td>AffiliateRealms</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    IN<a name=\"v3-hl7Realm-IN\"> </a></td><td>India</td><td>**Description:** Realm code for use of India</td><td/><td>22959</td><td>active</td><td/><td>AffiliateRealms</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    IT<a name=\"v3-hl7Realm-IT\"> </a></td><td>Italy</td><td>**Description:** Realm code for use of Italy</td><td/><td>22960</td><td>active</td><td/><td>AffiliateRealms</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    JP<a name=\"v3-hl7Realm-JP\"> </a></td><td>Japan</td><td>**Description:** Realm code for use of Japan</td><td/><td>22961</td><td>active</td><td/><td>AffiliateRealms</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    KR<a name=\"v3-hl7Realm-KR\"> </a></td><td>Korea</td><td>**Description:** Realm code for use of Korea</td><td/><td>22962</td><td>active</td><td/><td>AffiliateRealms</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    LT<a name=\"v3-hl7Realm-LT\"> </a></td><td>Lithuania</td><td>**Description:** Realm code for use of Lithuania</td><td/><td>22963</td><td>active</td><td/><td>AffiliateRealms</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    MX<a name=\"v3-hl7Realm-MX\"> </a></td><td>Mexico</td><td>**Description:** Realm code for use of Mexico</td><td/><td>22964</td><td>active</td><td/><td>AffiliateRealms</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    NL<a name=\"v3-hl7Realm-NL\"> </a></td><td>The Netherlands</td><td>**Description:** Realm code for use of The Netherlands</td><td/><td>22965</td><td>active</td><td/><td>AffiliateRealms</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    NZ<a name=\"v3-hl7Realm-NZ\"> </a></td><td>New Zealand</td><td>**Description:** Realm code for use of New Zealand</td><td/><td>22966</td><td>active</td><td/><td>AffiliateRealms</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    RO<a name=\"v3-hl7Realm-RO\"> </a></td><td>Romania</td><td>**Description:** Realm code for use of Romania</td><td/><td>22967</td><td>active</td><td/><td>AffiliateRealms</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    RU<a name=\"v3-hl7Realm-RU\"> </a></td><td>Russian Federation</td><td>**Description:** Realm code for use of Russian Federation</td><td/><td>22968</td><td>active</td><td/><td>AffiliateRealms</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    SE<a name=\"v3-hl7Realm-SE\"> </a></td><td>Sweden</td><td>**Description:** Realm code for use of Sweden</td><td/><td>22969</td><td>active</td><td/><td>AffiliateRealms</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    SG<a name=\"v3-hl7Realm-SG\"> </a></td><td>Singapore</td><td>**Description:** Realm code for use of Localized Version</td><td/><td>22978</td><td>active</td><td/><td>AffiliateRealms</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    SOA<a name=\"v3-hl7Realm-SOA\"> </a></td><td>Southern Africa</td><td>**Description:** Realm code for use of Southern Africa</td><td/><td>22970</td><td>active</td><td/><td>AffiliateRealms</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    TR<a name=\"v3-hl7Realm-TR\"> </a></td><td>Turkey</td><td>**Description:** Realm code for use of Turkey</td><td/><td>22971</td><td>active</td><td/><td>AffiliateRealms</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    TW<a name=\"v3-hl7Realm-TW\"> </a></td><td>Taiwan</td><td>**Description:** Realm code for use of Taiwan</td><td/><td>22972</td><td>active</td><td/><td>AffiliateRealms</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    UK<a name=\"v3-hl7Realm-UK\"> </a></td><td>United Kingdom</td><td>**Description:** Realm code for use of United Kingdom</td><td/><td>22973</td><td>active</td><td/><td>AffiliateRealms</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    US<a name=\"v3-hl7Realm-US\"> </a></td><td>United States of America</td><td>**Description:** Realm code for use of United States of America</td><td/><td>22975</td><td>active</td><td/><td>AffiliateRealms</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    UV<a name=\"v3-hl7Realm-UV\"> </a></td><td>Universal</td><td>**Description:** Realm code for use of Universal realm or context, used in every instance</td><td/><td>22939</td><td>active</td><td/><td>AffiliateRealms</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    UY<a name=\"v3-hl7Realm-UY\"> </a></td><td>Uruguay</td><td>**Description:** Realm code for use of Uruguay</td><td/><td>22976</td><td>active</td><td/><td>AffiliateRealms</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">  C1<a name=\"v3-hl7Realm-C1\"> </a></td><td>Unclassified Realm</td><td>**Description:** Realm code for use of Unclassified Realm</td><td>UV</td><td>22937</td><td>active</td><td/><td>BindingRealms</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">  GB<a name=\"v3-hl7Realm-GB\"> </a></td><td>Great Britain</td><td>**Description:** Realm code for use of Great Britain</td><td>UK</td><td>22974</td><td>active</td><td/><td>BindingRealms</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">  R1<a name=\"v3-hl7Realm-R1\"> </a></td><td>Representative Realm</td><td>**Description:** Realm code for use of Representative Realm</td><td>UV</td><td>22938</td><td>active</td><td/><td>BindingRealms</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">  X1<a name=\"v3-hl7Realm-X1\"> </a></td><td>Example Realm</td><td>**Description:** Realm code for use of Example Realm</td><td>UV</td><td>22940</td><td>active</td><td/><td>BindingRealms</td></tr><tr><td>1</td><td style=\"white-space:nowrap\">NamespaceRealms<a name=\"v3-hl7Realm-NamespaceRealms\"> </a></td><td>namespace realms</td><td>**Description:** Codes that can be used in the &quot;realm&quot; portion of HL7 v3 artifact identifiers.</td><td/><td>23215</td><td>active</td><td>true</td><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">  ZZ<a name=\"v3-hl7Realm-ZZ\"> </a></td><td>Localized Version</td><td>**Description:** An artifact created for local use only. This realm namespace has no owning affiliate. Its use is uncontrolled, i.e. anyone can create artifacts using this realm namespace. Because of this, there is a significant likelihood of artifact identifier collisions. Implementers are encouraged to register their artifacts under an affiliate owned and controlled namespace to avoid such collision problems where possible.</td><td/><td>22935</td><td>active</td><td/><td>NamespaceRealms</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">  <a href=\"#v3-hl7Realm-AffiliateRealms\">AffiliateRealms</a></td><td>Affiliate Realms</td><td colspan=\"6\"/></tr><tr><td>2</td><td style=\"white-space:nowrap\">  <a href=\"#v3-hl7Realm-GB\">GB</a></td><td>Great Britain</td><td colspan=\"6\"/></tr><tr><td>1</td><td style=\"white-space:nowrap\">SpecialRealms<a name=\"v3-hl7Realm-SpecialRealms\"> </a></td><td>Special Realms</td><td>**Description:** Realm code for use of Special Realms</td><td/><td>22936</td><td>retired</td><td>true</td><td/></tr></table></div>"
  ];
  fhir:CodeSystem.url [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-hl7Realm"];
  fhir:CodeSystem.identifier [
     fhir:index 0;
     fhir:Identifier.system [ fhir:value "urn:ietf:rfc:3986" ];
     fhir:Identifier.value [ fhir:value "urn:oid:2.16.840.1.113883.5.1124" ]
  ];
  fhir:CodeSystem.version [ fhir:value "2.0.0"];
  fhir:CodeSystem.name [ fhir:value "Hl7Realm"];
  fhir:CodeSystem.title [ fhir:value "HL7Realm"];
  fhir:CodeSystem.status [ fhir:value "active"];
  fhir:CodeSystem.date [ fhir:value "2019-03-20T00:00:00-04:00"^^xsd:dateTime];
  fhir:CodeSystem.publisher [ fhir:value "HL7"];
  fhir:CodeSystem.contact [
     fhir:index 0;
     fhir:ContactDetail.name [ fhir:value "Health Level Seven, Inc." ]
  ];
  fhir:CodeSystem.description [ fhir:value "**Description:** Coded concepts representing Binding Realms (used for Context Binding of terminology in HL7 models) and/or Namespace Realms (used to help ensure unique identification of HL7 artifacts). This code system is partitioned into three sections: Affiliate realms, Binding realms and Namespace realms. All affiliate realm codes may automatically be used as both binding realms and namespace realms. Furthermore, affiliate realms are the only realms that have authority over the creation of binding realms. (Note that 'affiliate' includes the idea of both international affiliates and the HL7 International organization.) All other codes must be associated with an owning affiliate realm and must appear as a specialization of \\_BindingRealm or \\_NamespaceRealm. For affiliates whose concepts align with nations, the country codes from ISO 3166-1 2-character alpha are used for the code when possible so these codes should not be used for other realm types. It is recommended that binding realm and namespace codes submitted by affiliates use the realm code as a prefix to avoid possible collisions with ISO codes. However, tooling does not currently support namepace realm codes greater than 2 characters.\r\n\r\n*Open Issue:* The name of the concept property \"owningAffiliate\" should be changed to better reflect that the property value is the human readable name of the organizational entity that manages the Realm identified by the Realm Code.\r\n\r\n*Open Issue:* In spite of the inability of tooling to process codes longer than 2 characters, there is at least one realm codes ('SOA') that was added that is 3 characters in length."];
  fhir:CodeSystem.hierarchyMeaning [ fhir:value "is-a"];
  fhir:CodeSystem.content [ fhir:value "complete"];
  fhir:CodeSystem.property [
     fhir:index 0;
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-symmetry" ];
       fhir:Extension.valueCode [ fhir:value "antisymmetric" ]     ], [
       fhir:index 1;
       fhir:Extension.url [ fhir:value "http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-transitivity" ];
       fhir:Extension.valueCode [ fhir:value "transitive" ]     ], [
       fhir:index 2;
       fhir:Extension.url [ fhir:value "http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-reflexivity" ];
       fhir:Extension.valueCode [ fhir:value "irreflexive" ]     ], [
       fhir:index 3;
       fhir:Extension.url [ fhir:value "http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-isNavigable" ];
       fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ]     ], [
       fhir:index 4;
       fhir:Extension.url [ fhir:value "http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-relationshipKind" ];
       fhir:Extension.valueCode [ fhir:value "Specializes" ]     ], [
       fhir:index 5;
       fhir:Extension.url [ fhir:value "http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-inverseName" ];
       fhir:Extension.valueString [ fhir:value "Generalizes" ]     ];
     fhir:CodeSystem.property.code [ fhir:value "Specializes" ];
     fhir:CodeSystem.property.description [ fhir:value "The child code is a more narrow version of the concept represented by the parent code.  I.e. Every child concept is also a valid parent concept.  Used to allow determination of subsumption.  Must be transitive, irreflexive, antisymmetric." ];
     fhir:CodeSystem.property.type [ fhir:value "Coding" ]
  ], [
     fhir:index 1;
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-symmetry" ];
       fhir:Extension.valueCode [ fhir:value "antisymmetric" ]     ], [
       fhir:index 1;
       fhir:Extension.url [ fhir:value "http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-transitivity" ];
       fhir:Extension.valueCode [ fhir:value "transitive" ]     ], [
       fhir:index 2;
       fhir:Extension.url [ fhir:value "http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-reflexivity" ];
       fhir:Extension.valueCode [ fhir:value "irreflexive" ]     ], [
       fhir:index 3;
       fhir:Extension.url [ fhir:value "http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-isNavigable" ];
       fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ]     ], [
       fhir:index 4;
       fhir:Extension.url [ fhir:value "http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-relationshipKind" ];
       fhir:Extension.valueCode [ fhir:value "Generalizes" ]     ], [
       fhir:index 5;
       fhir:Extension.url [ fhir:value "http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-inverseName" ];
       fhir:Extension.valueString [ fhir:value "Specializes" ]     ];
     fhir:CodeSystem.property.code [ fhir:value "Generalizes" ];
     fhir:CodeSystem.property.description [ fhir:value "Inverse of Specializes.  Only included as a derived relationship." ];
     fhir:CodeSystem.property.type [ fhir:value "Coding" ]
  ], [
     fhir:index 2;
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-relationshipKind" ];
       fhir:Extension.valueCode [ fhir:value "Other" ]     ];
     fhir:CodeSystem.property.code [ fhir:value "OwningAffiliate" ];
     fhir:CodeSystem.property.uri [ fhir:value "http://terminology.hl7.org/CodeSystem/utg-concept-properties#OwningAffiliate" ];
     fhir:CodeSystem.property.description [ fhir:value "Identifies the affiliate responsible for a binding realm or namespace realm code.  Must be specified for all codes that are not specializations of AffiliateRealms. ConceptRelationshipProperties: [relationshipKind: other; isNavigable: false; functionalism: functional; reflexivity: irreflexive; symmetry: antisymetric; connected: false; transitivity: antitransitive; allowedForTargets: all codes from the hl7PublishingSection code system; requiredForSources: all codes which are not equal to ZZ and are not specializations of the abstract code AffiliateRealms; allowedForTargets: all codes which are specializations of the abstract code AffiliateRealms;]" ];
     fhir:CodeSystem.property.type [ fhir:value "Coding" ]
  ], [
     fhir:index 3;
     fhir:CodeSystem.property.code [ fhir:value "internalId" ];
     fhir:CodeSystem.property.uri [ fhir:value "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v3-internal-id" ];
     fhir:CodeSystem.property.description [ fhir:value "The internal identifier for the concept in the HL7 Access database repository." ];
     fhir:CodeSystem.property.type [ fhir:value "code" ]
  ], [
     fhir:index 4;
     fhir:CodeSystem.property.code [ fhir:value "status" ];
     fhir:CodeSystem.property.uri [ fhir:value "http://hl7.org/fhir/concept-properties#status" ];
     fhir:CodeSystem.property.description [ fhir:value "Designation of a concept's state.  Normally is not populated unless the state is retired.." ];
     fhir:CodeSystem.property.type [ fhir:value "code" ]
  ], [
     fhir:index 5;
     fhir:CodeSystem.property.code [ fhir:value "notSelectable" ];
     fhir:CodeSystem.property.uri [ fhir:value "http://hl7.org/fhir/concept-properties#notSelectable" ];
     fhir:CodeSystem.property.description [ fhir:value "Indicates that the code is abstract - only intended to be used as a selector for other concepts" ];
     fhir:CodeSystem.property.type [ fhir:value "boolean" ]
  ], [
     fhir:index 6;
     fhir:CodeSystem.property.code [ fhir:value "subsumedBy" ];
     fhir:CodeSystem.property.uri [ fhir:value "http://hl7.org/fhir/concept-properties#parent" ];
     fhir:CodeSystem.property.description [ fhir:value "The concept code of a parent concept" ];
     fhir:CodeSystem.property.type [ fhir:value "code" ]
  ];
  fhir:CodeSystem.concept [
     fhir:index 0;
     fhir:CodeSystem.concept.code [ fhir:value "BindingRealms" ];
     fhir:CodeSystem.concept.display [ fhir:value "binding realms" ];
     fhir:CodeSystem.concept.definition [ fhir:value "**Description:** Concepts that can be used as Binding Realms when creating Binding Statements. These codes are permitted to appear in the InfrastructureRoot.realmCode attribute." ];
     fhir:CodeSystem.concept.property [
       fhir:index 0;
       fhir:CodeSystem.concept.property.code [ fhir:value "notSelectable" ];
       fhir:CodeSystem.concept.property.valueBoolean [ fhir:value "true"^^xsd:boolean ]     ], [
       fhir:index 1;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]     ], [
       fhir:index 2;
       fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "23214" ]     ]
  ], [
     fhir:index 1;
     fhir:CodeSystem.concept.code [ fhir:value "NamespaceRealms" ];
     fhir:CodeSystem.concept.display [ fhir:value "namespace realms" ];
     fhir:CodeSystem.concept.definition [ fhir:value "**Description:** Codes that can be used in the \"realm\" portion of HL7 v3 artifact identifiers." ];
     fhir:CodeSystem.concept.property [
       fhir:index 0;
       fhir:CodeSystem.concept.property.code [ fhir:value "notSelectable" ];
       fhir:CodeSystem.concept.property.valueBoolean [ fhir:value "true"^^xsd:boolean ]     ], [
       fhir:index 1;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]     ], [
       fhir:index 2;
       fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "23215" ]     ]
  ], [
     fhir:index 2;
     fhir:CodeSystem.concept.code [ fhir:value "SpecialRealms" ];
     fhir:CodeSystem.concept.display [ fhir:value "Special Realms" ];
     fhir:CodeSystem.concept.definition [ fhir:value "**Description:** Realm code for use of Special Realms" ];
     fhir:CodeSystem.concept.property [
       fhir:index 0;
       fhir:CodeSystem.concept.property.code [ fhir:value "notSelectable" ];
       fhir:CodeSystem.concept.property.valueBoolean [ fhir:value "true"^^xsd:boolean ]     ], [
       fhir:index 1;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "retired" ]     ], [
       fhir:index 2;
       fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "22936" ]     ]
  ], [
     fhir:index 3;
     fhir:CodeSystem.concept.code [ fhir:value "AR" ];
     fhir:CodeSystem.concept.display [ fhir:value "Argentina" ];
     fhir:CodeSystem.concept.definition [ fhir:value "**Description:** Realm code for use of Argentina" ];
     fhir:CodeSystem.concept.property [
       fhir:index 0;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]     ], [
       fhir:index 1;
       fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "22942" ]     ], [
       fhir:index 2;
       fhir:CodeSystem.concept.property.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "AffiliateRealms" ]     ]
  ], [
     fhir:index 4;
     fhir:CodeSystem.concept.code [ fhir:value "AT" ];
     fhir:CodeSystem.concept.display [ fhir:value "Austria" ];
     fhir:CodeSystem.concept.definition [ fhir:value "**Description:** Realm code for use of Austria" ];
     fhir:CodeSystem.concept.property [
       fhir:index 0;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]     ], [
       fhir:index 1;
       fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "22943" ]     ], [
       fhir:index 2;
       fhir:CodeSystem.concept.property.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "AffiliateRealms" ]     ]
  ], [
     fhir:index 5;
     fhir:CodeSystem.concept.code [ fhir:value "AU" ];
     fhir:CodeSystem.concept.display [ fhir:value "Australia" ];
     fhir:CodeSystem.concept.definition [ fhir:value "**Description:** Realm code for use of Australia" ];
     fhir:CodeSystem.concept.property [
       fhir:index 0;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]     ], [
       fhir:index 1;
       fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "22944" ]     ], [
       fhir:index 2;
       fhir:CodeSystem.concept.property.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "AffiliateRealms" ]     ]
  ], [
     fhir:index 6;
     fhir:CodeSystem.concept.code [ fhir:value "BR" ];
     fhir:CodeSystem.concept.display [ fhir:value "Brazil" ];
     fhir:CodeSystem.concept.definition [ fhir:value "**Description:** Realm code for use of Brazil" ];
     fhir:CodeSystem.concept.property [
       fhir:index 0;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]     ], [
       fhir:index 1;
       fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "22945" ]     ], [
       fhir:index 2;
       fhir:CodeSystem.concept.property.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "AffiliateRealms" ]     ]
  ], [
     fhir:index 7;
     fhir:CodeSystem.concept.code [ fhir:value "CA" ];
     fhir:CodeSystem.concept.display [ fhir:value "Canada" ];
     fhir:CodeSystem.concept.definition [ fhir:value "**Description:** Realm code for use of Canada" ];
     fhir:CodeSystem.concept.property [
       fhir:index 0;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]     ], [
       fhir:index 1;
       fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "22946" ]     ], [
       fhir:index 2;
       fhir:CodeSystem.concept.property.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "AffiliateRealms" ]     ]
  ], [
     fhir:index 8;
     fhir:CodeSystem.concept.code [ fhir:value "CH" ];
     fhir:CodeSystem.concept.display [ fhir:value "Switzerland" ];
     fhir:CodeSystem.concept.definition [ fhir:value "**Description:** Realm code for use of Switzerland" ];
     fhir:CodeSystem.concept.property [
       fhir:index 0;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]     ], [
       fhir:index 1;
       fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "22947" ]     ], [
       fhir:index 2;
       fhir:CodeSystem.concept.property.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "AffiliateRealms" ]     ]
  ], [
     fhir:index 9;
     fhir:CodeSystem.concept.code [ fhir:value "CL" ];
     fhir:CodeSystem.concept.display [ fhir:value "Chile" ];
     fhir:CodeSystem.concept.definition [ fhir:value "**Description:** Realm code for use of Chile" ];
     fhir:CodeSystem.concept.property [
       fhir:index 0;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]     ], [
       fhir:index 1;
       fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "22948" ]     ], [
       fhir:index 2;
       fhir:CodeSystem.concept.property.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "AffiliateRealms" ]     ]
  ], [
     fhir:index 10;
     fhir:CodeSystem.concept.code [ fhir:value "CN" ];
     fhir:CodeSystem.concept.display [ fhir:value "China" ];
     fhir:CodeSystem.concept.definition [ fhir:value "**Description:** Realm code for use of China" ];
     fhir:CodeSystem.concept.property [
       fhir:index 0;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]     ], [
       fhir:index 1;
       fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "22949" ]     ], [
       fhir:index 2;
       fhir:CodeSystem.concept.property.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "AffiliateRealms" ]     ]
  ], [
     fhir:index 11;
     fhir:CodeSystem.concept.code [ fhir:value "CO" ];
     fhir:CodeSystem.concept.display [ fhir:value "Columbia" ];
     fhir:CodeSystem.concept.definition [ fhir:value "**Description:** Realm code for use of Localized Version" ];
     fhir:CodeSystem.concept.property [
       fhir:index 0;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]     ], [
       fhir:index 1;
       fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "22977" ]     ], [
       fhir:index 2;
       fhir:CodeSystem.concept.property.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "AffiliateRealms" ]     ]
  ], [
     fhir:index 12;
     fhir:CodeSystem.concept.code [ fhir:value "CZ" ];
     fhir:CodeSystem.concept.display [ fhir:value "Czech Republic" ];
     fhir:CodeSystem.concept.definition [ fhir:value "**Description:** Realm code for use of Czech Republic" ];
     fhir:CodeSystem.concept.property [
       fhir:index 0;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]     ], [
       fhir:index 1;
       fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "22950" ]     ], [
       fhir:index 2;
       fhir:CodeSystem.concept.property.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "AffiliateRealms" ]     ]
  ], [
     fhir:index 13;
     fhir:CodeSystem.concept.code [ fhir:value "DE" ];
     fhir:CodeSystem.concept.display [ fhir:value "Germany" ];
     fhir:CodeSystem.concept.definition [ fhir:value "**Description:** Realm code for use of Germany" ];
     fhir:CodeSystem.concept.property [
       fhir:index 0;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]     ], [
       fhir:index 1;
       fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "22951" ]     ], [
       fhir:index 2;
       fhir:CodeSystem.concept.property.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "AffiliateRealms" ]     ]
  ], [
     fhir:index 14;
     fhir:CodeSystem.concept.code [ fhir:value "DK" ];
     fhir:CodeSystem.concept.display [ fhir:value "Denmark" ];
     fhir:CodeSystem.concept.definition [ fhir:value "**Description:** Realm code for use of Denmark" ];
     fhir:CodeSystem.concept.property [
       fhir:index 0;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]     ], [
       fhir:index 1;
       fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "22952" ]     ], [
       fhir:index 2;
       fhir:CodeSystem.concept.property.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "AffiliateRealms" ]     ]
  ], [
     fhir:index 15;
     fhir:CodeSystem.concept.code [ fhir:value "ES" ];
     fhir:CodeSystem.concept.display [ fhir:value "Spain" ];
     fhir:CodeSystem.concept.definition [ fhir:value "**Description:** Realm code for use of Spain" ];
     fhir:CodeSystem.concept.property [
       fhir:index 0;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]     ], [
       fhir:index 1;
       fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "22953" ]     ], [
       fhir:index 2;
       fhir:CodeSystem.concept.property.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "AffiliateRealms" ]     ]
  ], [
     fhir:index 16;
     fhir:CodeSystem.concept.code [ fhir:value "FI" ];
     fhir:CodeSystem.concept.display [ fhir:value "Finland" ];
     fhir:CodeSystem.concept.definition [ fhir:value "**Description:** Realm code for use of Finland" ];
     fhir:CodeSystem.concept.property [
       fhir:index 0;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]     ], [
       fhir:index 1;
       fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "22954" ]     ], [
       fhir:index 2;
       fhir:CodeSystem.concept.property.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "AffiliateRealms" ]     ]
  ], [
     fhir:index 17;
     fhir:CodeSystem.concept.code [ fhir:value "FR" ];
     fhir:CodeSystem.concept.display [ fhir:value "France" ];
     fhir:CodeSystem.concept.definition [ fhir:value "**Description:** Realm code for use of France" ];
     fhir:CodeSystem.concept.property [
       fhir:index 0;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]     ], [
       fhir:index 1;
       fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "22955" ]     ], [
       fhir:index 2;
       fhir:CodeSystem.concept.property.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "AffiliateRealms" ]     ]
  ], [
     fhir:index 18;
     fhir:CodeSystem.concept.code [ fhir:value "GR" ];
     fhir:CodeSystem.concept.display [ fhir:value "Greece" ];
     fhir:CodeSystem.concept.definition [ fhir:value "**Description:** Realm code for use of Greece" ];
     fhir:CodeSystem.concept.property [
       fhir:index 0;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]     ], [
       fhir:index 1;
       fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "22956" ]     ], [
       fhir:index 2;
       fhir:CodeSystem.concept.property.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "AffiliateRealms" ]     ]
  ], [
     fhir:index 19;
     fhir:CodeSystem.concept.code [ fhir:value "HR" ];
     fhir:CodeSystem.concept.display [ fhir:value "Croatia" ];
     fhir:CodeSystem.concept.definition [ fhir:value "**Description:** Realm code for use of Croatia" ];
     fhir:CodeSystem.concept.property [
       fhir:index 0;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]     ], [
       fhir:index 1;
       fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "22957" ]     ], [
       fhir:index 2;
       fhir:CodeSystem.concept.property.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "AffiliateRealms" ]     ]
  ], [
     fhir:index 20;
     fhir:CodeSystem.concept.code [ fhir:value "IE" ];
     fhir:CodeSystem.concept.display [ fhir:value "Ireland" ];
     fhir:CodeSystem.concept.definition [ fhir:value "**Description:** Realm code for use of Ireland" ];
     fhir:CodeSystem.concept.property [
       fhir:index 0;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]     ], [
       fhir:index 1;
       fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "22958" ]     ], [
       fhir:index 2;
       fhir:CodeSystem.concept.property.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "AffiliateRealms" ]     ]
  ], [
     fhir:index 21;
     fhir:CodeSystem.concept.code [ fhir:value "IN" ];
     fhir:CodeSystem.concept.display [ fhir:value "India" ];
     fhir:CodeSystem.concept.definition [ fhir:value "**Description:** Realm code for use of India" ];
     fhir:CodeSystem.concept.property [
       fhir:index 0;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]     ], [
       fhir:index 1;
       fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "22959" ]     ], [
       fhir:index 2;
       fhir:CodeSystem.concept.property.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "AffiliateRealms" ]     ]
  ], [
     fhir:index 22;
     fhir:CodeSystem.concept.code [ fhir:value "IT" ];
     fhir:CodeSystem.concept.display [ fhir:value "Italy" ];
     fhir:CodeSystem.concept.definition [ fhir:value "**Description:** Realm code for use of Italy" ];
     fhir:CodeSystem.concept.property [
       fhir:index 0;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]     ], [
       fhir:index 1;
       fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "22960" ]     ], [
       fhir:index 2;
       fhir:CodeSystem.concept.property.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "AffiliateRealms" ]     ]
  ], [
     fhir:index 23;
     fhir:CodeSystem.concept.code [ fhir:value "JP" ];
     fhir:CodeSystem.concept.display [ fhir:value "Japan" ];
     fhir:CodeSystem.concept.definition [ fhir:value "**Description:** Realm code for use of Japan" ];
     fhir:CodeSystem.concept.property [
       fhir:index 0;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]     ], [
       fhir:index 1;
       fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "22961" ]     ], [
       fhir:index 2;
       fhir:CodeSystem.concept.property.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "AffiliateRealms" ]     ]
  ], [
     fhir:index 24;
     fhir:CodeSystem.concept.code [ fhir:value "KR" ];
     fhir:CodeSystem.concept.display [ fhir:value "Korea" ];
     fhir:CodeSystem.concept.definition [ fhir:value "**Description:** Realm code for use of Korea" ];
     fhir:CodeSystem.concept.property [
       fhir:index 0;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]     ], [
       fhir:index 1;
       fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "22962" ]     ], [
       fhir:index 2;
       fhir:CodeSystem.concept.property.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "AffiliateRealms" ]     ]
  ], [
     fhir:index 25;
     fhir:CodeSystem.concept.code [ fhir:value "LT" ];
     fhir:CodeSystem.concept.display [ fhir:value "Lithuania" ];
     fhir:CodeSystem.concept.definition [ fhir:value "**Description:** Realm code for use of Lithuania" ];
     fhir:CodeSystem.concept.property [
       fhir:index 0;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]     ], [
       fhir:index 1;
       fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "22963" ]     ], [
       fhir:index 2;
       fhir:CodeSystem.concept.property.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "AffiliateRealms" ]     ]
  ], [
     fhir:index 26;
     fhir:CodeSystem.concept.code [ fhir:value "MX" ];
     fhir:CodeSystem.concept.display [ fhir:value "Mexico" ];
     fhir:CodeSystem.concept.definition [ fhir:value "**Description:** Realm code for use of Mexico" ];
     fhir:CodeSystem.concept.property [
       fhir:index 0;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]     ], [
       fhir:index 1;
       fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "22964" ]     ], [
       fhir:index 2;
       fhir:CodeSystem.concept.property.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "AffiliateRealms" ]     ]
  ], [
     fhir:index 27;
     fhir:CodeSystem.concept.code [ fhir:value "NL" ];
     fhir:CodeSystem.concept.display [ fhir:value "The Netherlands" ];
     fhir:CodeSystem.concept.definition [ fhir:value "**Description:** Realm code for use of The Netherlands" ];
     fhir:CodeSystem.concept.property [
       fhir:index 0;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]     ], [
       fhir:index 1;
       fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "22965" ]     ], [
       fhir:index 2;
       fhir:CodeSystem.concept.property.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "AffiliateRealms" ]     ]
  ], [
     fhir:index 28;
     fhir:CodeSystem.concept.code [ fhir:value "NZ" ];
     fhir:CodeSystem.concept.display [ fhir:value "New Zealand" ];
     fhir:CodeSystem.concept.definition [ fhir:value "**Description:** Realm code for use of New Zealand" ];
     fhir:CodeSystem.concept.property [
       fhir:index 0;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]     ], [
       fhir:index 1;
       fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "22966" ]     ], [
       fhir:index 2;
       fhir:CodeSystem.concept.property.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "AffiliateRealms" ]     ]
  ], [
     fhir:index 29;
     fhir:CodeSystem.concept.code [ fhir:value "RO" ];
     fhir:CodeSystem.concept.display [ fhir:value "Romania" ];
     fhir:CodeSystem.concept.definition [ fhir:value "**Description:** Realm code for use of Romania" ];
     fhir:CodeSystem.concept.property [
       fhir:index 0;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]     ], [
       fhir:index 1;
       fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "22967" ]     ], [
       fhir:index 2;
       fhir:CodeSystem.concept.property.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "AffiliateRealms" ]     ]
  ], [
     fhir:index 30;
     fhir:CodeSystem.concept.code [ fhir:value "RU" ];
     fhir:CodeSystem.concept.display [ fhir:value "Russian Federation" ];
     fhir:CodeSystem.concept.definition [ fhir:value "**Description:** Realm code for use of Russian Federation" ];
     fhir:CodeSystem.concept.property [
       fhir:index 0;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]     ], [
       fhir:index 1;
       fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "22968" ]     ], [
       fhir:index 2;
       fhir:CodeSystem.concept.property.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "AffiliateRealms" ]     ]
  ], [
     fhir:index 31;
     fhir:CodeSystem.concept.code [ fhir:value "SE" ];
     fhir:CodeSystem.concept.display [ fhir:value "Sweden" ];
     fhir:CodeSystem.concept.definition [ fhir:value "**Description:** Realm code for use of Sweden" ];
     fhir:CodeSystem.concept.property [
       fhir:index 0;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]     ], [
       fhir:index 1;
       fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "22969" ]     ], [
       fhir:index 2;
       fhir:CodeSystem.concept.property.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "AffiliateRealms" ]     ]
  ], [
     fhir:index 32;
     fhir:CodeSystem.concept.code [ fhir:value "SG" ];
     fhir:CodeSystem.concept.display [ fhir:value "Singapore" ];
     fhir:CodeSystem.concept.definition [ fhir:value "**Description:** Realm code for use of Localized Version" ];
     fhir:CodeSystem.concept.property [
       fhir:index 0;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]     ], [
       fhir:index 1;
       fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "22978" ]     ], [
       fhir:index 2;
       fhir:CodeSystem.concept.property.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "AffiliateRealms" ]     ]
  ], [
     fhir:index 33;
     fhir:CodeSystem.concept.code [ fhir:value "SOA" ];
     fhir:CodeSystem.concept.display [ fhir:value "Southern Africa" ];
     fhir:CodeSystem.concept.definition [ fhir:value "**Description:** Realm code for use of Southern Africa" ];
     fhir:CodeSystem.concept.property [
       fhir:index 0;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]     ], [
       fhir:index 1;
       fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "22970" ]     ], [
       fhir:index 2;
       fhir:CodeSystem.concept.property.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "AffiliateRealms" ]     ]
  ], [
     fhir:index 34;
     fhir:CodeSystem.concept.code [ fhir:value "TR" ];
     fhir:CodeSystem.concept.display [ fhir:value "Turkey" ];
     fhir:CodeSystem.concept.definition [ fhir:value "**Description:** Realm code for use of Turkey" ];
     fhir:CodeSystem.concept.property [
       fhir:index 0;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]     ], [
       fhir:index 1;
       fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "22971" ]     ], [
       fhir:index 2;
       fhir:CodeSystem.concept.property.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "AffiliateRealms" ]     ]
  ], [
     fhir:index 35;
     fhir:CodeSystem.concept.code [ fhir:value "TW" ];
     fhir:CodeSystem.concept.display [ fhir:value "Taiwan" ];
     fhir:CodeSystem.concept.definition [ fhir:value "**Description:** Realm code for use of Taiwan" ];
     fhir:CodeSystem.concept.property [
       fhir:index 0;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]     ], [
       fhir:index 1;
       fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "22972" ]     ], [
       fhir:index 2;
       fhir:CodeSystem.concept.property.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "AffiliateRealms" ]     ]
  ], [
     fhir:index 36;
     fhir:CodeSystem.concept.code [ fhir:value "UK" ];
     fhir:CodeSystem.concept.display [ fhir:value "United Kingdom" ];
     fhir:CodeSystem.concept.definition [ fhir:value "**Description:** Realm code for use of United Kingdom" ];
     fhir:CodeSystem.concept.property [
       fhir:index 0;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]     ], [
       fhir:index 1;
       fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "22973" ]     ], [
       fhir:index 2;
       fhir:CodeSystem.concept.property.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "AffiliateRealms" ]     ]
  ], [
     fhir:index 37;
     fhir:CodeSystem.concept.code [ fhir:value "US" ];
     fhir:CodeSystem.concept.display [ fhir:value "United States of America" ];
     fhir:CodeSystem.concept.definition [ fhir:value "**Description:** Realm code for use of United States of America" ];
     fhir:CodeSystem.concept.property [
       fhir:index 0;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]     ], [
       fhir:index 1;
       fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "22975" ]     ], [
       fhir:index 2;
       fhir:CodeSystem.concept.property.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "AffiliateRealms" ]     ]
  ], [
     fhir:index 38;
     fhir:CodeSystem.concept.code [ fhir:value "UV" ];
     fhir:CodeSystem.concept.display [ fhir:value "Universal" ];
     fhir:CodeSystem.concept.definition [ fhir:value "**Description:** Realm code for use of Universal realm or context, used in every instance" ];
     fhir:CodeSystem.concept.property [
       fhir:index 0;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]     ], [
       fhir:index 1;
       fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "22939" ]     ], [
       fhir:index 2;
       fhir:CodeSystem.concept.property.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "AffiliateRealms" ]     ]
  ], [
     fhir:index 39;
     fhir:CodeSystem.concept.code [ fhir:value "UY" ];
     fhir:CodeSystem.concept.display [ fhir:value "Uruguay" ];
     fhir:CodeSystem.concept.definition [ fhir:value "**Description:** Realm code for use of Uruguay" ];
     fhir:CodeSystem.concept.property [
       fhir:index 0;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]     ], [
       fhir:index 1;
       fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "22976" ]     ], [
       fhir:index 2;
       fhir:CodeSystem.concept.property.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "AffiliateRealms" ]     ]
  ], [
     fhir:index 40;
     fhir:CodeSystem.concept.code [ fhir:value "AffiliateRealms" ];
     fhir:CodeSystem.concept.display [ fhir:value "Affiliate Realms" ];
     fhir:CodeSystem.concept.definition [ fhir:value "**Description:** Realm codes for official HL7 organizational bodies. This includes both the HL7 International organization as well as all recognized international affiliates (past and present). These groups have the ability to bind vocabulary and develop artifacts. As well, they have the ability to have \"ownership\" over other binding realms and namespace realms via the owningAffiliate property of those other realm codes." ];
     fhir:CodeSystem.concept.property [
       fhir:index 0;
       fhir:CodeSystem.concept.property.code [ fhir:value "notSelectable" ];
       fhir:CodeSystem.concept.property.valueBoolean [ fhir:value "true"^^xsd:boolean ]     ], [
       fhir:index 1;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]     ], [
       fhir:index 2;
       fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "22941" ]     ], [
       fhir:index 3;
       fhir:CodeSystem.concept.property.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "BindingRealms" ]     ], [
       fhir:index 4;
       fhir:CodeSystem.concept.property.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "NamespaceRealms" ]     ]
  ], [
     fhir:index 41;
     fhir:CodeSystem.concept.code [ fhir:value "C1" ];
     fhir:CodeSystem.concept.display [ fhir:value "Unclassified Realm" ];
     fhir:CodeSystem.concept.definition [ fhir:value "**Description:** Realm code for use of Unclassified Realm" ];
     fhir:CodeSystem.concept.property [
       fhir:index 0;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]     ], [
       fhir:index 1;
       fhir:CodeSystem.concept.property.code [ fhir:value "OwningAffiliate" ];
       fhir:CodeSystem.concept.property.valueCoding [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-hl7Realm" ];
         fhir:Coding.code [ fhir:value "UV" ]       ]     ], [
       fhir:index 2;
       fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "22937" ]     ], [
       fhir:index 3;
       fhir:CodeSystem.concept.property.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "BindingRealms" ]     ]
  ], [
     fhir:index 42;
     fhir:CodeSystem.concept.code [ fhir:value "GB" ];
     fhir:CodeSystem.concept.display [ fhir:value "Great Britain" ];
     fhir:CodeSystem.concept.definition [ fhir:value "**Description:** Realm code for use of Great Britain" ];
     fhir:CodeSystem.concept.property [
       fhir:index 0;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]     ], [
       fhir:index 1;
       fhir:CodeSystem.concept.property.code [ fhir:value "OwningAffiliate" ];
       fhir:CodeSystem.concept.property.valueCoding [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-hl7Realm" ];
         fhir:Coding.code [ fhir:value "UK" ]       ]     ], [
       fhir:index 2;
       fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "22974" ]     ], [
       fhir:index 3;
       fhir:CodeSystem.concept.property.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "BindingRealms" ]     ], [
       fhir:index 4;
       fhir:CodeSystem.concept.property.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "NamespaceRealms" ]     ]
  ], [
     fhir:index 43;
     fhir:CodeSystem.concept.code [ fhir:value "R1" ];
     fhir:CodeSystem.concept.display [ fhir:value "Representative Realm" ];
     fhir:CodeSystem.concept.definition [ fhir:value "**Description:** Realm code for use of Representative Realm" ];
     fhir:CodeSystem.concept.property [
       fhir:index 0;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]     ], [
       fhir:index 1;
       fhir:CodeSystem.concept.property.code [ fhir:value "OwningAffiliate" ];
       fhir:CodeSystem.concept.property.valueCoding [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-hl7Realm" ];
         fhir:Coding.code [ fhir:value "UV" ]       ]     ], [
       fhir:index 2;
       fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "22938" ]     ], [
       fhir:index 3;
       fhir:CodeSystem.concept.property.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "BindingRealms" ]     ]
  ], [
     fhir:index 44;
     fhir:CodeSystem.concept.code [ fhir:value "X1" ];
     fhir:CodeSystem.concept.display [ fhir:value "Example Realm" ];
     fhir:CodeSystem.concept.definition [ fhir:value "**Description:** Realm code for use of Example Realm" ];
     fhir:CodeSystem.concept.property [
       fhir:index 0;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]     ], [
       fhir:index 1;
       fhir:CodeSystem.concept.property.code [ fhir:value "OwningAffiliate" ];
       fhir:CodeSystem.concept.property.valueCoding [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-hl7Realm" ];
         fhir:Coding.code [ fhir:value "UV" ]       ]     ], [
       fhir:index 2;
       fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "22940" ]     ], [
       fhir:index 3;
       fhir:CodeSystem.concept.property.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "BindingRealms" ]     ]
  ], [
     fhir:index 45;
     fhir:CodeSystem.concept.code [ fhir:value "ZZ" ];
     fhir:CodeSystem.concept.display [ fhir:value "Localized Version" ];
     fhir:CodeSystem.concept.definition [ fhir:value "**Description:** An artifact created for local use only. This realm namespace has no owning affiliate. Its use is uncontrolled, i.e. anyone can create artifacts using this realm namespace. Because of this, there is a significant likelihood of artifact identifier collisions. Implementers are encouraged to register their artifacts under an affiliate owned and controlled namespace to avoid such collision problems where possible." ];
     fhir:CodeSystem.concept.property [
       fhir:index 0;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]     ], [
       fhir:index 1;
       fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "22935" ]     ], [
       fhir:index 2;
       fhir:CodeSystem.concept.property.code [ fhir:value "subsumedBy" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "NamespaceRealms" ]     ]
  ].

# - ontology header ------------------------------------------------------------

 a owl:Ontology;
  owl:imports fhir:fhir.ttl.