<status value="active"/> <date value="2014-03-26"/> <description value="The specific determiner indicates that the given Entity is taken as one specific thing instance. For example, a human INSTANCE (quantity = 1,) stands for exactly one human being."/> <immutable value="true"/> <compose> <include> <system value="http://terminology.hl7.org/CodeSystem/v3-EntityDeterminer"/> <filter> <property value="concept"/> <op value="is-a"/> <value value="INSTANCE"/> </filter> </include> </compose> </ValueSet>