HL7 Terminology
2.1.0 - Publication

This page is part of the HL7 Terminology (v2.1.0: Release) based on FHIR R4. The current version which supercedes this version is 3.0.0. For a full list of available versions, see the Directory of published versions

: - 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:Bundle;
  fhir:nodeRole fhir:treeRoot;
  fhir:Resource.id [ fhir:value "hxutg1-1-0-9"];
  fhir:Bundle.type [ fhir:value "collection"];
  fhir:Bundle.entry [
     fhir:index 0;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://terminology.hl7.org/fhir/Provenance/pclocd-cs-1-0-19" ];
     fhir:Bundle.entry.resource <http://terminology.hl7.org/fhir/Provenance/pclocd-cs-1-0-19>
  ], [
     fhir:index 1;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://terminology.hl7.org/fhir/Provenance/pclocd-ns-1-0-19" ];
     fhir:Bundle.entry.resource <http://terminology.hl7.org/fhir/Provenance/pclocd-ns-1-0-19>
  ], [
     fhir:index 2;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://terminology.hl7.org/fhir/Provenance/nanda-i-cs-1-0-20" ];
     fhir:Bundle.entry.resource <http://terminology.hl7.org/fhir/Provenance/nanda-i-cs-1-0-20>
  ], [
     fhir:index 3;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://terminology.hl7.org/fhir/Provenance/nanda-i-ns-1-0-20" ];
     fhir:Bundle.entry.resource <http://terminology.hl7.org/fhir/Provenance/nanda-i-ns-1-0-20>
  ], [
     fhir:index 4;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://terminology.hl7.org/fhir/Provenance/v3-PeriodicIntervalOfTimeAbbreviation-cs-1-0-21" ];
     fhir:Bundle.entry.resource <http://terminology.hl7.org/fhir/Provenance/v3-PeriodicIntervalOfTimeAbbreviation-cs-1-0-21>
  ], [
     fhir:index 5;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://terminology.hl7.org/fhir/Provenance/v3-ActInjuryCodeCSA-vs-1-0-21" ];
     fhir:Bundle.entry.resource <http://terminology.hl7.org/fhir/Provenance/v3-ActInjuryCodeCSA-vs-1-0-21>
  ], [
     fhir:index 6;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://terminology.hl7.org/fhir/Provenance/v3-ActProcedureCodeCCI-vs-1-0-21" ];
     fhir:Bundle.entry.resource <http://terminology.hl7.org/fhir/Provenance/v3-ActProcedureCodeCCI-vs-1-0-21>
  ], [
     fhir:index 7;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://terminology.hl7.org/fhir/Provenance/v3-DataOperation-cs-1-1-22" ];
     fhir:Bundle.entry.resource <http://terminology.hl7.org/fhir/Provenance/v3-DataOperation-cs-1-1-22>
  ], [
     fhir:index 8;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://terminology.hl7.org/fhir/Provenance/v3-CodeSystem-cs-1-1-22" ];
     fhir:Bundle.entry.resource <http://terminology.hl7.org/fhir/Provenance/v3-CodeSystem-cs-1-1-22>
  ], [
     fhir:index 9;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://terminology.hl7.org/fhir/Provenance/v3-nuccProviderCodes-cs-1-1-24" ];
     fhir:Bundle.entry.resource <http://terminology.hl7.org/fhir/Provenance/v3-nuccProviderCodes-cs-1-1-24>
  ], [
     fhir:index 10;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://terminology.hl7.org/fhir/Provenance/v3-HealthcareProviderTaxonomyHIPAA-cs-1-1-24" ];
     fhir:Bundle.entry.resource <http://terminology.hl7.org/fhir/Provenance/v3-HealthcareProviderTaxonomyHIPAA-cs-1-1-24>
  ], [
     fhir:index 11;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://terminology.hl7.org/fhir/Provenance/v3-nuccProviderCodes-ns-1-1-24" ];
     fhir:Bundle.entry.resource <http://terminology.hl7.org/fhir/Provenance/v3-nuccProviderCodes-ns-1-1-24>
  ], [
     fhir:index 12;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://terminology.hl7.org/fhir/Provenance/v3-HealthcareProviderTaxonomyHIPAA-ns-1-1-24" ];
     fhir:Bundle.entry.resource <http://terminology.hl7.org/fhir/Provenance/v3-HealthcareProviderTaxonomyHIPAA-ns-1-1-24>
  ], [
     fhir:index 13;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://terminology.hl7.org/fhir/Provenance/conceptdomains-cs-1-1-25" ];
     fhir:Bundle.entry.resource <http://terminology.hl7.org/fhir/Provenance/conceptdomains-cs-1-1-25>
  ], [
     fhir:index 14;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://terminology.hl7.org/fhir/Provenance/utg-concept-properties-cs-1-1-25" ];
     fhir:Bundle.entry.resource <http://terminology.hl7.org/fhir/Provenance/utg-concept-properties-cs-1-1-25>
  ], [
     fhir:index 15;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://terminology.hl7.org/fhir/Provenance/v3-KnowledgeSubjectObservationValue-vs-1-1-34" ];
     fhir:Bundle.entry.resource <http://terminology.hl7.org/fhir/Provenance/v3-KnowledgeSubjectObservationValue-vs-1-1-34>
  ], [
     fhir:index 16;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://terminology.hl7.org/fhir/Provenance/v3-iso3166-1-ns-1-1-35" ];
     fhir:Bundle.entry.resource <http://terminology.hl7.org/fhir/Provenance/v3-iso3166-1-ns-1-1-35>
  ], [
     fhir:index 17;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://terminology.hl7.org/fhir/Provenance/v3-KnowledgeSubjectObservationValue-vs-1-1-36" ];
     fhir:Bundle.entry.resource <http://terminology.hl7.org/fhir/Provenance/v3-KnowledgeSubjectObservationValue-vs-1-1-36>
  ], [
     fhir:index 18;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://terminology.hl7.org/fhir/Provenance/operation-outcome-cs-1-1-62" ];
     fhir:Bundle.entry.resource <http://terminology.hl7.org/fhir/Provenance/operation-outcome-cs-1-1-62>
  ], [
     fhir:index 19;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://terminology.hl7.org/fhir/Provenance/snomed-CT-cs-1-0-65" ];
     fhir:Bundle.entry.resource <http://terminology.hl7.org/fhir/Provenance/snomed-CT-cs-1-0-65>
  ], [
     fhir:index 20;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://terminology.hl7.org/fhir/Provenance/snomed-CT-cs-1-0-66" ];
     fhir:Bundle.entry.resource <http://terminology.hl7.org/fhir/Provenance/snomed-CT-cs-1-0-66>
  ], [
     fhir:index 21;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://terminology.hl7.org/fhir/Provenance/loinc-cs-1-0-66" ];
     fhir:Bundle.entry.resource <http://terminology.hl7.org/fhir/Provenance/loinc-cs-1-0-66>
  ], [
     fhir:index 22;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://terminology.hl7.org/fhir/Provenance/rxNorm-cs-1-0-66" ];
     fhir:Bundle.entry.resource <http://terminology.hl7.org/fhir/Provenance/rxNorm-cs-1-0-66>
  ], [
     fhir:index 23;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://terminology.hl7.org/fhir/Provenance/ucum-cs-1-0-66" ];
     fhir:Bundle.entry.resource <http://terminology.hl7.org/fhir/Provenance/ucum-cs-1-0-66>
  ].

<http://terminology.hl7.org/fhir/Provenance/pclocd-cs-1-0-19> a fhir:Provenance;
  fhir:Resource.id [ fhir:value "hx1i-pclocd-cs-1-0-19"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>target</b>: <a href=\"CodeSystem-pclocd.html\">Generated Summary: url: https://fhir.infoway-inforoute.ca/CodeSystem/pCLOCD; id: urn:oid:2.16.840.1.113883.2.20.5.1; version: 3.0.0; name: Pclocd; title: pan-Canadian LOINC Observation Code Database; status: active; date: Mar 19, 2019, 10:00:00 PM; publisher: Canada Health Infoway; Canada Health Infoway: https://infocentral.infoway-in...; description: The pan Canadian LOINC Observation Code Database (pCLOCD) is the Canadian version of the LOINC(tm) database. It was created using the LOINC(tm) records and attributes that were constrained for Canadian use and supplemented to specifically meet Canadian requirements. It contains the core LOINC(tm) attributes as required by Regenstrief copyright rules. The LOINC(tm) Component has been customized to meet Canadian requirements and is displayed as the pan Canadian Component Name. This component name is the basis for the pan Canadian Display Name. Core attributes are include both English and Canadian French.\r\n\r\nThis code system contains supplemental \"X\" codes defined in the pCLOCD that do not yet exist in the LOINC code system.; content: not-present</a></p><p><b>occurred</b>: ?? --&gt; 2020-07-13</p><p><b>recorded</b>: Jul 12, 2020, 9:21:03 PM</p><p><b>reason</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v3-ActReason METAMGT}\">Change the pCLOCD external Code System and Naming System entries to be aligned with what the HTA and the terminology owners wish it to be.</span></p><p><b>activity</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v3-DataOperation UPDATE}\">revise</span></p><blockquote><p><b>agent</b></p><p><b>type</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/provenance-participant-type author}\">Author</span></p><p><b>who</b>: <span>Joel Francis</span></p></blockquote><blockquote><p><b>agent</b></p><p><b>type</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/provenance-participant-type custodian}\">Custodian</span></p><p><b>who</b>: <span>HTA</span></p></blockquote></div>"
  ];
  fhir:Provenance.target [
     fhir:index 0;
     fhir:Reference.reference [ fhir:value "CodeSystem/pclocd" ]
  ];
  fhir:Provenance.occurredPeriod [
     fhir:Period.end [ fhir:value "2020-07-13"^^xsd:date ]
  ];
  fhir:Provenance.recorded [ fhir:value "2020-07-13T13:21:03+10:00"^^xsd:dateTime];
  fhir:Provenance.reason [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ActReason" ];
       fhir:Coding.code [ fhir:value "METAMGT" ]     ];
     fhir:CodeableConcept.text [ fhir:value "Change the pCLOCD external Code System and Naming System entries to be aligned with what the HTA and the terminology owners wish it to be." ]
  ];
  fhir:Provenance.activity [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-DataOperation" ];
       fhir:Coding.code [ fhir:value "UPDATE" ]     ]
  ];
  fhir:Provenance.agent [
     fhir:index 0;
     fhir:Provenance.agent.type [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/provenance-participant-type" ];
         fhir:Coding.code [ fhir:value "author" ]       ]     ];
     fhir:Provenance.agent.who [
       fhir:Reference.display [ fhir:value "Joel Francis" ]     ]
  ], [
     fhir:index 1;
     fhir:Provenance.agent.type [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/provenance-participant-type" ];
         fhir:Coding.code [ fhir:value "custodian" ]       ]     ];
     fhir:Provenance.agent.who [
       fhir:Reference.display [ fhir:value "HTA" ]     ]
  ].

<http://terminology.hl7.org/fhir/Provenance/pclocd-ns-1-0-19> a fhir:Provenance;
  fhir:Resource.id [ fhir:value "hx1i-pclocd-ns-1-0-19"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>target</b>: <a href=\"NamingSystem-pclocd.html\">Generated Summary: name: Pclocd; status: active; kind: codesystem; date: Mar 19, 2019, 10:00:00 PM; publisher: Canada Health Infoway; Canada Health Infoway: standards@infoway-inforoute.ca; responsible: Canada Health Infoway; description: The pan Canadian LOINC Observation Code Database (pCLOCD) is the Canadian version of the LOINC(tm) database. It was created using the LOINC(tm) records and attributes that were constrained for Canadian use and supplemented to specifically meet Canadian requirements. It contains the core LOINC(tm) attributes as required by Regenstrief copyright rules. The LOINC(tm) Component has been customized to meet Canadian requirements and is displayed as the pan Canadian Component Name. This component name is the basis for the pan Canadian Display Name. Core attributes are include both English and Canadian French.\r\n\r\nThis code system contains supplemental \"X\" codes defined in the pCLOCD that do not yet exist in the LOINC code system.</a></p><p><b>occurred</b>: ?? --&gt; 2020-07-13</p><p><b>recorded</b>: Jul 12, 2020, 9:23:32 PM</p><p><b>reason</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v3-ActReason METAMGT}\">Change the pCLOCD external Code System and Naming System entries to be aligned with what the HTA and the terminology owners wish it to be.</span></p><p><b>activity</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v3-DataOperation UPDATE}\">revise</span></p><blockquote><p><b>agent</b></p><p><b>type</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/provenance-participant-type author}\">Author</span></p><p><b>who</b>: <span>Joel Francis</span></p></blockquote><blockquote><p><b>agent</b></p><p><b>type</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/provenance-participant-type custodian}\">Custodian</span></p><p><b>who</b>: <span>HTA</span></p></blockquote></div>"
  ];
  fhir:Provenance.target [
     fhir:index 0;
     fhir:Reference.reference [ fhir:value "NamingSystem/pclocd" ]
  ];
  fhir:Provenance.occurredPeriod [
     fhir:Period.end [ fhir:value "2020-07-13"^^xsd:date ]
  ];
  fhir:Provenance.recorded [ fhir:value "2020-07-13T13:23:32+10:00"^^xsd:dateTime];
  fhir:Provenance.reason [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ActReason" ];
       fhir:Coding.code [ fhir:value "METAMGT" ]     ];
     fhir:CodeableConcept.text [ fhir:value "Change the pCLOCD external Code System and Naming System entries to be aligned with what the HTA and the terminology owners wish it to be." ]
  ];
  fhir:Provenance.activity [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-DataOperation" ];
       fhir:Coding.code [ fhir:value "UPDATE" ]     ]
  ];
  fhir:Provenance.agent [
     fhir:index 0;
     fhir:Provenance.agent.type [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/provenance-participant-type" ];
         fhir:Coding.code [ fhir:value "author" ]       ]     ];
     fhir:Provenance.agent.who [
       fhir:Reference.display [ fhir:value "Joel Francis" ]     ]
  ], [
     fhir:index 1;
     fhir:Provenance.agent.type [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/provenance-participant-type" ];
         fhir:Coding.code [ fhir:value "custodian" ]       ]     ];
     fhir:Provenance.agent.who [
       fhir:Reference.display [ fhir:value "HTA" ]     ]
  ].

<http://terminology.hl7.org/fhir/Provenance/nanda-i-cs-1-0-20> a fhir:Provenance;
  fhir:Resource.id [ fhir:value "hx1i-nanda-i-cs-1-0-20"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>target</b>: <a href=\"CodeSystem-nanda-i.html\">Generated Summary: url: http://www.nanda.org/; id: urn:oid:2.16.840.1.113883.6.20; version: 3.0.0; name: Nanda_I; title: NANDA International; status: active; date: Mar 19, 2019, 10:00:00 PM; publisher: NANDA International; Name: North American Nursing Diagnosis Association; Address: 1211 Locust St., Philadelphia, PA 19107; Telephone: 215 545 7222; Fax: 215 545 8107; E-mail: www.NANDA@rmpinc.com or www.NANDA.org: ; description: The NANDA-I classification is a set of nursing diagnoses developed by the NANDA International. This purpose of the terminology is to provide nursing diagnoses used to describe patients’ responses to actual or potential health problems and life processes responses to diseases rather than classifying the conditions of diseases and disorders.; copyright: The NANDA-I terminology is a copyrighted terminology, therefore no part of the  NANDA International Nursing Diagnoses: Definitions and Classification can be reproduced, stored in a retrieval system, or transmitted by any means, electronic, mechanical, photocopying, recording or otherwise without the prior permission of the publisher. ; content: not-present</a></p><p><b>occurred</b>: ?? --&gt; 2020-07-15</p><p><b>recorded</b>: Jul 14, 2020, 10:09:21 PM</p><p><b>reason</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v3-ActReason METAMGT}\">One of the code system stubs with its associated NamingSystem entry brought in from V3 needs to be corrected and brought into alignment with HTA documented information on the code system.</span></p><p><b>activity</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v3-DataOperation UPDATE}\">revise</span></p><blockquote><p><b>agent</b></p><p><b>type</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/provenance-participant-type author}\">Author</span></p><p><b>who</b>: <span>Ted Klein</span></p></blockquote><blockquote><p><b>agent</b></p><p><b>type</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/provenance-participant-type custodian}\">Custodian</span></p><p><b>who</b>: <span>Vocabulary WG</span></p></blockquote></div>"
  ];
  fhir:Provenance.target [
     fhir:index 0;
     fhir:Reference.reference [ fhir:value "CodeSystem/nanda-i" ]
  ];
  fhir:Provenance.occurredPeriod [
     fhir:Period.end [ fhir:value "2020-07-15"^^xsd:date ]
  ];
  fhir:Provenance.recorded [ fhir:value "2020-07-15T14:09:21+10:00"^^xsd:dateTime];
  fhir:Provenance.reason [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ActReason" ];
       fhir:Coding.code [ fhir:value "METAMGT" ]     ];
     fhir:CodeableConcept.text [ fhir:value "One of the code system stubs with its associated NamingSystem entry brought in from V3 needs to be corrected and brought into alignment with HTA documented information on the code system." ]
  ];
  fhir:Provenance.activity [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-DataOperation" ];
       fhir:Coding.code [ fhir:value "UPDATE" ]     ]
  ];
  fhir:Provenance.agent [
     fhir:index 0;
     fhir:Provenance.agent.type [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/provenance-participant-type" ];
         fhir:Coding.code [ fhir:value "author" ]       ]     ];
     fhir:Provenance.agent.who [
       fhir:Reference.display [ fhir:value "Ted Klein" ]     ]
  ], [
     fhir:index 1;
     fhir:Provenance.agent.type [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/provenance-participant-type" ];
         fhir:Coding.code [ fhir:value "custodian" ]       ]     ];
     fhir:Provenance.agent.who [
       fhir:Reference.display [ fhir:value "Vocabulary WG" ]     ]
  ].

<http://terminology.hl7.org/fhir/Provenance/nanda-i-ns-1-0-20> a fhir:Provenance;
  fhir:Resource.id [ fhir:value "hx1i-nanda-i-ns-1-0-20"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>target</b>: <a href=\"NamingSystem-nanda-i.html\">Generated Summary: name: NandaI; status: active; kind: codesystem; date: Mar 19, 2019, 10:00:00 PM; publisher: Kay C. Avant, RN, PhD, FAAN; 7601 Tallahassee, Waco, Tx 76712; Telephone: 254 772 5572; Fax: 254 741 9850; E-mail: kayavant@aol.com; Name: North American Nursing Diagnosis Association; Address: 1211 Locust St., Philadelphia, PA 19107; Telephone: 215 545 7222; Fax: 215 545 8107; E-mail: www.NANDA@rmpinc.com or www.NANDA.org: ; responsible: Kay C. Avant, RN, PhD, FAAN; 7601 Tallahassee, Waco, Tx 76712; Telephone: 254 772 5572; Fax: 254 741 9850; E-mail: kayavant@aol.com; description: The terminology consists of standardized terms and codes for patient problems or life processes expressed as nursing diagnoses. These data elements would be classified by HL7 as \"observations\". The taxonomy is multi-axial. It consists of 12 domains and 36 classes. All domains and classes are defined. There are 7 axes with definitions for each. Each nursing diagnosis consists of: a concept label or term expressed as a noun or a noun phrase; a definition of the term; a set of defining characteristics (signs and symptoms) of the diagnostic term; an approved list of modifiers of the term; a set of risk factors with definitions; and a set of related factors (or etiologies) for the term. The system preserves semantics by having robust review procedures and policies to ensure against semantic drift in the meanings of the encoded terms over time. NANDA as an organization is committed to updating the terminology on a regular biannual basis. NANDA has been in existence since 1973 and is thus the oldest developer of standardized language in nursing. Most other nursing language systems use many of the older NANDA terms in their vocabularies. The express purpose of the organization is to develop a comprehensive standardized nursing language that captures the conclusions that nurses make based on observations - in effect, the nursing diagnoses. The work is a continuing effort and diagnoses are revised, retired or added bi-annually. The codes are simple integers and are not linked to each other. If a diagnostic term is retired, the code is also retired. If a new diagnosis is added a new code is given to that term. If a diagnostic term is revised, the code is kept intact but the date of the revision is published alongside the term. Domains and classes are not coded.</a></p><p><b>occurred</b>: ?? --&gt; 2020-07-15</p><p><b>recorded</b>: Jul 14, 2020, 10:10:15 PM</p><p><b>reason</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v3-ActReason METAMGT}\">One of the code system stubs with its associated NamingSystem entry brought in from V3 needs to be corrected and brought into alignment with HTA documented information on the code system.</span></p><p><b>activity</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v3-DataOperation UPDATE}\">revise</span></p><blockquote><p><b>agent</b></p><p><b>type</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/provenance-participant-type author}\">Author</span></p><p><b>who</b>: <span>Ted Klein</span></p></blockquote><blockquote><p><b>agent</b></p><p><b>type</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/provenance-participant-type custodian}\">Custodian</span></p><p><b>who</b>: <span>Vocabulary WG</span></p></blockquote></div>"
  ];
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     fhir:index 0;
     fhir:Reference.reference [ fhir:value "NamingSystem/nanda-i" ]
  ];
  fhir:Provenance.occurredPeriod [
     fhir:Period.end [ fhir:value "2020-07-15"^^xsd:date ]
  ];
  fhir:Provenance.recorded [ fhir:value "2020-07-15T14:10:15+10:00"^^xsd:dateTime];
  fhir:Provenance.reason [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ActReason" ];
       fhir:Coding.code [ fhir:value "METAMGT" ]     ];
     fhir:CodeableConcept.text [ fhir:value "One of the code system stubs with its associated NamingSystem entry brought in from V3 needs to be corrected and brought into alignment with HTA documented information on the code system." ]
  ];
  fhir:Provenance.activity [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-DataOperation" ];
       fhir:Coding.code [ fhir:value "UPDATE" ]     ]
  ];
  fhir:Provenance.agent [
     fhir:index 0;
     fhir:Provenance.agent.type [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/provenance-participant-type" ];
         fhir:Coding.code [ fhir:value "author" ]       ]     ];
     fhir:Provenance.agent.who [
       fhir:Reference.display [ fhir:value "Ted Klein" ]     ]
  ], [
     fhir:index 1;
     fhir:Provenance.agent.type [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/provenance-participant-type" ];
         fhir:Coding.code [ fhir:value "custodian" ]       ]     ];
     fhir:Provenance.agent.who [
       fhir:Reference.display [ fhir:value "Vocabulary WG" ]     ]
  ].

<http://terminology.hl7.org/fhir/Provenance/v3-PeriodicIntervalOfTimeAbbreviation-cs-1-0-21> a fhir:Provenance;
  fhir:Resource.id [ fhir:value "hx1i-v3-PeriodicIntervalOfTimeAbbreviation-cs-1-0-21"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>target</b>: <a href=\"CodeSystem-v3-PeriodicIntervalOfTimeAbbreviation.html\">Generated Summary: language: en; url: http://terminology.hl7.org/CodeSystem/v3-PeriodicIntervalOfTimeAbbreviation; id: urn:oid:2.16.840.1.113883.5.1021; name: PeriodicIntervalOfTimeAbbreviation; title: PeriodicIntervalOfTimeAbbreviation; status: retired; date: 2017-07-31; publisher: Health Level 7; Health Level Seven: ; content: not-present</a></p><p><b>occurred</b>: ?? --&gt; 2020-07-16</p><p><b>recorded</b>: Jul 15, 2020, 10:59:42 PM</p><p><b>reason</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v3-ActReason METAMGT}\">Imported to support coreemif generation function.</span></p><p><b>activity</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v3-DataOperation UPDATE}\">revise</span></p><blockquote><p><b>agent</b></p><p><b>type</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/provenance-participant-type author}\">Author</span></p><p><b>who</b>: <span>Ted Klein</span></p></blockquote><blockquote><p><b>agent</b></p><p><b>type</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/provenance-participant-type custodian}\">Custodian</span></p><p><b>who</b>: <span>Vocabulary WG</span></p></blockquote></div>"
  ];
  fhir:Provenance.target [
     fhir:index 0;
     fhir:Reference.reference [ fhir:value "CodeSystem/v3-PeriodicIntervalOfTimeAbbreviation" ]
  ];
  fhir:Provenance.occurredPeriod [
     fhir:Period.end [ fhir:value "2020-07-16"^^xsd:date ]
  ];
  fhir:Provenance.recorded [ fhir:value "2020-07-16T14:59:42+10:00"^^xsd:dateTime];
  fhir:Provenance.reason [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ActReason" ];
       fhir:Coding.code [ fhir:value "METAMGT" ]     ];
     fhir:CodeableConcept.text [ fhir:value "Imported to support coreemif generation function." ]
  ];
  fhir:Provenance.activity [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-DataOperation" ];
       fhir:Coding.code [ fhir:value "UPDATE" ]     ]
  ];
  fhir:Provenance.agent [
     fhir:index 0;
     fhir:Provenance.agent.type [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/provenance-participant-type" ];
         fhir:Coding.code [ fhir:value "author" ]       ]     ];
     fhir:Provenance.agent.who [
       fhir:Reference.display [ fhir:value "Ted Klein" ]     ]
  ], [
     fhir:index 1;
     fhir:Provenance.agent.type [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/provenance-participant-type" ];
         fhir:Coding.code [ fhir:value "custodian" ]       ]     ];
     fhir:Provenance.agent.who [
       fhir:Reference.display [ fhir:value "Vocabulary WG" ]     ]
  ].

<http://terminology.hl7.org/fhir/Provenance/v3-ActInjuryCodeCSA-vs-1-0-21> a fhir:Provenance;
  fhir:Resource.id [ fhir:value "hx1i-v3-ActInjuryCodeCSA-vs-1-0-21"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>target</b>: <a href=\"ValueSet-v3-ActInjuryCodeCSA.html\">Generated Summary: language: en; url: http://terminology.hl7.org/ValueSet/v3-ActInjuryCodeCSA; id: urn:oid:2.16.840.1.113883.1.11.19348; version: 2.0.0; name: ActInjuryCodeCSA; title: ActInjuryCodeCSA; status: retired; date: 2014-03-26</a></p><p><b>occurred</b>: ?? --&gt; 2020-07-16</p><p><b>recorded</b>: Jul 15, 2020, 11:02:04 PM</p><p><b>reason</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v3-ActReason METAMGT}\">Imported to support coreemif generation function.</span></p><p><b>activity</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v3-DataOperation UPDATE}\">revise</span></p><blockquote><p><b>agent</b></p><p><b>type</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/provenance-participant-type author}\">Author</span></p><p><b>who</b>: <span>Ted Klein</span></p></blockquote><blockquote><p><b>agent</b></p><p><b>type</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/provenance-participant-type custodian}\">Custodian</span></p><p><b>who</b>: <span>Vocabulary WG</span></p></blockquote></div>"
  ];
  fhir:Provenance.target [
     fhir:index 0;
     fhir:Reference.reference [ fhir:value "ValueSet/v3-ActInjuryCodeCSA" ]
  ];
  fhir:Provenance.occurredPeriod [
     fhir:Period.end [ fhir:value "2020-07-16"^^xsd:date ]
  ];
  fhir:Provenance.recorded [ fhir:value "2020-07-16T15:02:04+10:00"^^xsd:dateTime];
  fhir:Provenance.reason [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ActReason" ];
       fhir:Coding.code [ fhir:value "METAMGT" ]     ];
     fhir:CodeableConcept.text [ fhir:value "Imported to support coreemif generation function." ]
  ];
  fhir:Provenance.activity [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-DataOperation" ];
       fhir:Coding.code [ fhir:value "UPDATE" ]     ]
  ];
  fhir:Provenance.agent [
     fhir:index 0;
     fhir:Provenance.agent.type [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/provenance-participant-type" ];
         fhir:Coding.code [ fhir:value "author" ]       ]     ];
     fhir:Provenance.agent.who [
       fhir:Reference.display [ fhir:value "Ted Klein" ]     ]
  ], [
     fhir:index 1;
     fhir:Provenance.agent.type [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/provenance-participant-type" ];
         fhir:Coding.code [ fhir:value "custodian" ]       ]     ];
     fhir:Provenance.agent.who [
       fhir:Reference.display [ fhir:value "Vocabulary WG" ]     ]
  ].

<http://terminology.hl7.org/fhir/Provenance/v3-ActProcedureCodeCCI-vs-1-0-21> a fhir:Provenance;
  fhir:Resource.id [ fhir:value "hx1i-v3-ActProcedureCodeCCI-vs-1-0-21"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>target</b>: <a href=\"ValueSet-v3-ActProcedureCodeCCI.html\">Generated Summary: language: en; url: http://terminology.hl7.org/ValueSet/v3-ActProcedureCodeCCI; id: urn:oid:2.16.840.1.113883.1.11.19349; version: 3.0.0; name: ActProcedureCodeCCI; title: Act Procedure Code CCI; status: retired; date: 2014-03-26</a></p><p><b>occurred</b>: ?? --&gt; 2020-07-16</p><p><b>recorded</b>: Jul 15, 2020, 11:02:54 PM</p><p><b>reason</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v3-ActReason METAMGT}\">Imported to support coreemif generation function.</span></p><p><b>activity</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v3-DataOperation UPDATE}\">revise</span></p><blockquote><p><b>agent</b></p><p><b>type</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/provenance-participant-type author}\">Author</span></p><p><b>who</b>: <span>Ted Klein</span></p></blockquote><blockquote><p><b>agent</b></p><p><b>type</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/provenance-participant-type custodian}\">Custodian</span></p><p><b>who</b>: <span>Vocabulary WG</span></p></blockquote></div>"
  ];
  fhir:Provenance.target [
     fhir:index 0;
     fhir:Reference.reference [ fhir:value "ValueSet/v3-ActProcedureCodeCCI" ]
  ];
  fhir:Provenance.occurredPeriod [
     fhir:Period.end [ fhir:value "2020-07-16"^^xsd:date ]
  ];
  fhir:Provenance.recorded [ fhir:value "2020-07-16T15:02:54+10:00"^^xsd:dateTime];
  fhir:Provenance.reason [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ActReason" ];
       fhir:Coding.code [ fhir:value "METAMGT" ]     ];
     fhir:CodeableConcept.text [ fhir:value "Imported to support coreemif generation function." ]
  ];
  fhir:Provenance.activity [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-DataOperation" ];
       fhir:Coding.code [ fhir:value "UPDATE" ]     ]
  ];
  fhir:Provenance.agent [
     fhir:index 0;
     fhir:Provenance.agent.type [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/provenance-participant-type" ];
         fhir:Coding.code [ fhir:value "author" ]       ]     ];
     fhir:Provenance.agent.who [
       fhir:Reference.display [ fhir:value "Ted Klein" ]     ]
  ], [
     fhir:index 1;
     fhir:Provenance.agent.type [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/provenance-participant-type" ];
         fhir:Coding.code [ fhir:value "custodian" ]       ]     ];
     fhir:Provenance.agent.who [
       fhir:Reference.display [ fhir:value "Vocabulary WG" ]     ]
  ].

<http://terminology.hl7.org/fhir/Provenance/v3-DataOperation-cs-1-1-22> a fhir:Provenance;
  fhir:Resource.id [ fhir:value "hx1i-v3-DataOperation-cs-1-1-22"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>target</b>: <a href=\"CodeSystem-v3-DataOperation.html\">Generated Summary: language: en; url: http://terminology.hl7.org/CodeSystem/v3-DataOperation; id: urn:oid:2.16.840.1.113883.5.1123; version: 4.0.0; name: DataOperation; title: DataOperation; status: active; date: 2019-03-20; publisher: HL7; Health Level Seven: ; hierarchyMeaning: is-a; content: complete</a></p><p><b>occurred</b>: ?? --&gt; 2020-07-29</p><p><b>recorded</b>: Jul 28, 2020, 9:14:54 PM</p><p><b>reason</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v3-ActReason METAMGT}\">Add DEPRECATE to support UTG maintenance operations</span></p><p><b>activity</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v3-DataOperation UPDATE}\">revise</span></p><blockquote><p><b>agent</b></p><p><b>type</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/provenance-participant-type author}\">Author</span></p><p><b>who</b>: <span>Ted Klein</span></p></blockquote><blockquote><p><b>agent</b></p><p><b>type</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/provenance-participant-type custodian}\">Custodian</span></p><p><b>who</b>: <span>Vocabulary WG</span></p></blockquote></div>"
  ];
  fhir:Provenance.target [
     fhir:index 0;
     fhir:Reference.reference [ fhir:value "CodeSystem/v3-DataOperation" ]
  ];
  fhir:Provenance.occurredPeriod [
     fhir:Period.end [ fhir:value "2020-07-29"^^xsd:date ]
  ];
  fhir:Provenance.recorded [ fhir:value "2020-07-29T13:14:54+10:00"^^xsd:dateTime];
  fhir:Provenance.reason [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ActReason" ];
       fhir:Coding.code [ fhir:value "METAMGT" ]     ];
     fhir:CodeableConcept.text [ fhir:value "Add DEPRECATE to support UTG maintenance operations" ]
  ];
  fhir:Provenance.activity [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-DataOperation" ];
       fhir:Coding.code [ fhir:value "UPDATE" ]     ]
  ];
  fhir:Provenance.agent [
     fhir:index 0;
     fhir:Provenance.agent.type [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/provenance-participant-type" ];
         fhir:Coding.code [ fhir:value "author" ]       ]     ];
     fhir:Provenance.agent.who [
       fhir:Reference.display [ fhir:value "Ted Klein" ]     ]
  ], [
     fhir:index 1;
     fhir:Provenance.agent.type [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/provenance-participant-type" ];
         fhir:Coding.code [ fhir:value "custodian" ]       ]     ];
     fhir:Provenance.agent.who [
       fhir:Reference.display [ fhir:value "Vocabulary WG" ]     ]
  ].

<http://terminology.hl7.org/fhir/Provenance/v3-CodeSystem-cs-1-1-22> a fhir:Provenance;
  fhir:Resource.id [ fhir:value "hx1i-v3-CodeSystem-cs-1-1-22"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>target</b>: <a href=\"CodeSystem-v3-CodeSystem.html\">Generated Summary: language: en; url: http://terminology.hl7.org/CodeSystem/v3-CodeSystem; id: urn:oid:2.16.840.1.113883.5.22; version: 2.2.0; name: CodeSystem; title: CodeSystem; status: retired; date: 2019-03-20; publisher: Health Level 7; Health Level Seven: ; description: Code systems used in HL7 standards.; hierarchyMeaning: is-a; content: complete</a></p><p><b>occurred</b>: ?? --&gt; 2020-07-29</p><p><b>recorded</b>: Jul 28, 2020, 9:18:09 PM</p><p><b>reason</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v3-ActReason METAMGT}\">Technical correction for import error, status retired</span></p><p><b>activity</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v3-DataOperation UPDATE}\">revise</span></p><blockquote><p><b>agent</b></p><p><b>type</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/provenance-participant-type author}\">Author</span></p><p><b>who</b>: <span>Ted Klein</span></p></blockquote><blockquote><p><b>agent</b></p><p><b>type</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/provenance-participant-type custodian}\">Custodian</span></p><p><b>who</b>: <span>Vocabulary WG</span></p></blockquote></div>"
  ];
  fhir:Provenance.target [
     fhir:index 0;
     fhir:Reference.reference [ fhir:value "CodeSystem/v3-CodeSystem" ]
  ];
  fhir:Provenance.occurredPeriod [
     fhir:Period.end [ fhir:value "2020-07-29"^^xsd:date ]
  ];
  fhir:Provenance.recorded [ fhir:value "2020-07-29T13:18:09+10:00"^^xsd:dateTime];
  fhir:Provenance.reason [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ActReason" ];
       fhir:Coding.code [ fhir:value "METAMGT" ]     ];
     fhir:CodeableConcept.text [ fhir:value "Technical correction for import error, status retired" ]
  ];
  fhir:Provenance.activity [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-DataOperation" ];
       fhir:Coding.code [ fhir:value "UPDATE" ]     ]
  ];
  fhir:Provenance.agent [
     fhir:index 0;
     fhir:Provenance.agent.type [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/provenance-participant-type" ];
         fhir:Coding.code [ fhir:value "author" ]       ]     ];
     fhir:Provenance.agent.who [
       fhir:Reference.display [ fhir:value "Ted Klein" ]     ]
  ], [
     fhir:index 1;
     fhir:Provenance.agent.type [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/provenance-participant-type" ];
         fhir:Coding.code [ fhir:value "custodian" ]       ]     ];
     fhir:Provenance.agent.who [
       fhir:Reference.display [ fhir:value "Vocabulary WG" ]     ]
  ].

<http://terminology.hl7.org/fhir/Provenance/v3-nuccProviderCodes-cs-1-1-24> a fhir:Provenance;
  fhir:Resource.id [ fhir:value "hx1i-v3-nuccProviderCodes-cs-1-1-24"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>target</b>: <a href=\"CodeSystem-v3-nuccProviderCodes.html\">Generated Summary: url: http://terminology.hl7.org/CodeSystem/v3-nuccProviderCodes; id: urn:oid:2.16.840.1.113883.6.101; version: 3.0.0; name: NuccProviderCodes; title: NUCC Health Care Provider Taxonomy; status: active; date: Mar 19, 2019, 10:00:00 PM; publisher: National Uniforam Claims Committee; description: The Provider Taxonomy Code List is published (released) twice a year on July 1st and January 1st. The July publication is effective for use on October 1st and the January publication is effective for use on April 1st. The time between the publication release and the effective date is considered an implementation period to allow providers, payers and vendors an opportunity to incorporate any changes into their systems. This listing includes Active codes approved for use effective April 1st, 2003, version 3.0; and codes that are New and approved for use effective October 1st, 2003, version 3.1.\r\n\r\nIt was identified that there is an IP licensure issue with the republishing of the content for this code system by HL7, so the content was removed as of the July 2016 Harmonization cycle release. This external code system content may be accessed from the web page located at http://www.nucc.org/index.php/code-sets-mainmenu-41/provider-taxonomy-mainmenu-40. Multiple formats and means of accessing the content are available from this page.  Note this code system stub has been retired; it is missing the copyright information, and has been superceded.; content: not-present</a></p><p><b>occurred</b>: ?? --&gt; 2020-07-29</p><p><b>recorded</b>: Jul 29, 2020, 1:40:29 AM</p><p><b>reason</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v3-ActReason METAMGT}\">Technical correction for import error.</span></p><p><b>activity</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v3-DataOperation UPDATE}\">revise</span></p><blockquote><p><b>agent</b></p><p><b>type</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/provenance-participant-type author}\">Author</span></p><p><b>who</b>: <span>Ted Klein</span></p></blockquote><blockquote><p><b>agent</b></p><p><b>type</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/provenance-participant-type custodian}\">Custodian</span></p><p><b>who</b>: <span>Vocabulary WG</span></p></blockquote></div>"
  ];
  fhir:Provenance.target [
     fhir:index 0;
     fhir:Reference.reference [ fhir:value "CodeSystem/v3-nuccProviderCodes" ]
  ];
  fhir:Provenance.occurredPeriod [
     fhir:Period.end [ fhir:value "2020-07-29"^^xsd:date ]
  ];
  fhir:Provenance.recorded [ fhir:value "2020-07-29T17:40:29+10:00"^^xsd:dateTime];
  fhir:Provenance.reason [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ActReason" ];
       fhir:Coding.code [ fhir:value "METAMGT" ]     ];
     fhir:CodeableConcept.text [ fhir:value "Technical correction for import error." ]
  ];
  fhir:Provenance.activity [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-DataOperation" ];
       fhir:Coding.code [ fhir:value "UPDATE" ]     ]
  ];
  fhir:Provenance.agent [
     fhir:index 0;
     fhir:Provenance.agent.type [
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         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/provenance-participant-type" ];
         fhir:Coding.code [ fhir:value "author" ]       ]     ];
     fhir:Provenance.agent.who [
       fhir:Reference.display [ fhir:value "Ted Klein" ]     ]
  ], [
     fhir:index 1;
     fhir:Provenance.agent.type [
       fhir:CodeableConcept.coding [
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         fhir:Coding.code [ fhir:value "custodian" ]       ]     ];
     fhir:Provenance.agent.who [
       fhir:Reference.display [ fhir:value "Vocabulary WG" ]     ]
  ].

<http://terminology.hl7.org/fhir/Provenance/v3-HealthcareProviderTaxonomyHIPAA-cs-1-1-24> a fhir:Provenance;
  fhir:Resource.id [ fhir:value "hx1i-v3-HealthcareProviderTaxonomyHIPAA-cs-1-1-24"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>target</b>: <a href=\"CodeSystem-v3-HealthcareProviderTaxonomyHIPAA.html\">Generated Summary: language: en; url: http://terminology.hl7.org/CodeSystem/v3-HealthcareProviderTaxonomyHIPAA; id: urn:oid:2.16.840.1.113883.5.53; version: 3.0.0; name: HealthcareProviderTaxonomyHIPAA; title: Healthcare Provider Taxonomy HIPAA; status: retired; date: 2019-03-20; publisher: National Uniform Claims Committee (NUCC); Health Level Seven: ; description: NUCC Healthcare Provider Taxonomy codes, as cited in US HIPAA regulations.  This HL7 copy of the content is made available by request of various HL7 Affiliates,so do have have direect access to the NUCC contnet as they are outside the US.  In additions, some concept have been added to this set that are pending being added to the NUCC master.; copyright: This HL7 specification contains and references intellectual property owned by third parties (\"Third Party IP\").  Implementers and testers of this specification SHALL abide by the license requirements for each terminology content artifact utilized within a functioning implementation. Terminology licenses SHALL be obtained from the Third Party IP owner for each code system and/or other specified artifact used. It is the sole responsibility of each organization deploying or testing this specification to ensure their implementations comply with licensing requirements of each Third Party IP. Note this code system stub has been retired; there is incomplete and incorrect content, and possible IP restriction violation; it has been superceded.; hierarchyMeaning: is-a; content: fragment</a></p><p><b>occurred</b>: ?? --&gt; 2020-07-29</p><p><b>recorded</b>: Jul 29, 2020, 1:41:05 AM</p><p><b>reason</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v3-ActReason METAMGT}\">Technical correction for import error, status retired</span></p><p><b>activity</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v3-DataOperation UPDATE}\">revise</span></p><blockquote><p><b>agent</b></p><p><b>type</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/provenance-participant-type author}\">Author</span></p><p><b>who</b>: <span>Ted Klein</span></p></blockquote><blockquote><p><b>agent</b></p><p><b>type</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/provenance-participant-type custodian}\">Custodian</span></p><p><b>who</b>: <span>Vocabulary WG</span></p></blockquote></div>"
  ];
  fhir:Provenance.target [
     fhir:index 0;
     fhir:Reference.reference [ fhir:value "CodeSystem/v3-HealthcareProviderTaxonomyHIPAA" ]
  ];
  fhir:Provenance.occurredPeriod [
     fhir:Period.end [ fhir:value "2020-07-29"^^xsd:date ]
  ];
  fhir:Provenance.recorded [ fhir:value "2020-07-29T17:41:05+10:00"^^xsd:dateTime];
  fhir:Provenance.reason [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ActReason" ];
       fhir:Coding.code [ fhir:value "METAMGT" ]     ];
     fhir:CodeableConcept.text [ fhir:value "Technical correction for import error, status retired" ]
  ];
  fhir:Provenance.activity [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-DataOperation" ];
       fhir:Coding.code [ fhir:value "UPDATE" ]     ]
  ];
  fhir:Provenance.agent [
     fhir:index 0;
     fhir:Provenance.agent.type [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/provenance-participant-type" ];
         fhir:Coding.code [ fhir:value "author" ]       ]     ];
     fhir:Provenance.agent.who [
       fhir:Reference.display [ fhir:value "Ted Klein" ]     ]
  ], [
     fhir:index 1;
     fhir:Provenance.agent.type [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/provenance-participant-type" ];
         fhir:Coding.code [ fhir:value "custodian" ]       ]     ];
     fhir:Provenance.agent.who [
       fhir:Reference.display [ fhir:value "Vocabulary WG" ]     ]
  ].

<http://terminology.hl7.org/fhir/Provenance/v3-nuccProviderCodes-ns-1-1-24> a fhir:Provenance;
  fhir:Resource.id [ fhir:value "hx1i-v3-nuccProviderCodes-ns-1-1-24"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>target</b>: <a href=\"NamingSystem-v3-nuccProviderCodes.html\">Generated Summary: name: NuccProviderCodes; status: active; kind: codesystem; date: Mar 19, 2019, 10:00:00 PM; description: The Provider Taxonomy Code List is published (released) twice a year on July 1st and January 1st. The July publication is effective for use on October 1st and the January publication is effective for use on April 1st. The time between the publication release and the effective date is considered an implementation period to allow providers, payers and vendors an opportunity to incorporate any changes into their systems. This listing includes Active codes approved for use effective April 1st, 2003, version 3.0; and codes that are New and approved for use effective October 1st, 2003, version 3.1.\r\n\r\nIt was identified that there is an IP licensure issue with the republishing of the content for this code system by HL7, so the content was removed as of the July 2016 Harmonization cycle release. This external code system content may be accessed from the web page located at http://www.nucc.org/index.php/code-sets-mainmenu-41/provider-taxonomy-mainmenu-40. Multiple formats and means of accessing the content are available from this page.</a></p><p><b>occurred</b>: ?? --&gt; 2020-07-29</p><p><b>recorded</b>: Jul 29, 2020, 1:42:13 AM</p><p><b>reason</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v3-ActReason METAMGT}\">Technical correction for import error, docuent bad URL</span></p><p><b>activity</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v3-DataOperation UPDATE}\">revise</span></p><blockquote><p><b>agent</b></p><p><b>type</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/provenance-participant-type author}\">Author</span></p><p><b>who</b>: <span>Ted Klein</span></p></blockquote><blockquote><p><b>agent</b></p><p><b>type</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/provenance-participant-type custodian}\">Custodian</span></p><p><b>who</b>: <span>Vocabulary WG</span></p></blockquote></div>"
  ];
  fhir:Provenance.target [
     fhir:index 0;
     fhir:Reference.reference [ fhir:value "NamingSystem/v3-nuccProviderCodes" ]
  ];
  fhir:Provenance.occurredPeriod [
     fhir:Period.end [ fhir:value "2020-07-29"^^xsd:date ]
  ];
  fhir:Provenance.recorded [ fhir:value "2020-07-29T17:42:13+10:00"^^xsd:dateTime];
  fhir:Provenance.reason [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ActReason" ];
       fhir:Coding.code [ fhir:value "METAMGT" ]     ];
     fhir:CodeableConcept.text [ fhir:value "Technical correction for import error, docuent bad URL" ]
  ];
  fhir:Provenance.activity [
     fhir:CodeableConcept.coding [
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       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-DataOperation" ];
       fhir:Coding.code [ fhir:value "UPDATE" ]     ]
  ];
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     fhir:Provenance.agent.who [
       fhir:Reference.display [ fhir:value "Ted Klein" ]     ]
  ], [
     fhir:index 1;
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         fhir:Coding.code [ fhir:value "custodian" ]       ]     ];
     fhir:Provenance.agent.who [
       fhir:Reference.display [ fhir:value "Vocabulary WG" ]     ]
  ].

<http://terminology.hl7.org/fhir/Provenance/v3-HealthcareProviderTaxonomyHIPAA-ns-1-1-24> a fhir:Provenance;
  fhir:Resource.id [ fhir:value "hx1i-v3-HealthcareProviderTaxonomyHIPAA-ns-1-1-24"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>target</b>: <a href=\"NamingSystem-v3-HealthcareProviderTaxonomyHIPAA.html\">Generated Summary: name: HealthcareProviderTaxonomyHIPAA; status: active; kind: codesystem; date: Mar 19, 2019, 10:00:00 PM; description: This HL7 Version 3 code system stub was created many years ago for the convenience of the HL7 community using the RIM; it has been determined that there is licensure issue with the republishing of the content for this code system by HL7, as well as erroneous and incomplete content.  Content should be accessed using the links at nucc.org</a></p><p><b>occurred</b>: ?? --&gt; 2020-07-29</p><p><b>recorded</b>: Jul 29, 2020, 2:33:42 AM</p><p><b>reason</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v3-ActReason METAMGT}\">Technical correction for import error, status retired</span></p><p><b>activity</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v3-DataOperation UPDATE}\">revise</span></p><blockquote><p><b>agent</b></p><p><b>type</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/provenance-participant-type author}\">Author</span></p><p><b>who</b>: <span>Ted Klein</span></p></blockquote><blockquote><p><b>agent</b></p><p><b>type</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/provenance-participant-type custodian}\">Custodian</span></p><p><b>who</b>: <span>Vocabulary WG</span></p></blockquote></div>"
  ];
  fhir:Provenance.target [
     fhir:index 0;
     fhir:Reference.reference [ fhir:value "NamingSystem/v3-HealthcareProviderTaxonomyHIPAA" ]
  ];
  fhir:Provenance.occurredPeriod [
     fhir:Period.end [ fhir:value "2020-07-29"^^xsd:date ]
  ];
  fhir:Provenance.recorded [ fhir:value "2020-07-29T18:33:42+10:00"^^xsd:dateTime];
  fhir:Provenance.reason [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ActReason" ];
       fhir:Coding.code [ fhir:value "METAMGT" ]     ];
     fhir:CodeableConcept.text [ fhir:value "Technical correction for import error, status retired" ]
  ];
  fhir:Provenance.activity [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-DataOperation" ];
       fhir:Coding.code [ fhir:value "UPDATE" ]     ]
  ];
  fhir:Provenance.agent [
     fhir:index 0;
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       fhir:Reference.display [ fhir:value "Ted Klein" ]     ]
  ], [
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         fhir:Coding.code [ fhir:value "custodian" ]       ]     ];
     fhir:Provenance.agent.who [
       fhir:Reference.display [ fhir:value "Vocabulary WG" ]     ]
  ].

<http://terminology.hl7.org/fhir/Provenance/conceptdomains-cs-1-1-25> a fhir:Provenance;
  fhir:Resource.id [ fhir:value "hx1i-conceptdomains-cs-1-1-25"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>target</b>: <a href=\"CodeSystem-conceptdomains.html\">Generated Summary: url: http://terminology.hl7.org/CodeSystem/conceptdomains; version: 2.3.0; name: ConceptDomains; title: Concept Domains; status: active; date: Mar 6, 2021, 1:53:33 PM; publisher: HL7, Inc; https://github.com/HL7/UTG; description: Concept Domains - includes both v2 abd v3 concept domains; copyright: Copyright HL7. Licensed under creative commons public domain; caseSensitive; hierarchyMeaning: is-a; content: complete</a></p><p><b>occurred</b>: ?? --&gt; 2020-07-31</p><p><b>recorded</b>: Jul 30, 2020, 6:54:46 PM</p><p><b>reason</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v3-ActReason METAMGT}\">Technical correction: the Deprecation information in the last V3 Coremif from harmonization was not imported; the missing information for the deprecated Concept Domains. The Deprecated Domains are: ObservationPopulationInclusionType, TransmissionRelationshipTypeCode, and TriggerEventID</span></p><p><b>activity</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v3-DataOperation UPDATE}\">revise</span></p><blockquote><p><b>agent</b></p><p><b>type</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/provenance-participant-type author}\">Author</span></p><p><b>who</b>: <span>Ted Klein</span></p></blockquote><blockquote><p><b>agent</b></p><p><b>type</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/provenance-participant-type custodian}\">Custodian</span></p><p><b>who</b>: <span>Vocabulary WG</span></p></blockquote></div>"
  ];
  fhir:Provenance.target [
     fhir:index 0;
     fhir:Reference.reference [ fhir:value "CodeSystem/conceptdomains" ]
  ];
  fhir:Provenance.occurredPeriod [
     fhir:Period.end [ fhir:value "2020-07-31"^^xsd:date ]
  ];
  fhir:Provenance.recorded [ fhir:value "2020-07-31T10:54:46+10:00"^^xsd:dateTime];
  fhir:Provenance.reason [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ActReason" ];
       fhir:Coding.code [ fhir:value "METAMGT" ]     ];
     fhir:CodeableConcept.text [ fhir:value "Technical correction: the Deprecation information in the last V3 Coremif from harmonization was not imported; the missing information for the deprecated Concept Domains. The Deprecated Domains are: ObservationPopulationInclusionType, TransmissionRelationshipTypeCode, and TriggerEventID" ]
  ];
  fhir:Provenance.activity [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-DataOperation" ];
       fhir:Coding.code [ fhir:value "UPDATE" ]     ]
  ];
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         fhir:Coding.code [ fhir:value "author" ]       ]     ];
     fhir:Provenance.agent.who [
       fhir:Reference.display [ fhir:value "Ted Klein" ]     ]
  ], [
     fhir:index 1;
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         fhir:Coding.code [ fhir:value "custodian" ]       ]     ];
     fhir:Provenance.agent.who [
       fhir:Reference.display [ fhir:value "Vocabulary WG" ]     ]
  ].

<http://terminology.hl7.org/fhir/Provenance/utg-concept-properties-cs-1-1-25> a fhir:Provenance;
  fhir:Resource.id [ fhir:value "hx1i-utg-concept-properties-cs-1-1-25"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>target</b>: <a href=\"CodeSystem-utg-concept-properties.html\">Generated Summary: url: http://terminology.hl7.org/CodeSystem/utg-concept-properties; version: 2.1.0; name: ConceptProperties; title: UTG Specific Concept Properties; status: draft; date: Mar 6, 2021, 1:53:33 PM; publisher: UTG Project; description: A set of concept properties used by UTG to maintain legacy terminology distribution systems; caseSensitive; content: complete</a></p><p><b>occurred</b>: ?? --&gt; 2020-07-31</p><p><b>recorded</b>: Jul 30, 2020, 6:59:58 PM</p><p><b>reason</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v3-ActReason METAMGT}\">Technical correction: UP-85 add property to support coremif required deprecation informaton on concepts</span></p><p><b>activity</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v3-DataOperation UPDATE}\">revise</span></p><blockquote><p><b>agent</b></p><p><b>type</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/provenance-participant-type author}\">Author</span></p><p><b>who</b>: <span>Ted Klein</span></p></blockquote><blockquote><p><b>agent</b></p><p><b>type</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/provenance-participant-type custodian}\">Custodian</span></p><p><b>who</b>: <span>Vocabulary WG</span></p></blockquote></div>"
  ];
  fhir:Provenance.target [
     fhir:index 0;
     fhir:Reference.reference [ fhir:value "CodeSystem/utg-concept-properties" ]
  ];
  fhir:Provenance.occurredPeriod [
     fhir:Period.end [ fhir:value "2020-07-31"^^xsd:date ]
  ];
  fhir:Provenance.recorded [ fhir:value "2020-07-31T10:59:58+10:00"^^xsd:dateTime];
  fhir:Provenance.reason [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ActReason" ];
       fhir:Coding.code [ fhir:value "METAMGT" ]     ];
     fhir:CodeableConcept.text [ fhir:value "Technical correction: UP-85 add property to support coremif required deprecation informaton on concepts" ]
  ];
  fhir:Provenance.activity [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-DataOperation" ];
       fhir:Coding.code [ fhir:value "UPDATE" ]     ]
  ];
  fhir:Provenance.agent [
     fhir:index 0;
     fhir:Provenance.agent.type [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/provenance-participant-type" ];
         fhir:Coding.code [ fhir:value "author" ]       ]     ];
     fhir:Provenance.agent.who [
       fhir:Reference.display [ fhir:value "Ted Klein" ]     ]
  ], [
     fhir:index 1;
     fhir:Provenance.agent.type [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/provenance-participant-type" ];
         fhir:Coding.code [ fhir:value "custodian" ]       ]     ];
     fhir:Provenance.agent.who [
       fhir:Reference.display [ fhir:value "Vocabulary WG" ]     ]
  ].

<http://terminology.hl7.org/fhir/Provenance/v3-KnowledgeSubjectObservationValue-vs-1-1-34> a fhir:Provenance;
  fhir:Resource.id [ fhir:value "hx1i-v3-KnowledgeSubjectObservationValue-vs-1-1-34"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>target</b>: <a href=\"ValueSet-v3-KnowledgeSubjectObservationValue.html\">Generated Summary: url: http://terminology.hl7.org/ValueSet/v3-KnowledgeSubjectObservationValue; id: urn:oid:2.16.840.1.113883.11.76; version: 4.0.0; name: KnowledgeSubjectObservationValue; title: KnowledgeSubjectObservationValue; status: active; date: 2010-03-16; description: Observation values used to indicate a knowledge subject of interest for which knowledge content is requested (e.g., a medication, a laboratory test, a medical condition).</a></p><p><b>occurred</b>: ?? --&gt; 2020-08-28</p><p><b>recorded</b>: Aug 28, 2020, 2:46:25 PM</p><p><b>reason</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v3-ActReason METAMGT}\">Fix erroneous compose uri for MSH</span></p><p><b>activity</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v3-DataOperation UPDATE}\">revise</span></p><blockquote><p><b>agent</b></p><p><b>type</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/provenance-participant-type author}\">Author</span></p><p><b>who</b>: <span>Ted Klein</span></p></blockquote><blockquote><p><b>agent</b></p><p><b>type</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/provenance-participant-type custodian}\">Custodian</span></p><p><b>who</b>: <span>Vocabulary WG</span></p></blockquote></div>"
  ];
  fhir:Provenance.target [
     fhir:index 0;
     fhir:Reference.reference [ fhir:value "ValueSet/v3-KnowledgeSubjectObservationValue" ]
  ];
  fhir:Provenance.occurredPeriod [
     fhir:Period.end [ fhir:value "2020-08-28"^^xsd:date ]
  ];
  fhir:Provenance.recorded [ fhir:value "2020-08-28T13:46:25-07:00"^^xsd:dateTime];
  fhir:Provenance.reason [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ActReason" ];
       fhir:Coding.code [ fhir:value "METAMGT" ]     ];
     fhir:CodeableConcept.text [ fhir:value "Fix erroneous compose uri for MSH" ]
  ];
  fhir:Provenance.activity [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-DataOperation" ];
       fhir:Coding.code [ fhir:value "UPDATE" ]     ]
  ];
  fhir:Provenance.agent [
     fhir:index 0;
     fhir:Provenance.agent.type [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/provenance-participant-type" ];
         fhir:Coding.code [ fhir:value "author" ]       ]     ];
     fhir:Provenance.agent.who [
       fhir:Reference.display [ fhir:value "Ted Klein" ]     ]
  ], [
     fhir:index 1;
     fhir:Provenance.agent.type [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/provenance-participant-type" ];
         fhir:Coding.code [ fhir:value "custodian" ]       ]     ];
     fhir:Provenance.agent.who [
       fhir:Reference.display [ fhir:value "Vocabulary WG" ]     ]
  ].

<http://terminology.hl7.org/fhir/Provenance/v3-iso3166-1-ns-1-1-35> a fhir:Provenance;
  fhir:Resource.id [ fhir:value "hx1i-v3-iso3166-1-ns-1-1-35"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>target</b>: <a href=\"NamingSystem-v3-iso3166-1.html\">Generated Summary: name: Iso31661; status: active; kind: codesystem; date: Mar 19, 2019, 10:00:00 PM; publisher: ISO; International Standards Organization (ISO): ; responsible: ISO; description: Identifies the coding system published in the ISO 3166-1 Standard for Country codes. This standard is released periodically, and a new OID will be assigned by ISO for new editions.</a></p><p><b>occurred</b>: ?? --&gt; 2020-08-28</p><p><b>recorded</b>: Aug 28, 2020, 5:15:22 PM</p><p><b>reason</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v3-ActReason METAMGT}\">Add correct uri entry</span></p><p><b>activity</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v3-DataOperation UPDATE}\">revise</span></p><blockquote><p><b>agent</b></p><p><b>type</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/provenance-participant-type author}\">Author</span></p><p><b>who</b>: <span>Ted Klein</span></p></blockquote><blockquote><p><b>agent</b></p><p><b>type</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/provenance-participant-type custodian}\">Custodian</span></p><p><b>who</b>: <span>Vocabulary WG</span></p></blockquote></div>"
  ];
  fhir:Provenance.target [
     fhir:index 0;
     fhir:Reference.reference [ fhir:value "NamingSystem/v3-iso3166-1" ]
  ];
  fhir:Provenance.occurredPeriod [
     fhir:Period.end [ fhir:value "2020-08-28"^^xsd:date ]
  ];
  fhir:Provenance.recorded [ fhir:value "2020-08-28T16:15:22-07:00"^^xsd:dateTime];
  fhir:Provenance.reason [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ActReason" ];
       fhir:Coding.code [ fhir:value "METAMGT" ]     ];
     fhir:CodeableConcept.text [ fhir:value "Add correct uri entry" ]
  ];
  fhir:Provenance.activity [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-DataOperation" ];
       fhir:Coding.code [ fhir:value "UPDATE" ]     ]
  ];
  fhir:Provenance.agent [
     fhir:index 0;
     fhir:Provenance.agent.type [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/provenance-participant-type" ];
         fhir:Coding.code [ fhir:value "author" ]       ]     ];
     fhir:Provenance.agent.who [
       fhir:Reference.display [ fhir:value "Ted Klein" ]     ]
  ], [
     fhir:index 1;
     fhir:Provenance.agent.type [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/provenance-participant-type" ];
         fhir:Coding.code [ fhir:value "custodian" ]       ]     ];
     fhir:Provenance.agent.who [
       fhir:Reference.display [ fhir:value "Vocabulary WG" ]     ]
  ].

<http://terminology.hl7.org/fhir/Provenance/v3-KnowledgeSubjectObservationValue-vs-1-1-36> a fhir:Provenance;
  fhir:Resource.id [ fhir:value "hx1i-v3-KnowledgeSubjectObservationValue-vs-1-1-36"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>target</b>: <a href=\"ValueSet-v3-KnowledgeSubjectObservationValue.html\">Generated Summary: url: http://terminology.hl7.org/ValueSet/v3-KnowledgeSubjectObservationValue; id: urn:oid:2.16.840.1.113883.11.76; version: 4.0.0; name: KnowledgeSubjectObservationValue; title: KnowledgeSubjectObservationValue; status: active; date: 2010-03-16; description: Observation values used to indicate a knowledge subject of interest for which knowledge content is requested (e.g., a medication, a laboratory test, a medical condition).</a></p><p><b>occurred</b>: ?? --&gt; 2020-08-29</p><p><b>recorded</b>: Aug 29, 2020, 11:39:22 AM</p><p><b>reason</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v3-ActReason METAMGT}\">Fix erroneous compose uri for ICD</span></p><p><b>activity</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v3-DataOperation UPDATE}\">revise</span></p><blockquote><p><b>agent</b></p><p><b>type</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/provenance-participant-type author}\">Author</span></p><p><b>who</b>: <span>Ted Klein</span></p></blockquote><blockquote><p><b>agent</b></p><p><b>type</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/provenance-participant-type custodian}\">Custodian</span></p><p><b>who</b>: <span>Vocabulary WG</span></p></blockquote></div>"
  ];
  fhir:Provenance.target [
     fhir:index 0;
     fhir:Reference.reference [ fhir:value "ValueSet/v3-KnowledgeSubjectObservationValue" ]
  ];
  fhir:Provenance.occurredPeriod [
     fhir:Period.end [ fhir:value "2020-08-29"^^xsd:date ]
  ];
  fhir:Provenance.recorded [ fhir:value "2020-08-29T10:39:22-07:00"^^xsd:dateTime];
  fhir:Provenance.reason [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ActReason" ];
       fhir:Coding.code [ fhir:value "METAMGT" ]     ];
     fhir:CodeableConcept.text [ fhir:value "Fix erroneous compose uri for ICD" ]
  ];
  fhir:Provenance.activity [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-DataOperation" ];
       fhir:Coding.code [ fhir:value "UPDATE" ]     ]
  ];
  fhir:Provenance.agent [
     fhir:index 0;
     fhir:Provenance.agent.type [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/provenance-participant-type" ];
         fhir:Coding.code [ fhir:value "author" ]       ]     ];
     fhir:Provenance.agent.who [
       fhir:Reference.display [ fhir:value "Ted Klein" ]     ]
  ], [
     fhir:index 1;
     fhir:Provenance.agent.type [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/provenance-participant-type" ];
         fhir:Coding.code [ fhir:value "custodian" ]       ]     ];
     fhir:Provenance.agent.who [
       fhir:Reference.display [ fhir:value "Vocabulary WG" ]     ]
  ].

<http://terminology.hl7.org/fhir/Provenance/operation-outcome-cs-1-1-62> a fhir:Provenance;
  fhir:Resource.id [ fhir:value "hx1i-operation-outcome-cs-1-1-62"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>target</b>: <a href=\"CodeSystem-operation-outcome.html\">Generated Summary: url: http://terminology.hl7.org/CodeSystem/operation-outcome; id: urn:oid:2.16.840.1.113883.4.642.1.1127; version: 0.1.0; name: OperationOutcomeCodes; title: Operation Outcome Codes; status: draft; date: Mar 6, 2021, 1:53:33 PM; publisher: HL7 (FHIR Project); http://hl7.org/fhir,fhir@lists.hl7.org; description: Operation Outcome codes used by FHIR test servers (see Implementation file translations.xml); caseSensitive; hierarchyMeaning: is-a; content: complete</a></p><p><b>occurred</b>: ?? --&gt; 2020-10-29</p><p><b>recorded</b>: Oct 29, 2020, 2:19:22 PM</p><p><b>reason</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v3-ActReason METAMGT}\">Fix bad designation-use code value</span></p><p><b>activity</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v3-DataOperation UPDATE}\">revise</span></p><blockquote><p><b>agent</b></p><p><b>type</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/provenance-participant-type author}\">Author</span></p><p><b>who</b>: <span>Ted Klein</span></p></blockquote><blockquote><p><b>agent</b></p><p><b>type</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/provenance-participant-type custodian}\">Custodian</span></p><p><b>who</b>: <span>Vocabulary WG</span></p></blockquote></div>"
  ];
  fhir:Provenance.target [
     fhir:index 0;
     fhir:Reference.reference [ fhir:value "CodeSystem/operation-outcome" ]
  ];
  fhir:Provenance.occurredPeriod [
     fhir:Period.end [ fhir:value "2020-10-29"^^xsd:date ]
  ];
  fhir:Provenance.recorded [ fhir:value "2020-10-29T13:19:22-07:00"^^xsd:dateTime];
  fhir:Provenance.reason [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ActReason" ];
       fhir:Coding.code [ fhir:value "METAMGT" ]     ];
     fhir:CodeableConcept.text [ fhir:value "Fix bad designation-use code value" ]
  ];
  fhir:Provenance.activity [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-DataOperation" ];
       fhir:Coding.code [ fhir:value "UPDATE" ]     ]
  ];
  fhir:Provenance.agent [
     fhir:index 0;
     fhir:Provenance.agent.type [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/provenance-participant-type" ];
         fhir:Coding.code [ fhir:value "author" ]       ]     ];
     fhir:Provenance.agent.who [
       fhir:Reference.display [ fhir:value "Ted Klein" ]     ]
  ], [
     fhir:index 1;
     fhir:Provenance.agent.type [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/provenance-participant-type" ];
         fhir:Coding.code [ fhir:value "custodian" ]       ]     ];
     fhir:Provenance.agent.who [
       fhir:Reference.display [ fhir:value "Vocabulary WG" ]     ]
  ].

<http://terminology.hl7.org/fhir/Provenance/snomed-CT-cs-1-0-65> a fhir:Provenance;
  fhir:Resource.id [ fhir:value "hx1i-snomed-CT-cs-1-0-65"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>target</b>: <a href=\"CodeSystem-v3-snomed-CT.html\">Generated Summary: language: en; url: http://snomed.info/sct; id: urn:oid:2.16.840.1.113883.6.96; version: 3.2.0; name: SNOMED_CT_INT; title: SNOMED&nbsp;CT International Edition; status: active; date: 2020-11-03; publisher: International Health Terminology Standards Development Organisation (IHTSDO) trading as SNOMED International; International Health Terminology Standards Development Organisation (IHTSDO) trading as SNOMED International: info@snomed.org; description: SNOMED CT is a core clinical healthcare terminology that contains concepts with unique meanings and formal logic based definitions organized into hierarchies.; copyright: This artefact includes content from SNOMED Clinical Terms (SNOMED CT) which is copyrighted material of the International Health Terminology Standards Development Organisation (IHTSDO). Where an implementation of this artefact makes use of SNOMED CT content, the implementer must have the appropriate SNOMED CT Affiliate license - for more information contact http://www.snomed.org/snomed-ct/get-snomed-ct or info@snomed.org; content: not-present</a></p><p><b>occurred</b>: ?? --&gt; 2020-11-01</p><p><b>recorded</b>: Nov 1, 2020, 2:40:37 PM</p><p><b>reason</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v3-ActReason METAMGT}\">Add initial resource for SNOMED CT</span></p><p><b>activity</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v3-DataOperation CREATE}\">create</span></p><blockquote><p><b>agent</b></p><p><b>type</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/provenance-participant-type author}\">Author</span></p><p><b>who</b>: <span>Ted Klein</span></p></blockquote><blockquote><p><b>agent</b></p><p><b>type</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/provenance-participant-type custodian}\">Custodian</span></p><p><b>who</b>: <span>HL7 Terminology Authority (HTA)</span></p></blockquote></div>"
  ];
  fhir:Provenance.target [
     fhir:index 0;
     fhir:Reference.reference [ fhir:value "CodeSystem/v3-snomed-CT" ]
  ];
  fhir:Provenance.occurredPeriod [
     fhir:Period.end [ fhir:value "2020-11-01"^^xsd:date ]
  ];
  fhir:Provenance.recorded [ fhir:value "2020-11-01T14:40:37-07:00"^^xsd:dateTime];
  fhir:Provenance.reason [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ActReason" ];
       fhir:Coding.code [ fhir:value "METAMGT" ]     ];
     fhir:CodeableConcept.text [ fhir:value "Add initial resource for SNOMED CT" ]
  ];
  fhir:Provenance.activity [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-DataOperation" ];
       fhir:Coding.code [ fhir:value "CREATE" ]     ]
  ];
  fhir:Provenance.agent [
     fhir:index 0;
     fhir:Provenance.agent.type [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/provenance-participant-type" ];
         fhir:Coding.code [ fhir:value "author" ]       ]     ];
     fhir:Provenance.agent.who [
       fhir:Reference.display [ fhir:value "Ted Klein" ]     ]
  ], [
     fhir:index 1;
     fhir:Provenance.agent.type [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/provenance-participant-type" ];
         fhir:Coding.code [ fhir:value "custodian" ]       ]     ];
     fhir:Provenance.agent.who [
       fhir:Reference.display [ fhir:value "HL7 Terminology Authority (HTA)" ]     ]
  ].

<http://terminology.hl7.org/fhir/Provenance/snomed-CT-cs-1-0-66> a fhir:Provenance;
  fhir:Resource.id [ fhir:value "hx1i-snomed-CT-cs-1-0-66"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>target</b>: <a href=\"CodeSystem-v3-snomed-CT.html\">Generated Summary: language: en; url: http://snomed.info/sct; id: urn:oid:2.16.840.1.113883.6.96; version: 3.2.0; name: SNOMED_CT_INT; title: SNOMED&nbsp;CT International Edition; status: active; date: 2020-11-03; publisher: International Health Terminology Standards Development Organisation (IHTSDO) trading as SNOMED International; International Health Terminology Standards Development Organisation (IHTSDO) trading as SNOMED International: info@snomed.org; description: SNOMED CT is a core clinical healthcare terminology that contains concepts with unique meanings and formal logic based definitions organized into hierarchies.; copyright: This artefact includes content from SNOMED Clinical Terms (SNOMED CT) which is copyrighted material of the International Health Terminology Standards Development Organisation (IHTSDO). Where an implementation of this artefact makes use of SNOMED CT content, the implementer must have the appropriate SNOMED CT Affiliate license - for more information contact http://www.snomed.org/snomed-ct/get-snomed-ct or info@snomed.org; content: not-present</a></p><p><b>occurred</b>: ?? --&gt; 2020-11-03</p><p><b>recorded</b>: Nov 3, 2020, 4:00:00 AM</p><p><b>reason</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v3-ActReason METAMGT}\">Added SNOMED CT International metadata aligned with the HTA.</span></p><p><b>activity</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v3-DataOperation UPDATE}\">revise</span></p><blockquote><p><b>agent</b></p><p><b>type</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/provenance-participant-type author}\">Author</span></p><p><b>who</b>: <span>Reuben Daniels</span></p></blockquote><blockquote><p><b>agent</b></p><p><b>type</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/provenance-participant-type custodian}\">Custodian</span></p><p><b>who</b>: <span>HL7 Terminology Authority (HTA)</span></p></blockquote></div>"
  ];
  fhir:Provenance.target [
     fhir:index 0;
     fhir:Reference.reference [ fhir:value "CodeSystem/v3-snomed-CT" ]
  ];
  fhir:Provenance.occurredPeriod [
     fhir:Period.end [ fhir:value "2020-11-03"^^xsd:date ]
  ];
  fhir:Provenance.recorded [ fhir:value "2020-11-03T21:00:00+10:00"^^xsd:dateTime];
  fhir:Provenance.reason [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ActReason" ];
       fhir:Coding.code [ fhir:value "METAMGT" ]     ];
     fhir:CodeableConcept.text [ fhir:value "Added SNOMED CT International metadata aligned with the HTA." ]
  ];
  fhir:Provenance.activity [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-DataOperation" ];
       fhir:Coding.code [ fhir:value "UPDATE" ]     ]
  ];
  fhir:Provenance.agent [
     fhir:index 0;
     fhir:Provenance.agent.type [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/provenance-participant-type" ];
         fhir:Coding.code [ fhir:value "author" ]       ]     ];
     fhir:Provenance.agent.who [
       fhir:Reference.display [ fhir:value "Reuben Daniels" ]     ]
  ], [
     fhir:index 1;
     fhir:Provenance.agent.type [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/provenance-participant-type" ];
         fhir:Coding.code [ fhir:value "custodian" ]       ]     ];
     fhir:Provenance.agent.who [
       fhir:Reference.display [ fhir:value "HL7 Terminology Authority (HTA)" ]     ]
  ].

<http://terminology.hl7.org/fhir/Provenance/loinc-cs-1-0-66> a fhir:Provenance;
  fhir:Resource.id [ fhir:value "hx1i-loinc-cs-1-0-66"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>target</b>: <a href=\"CodeSystem-v3-loinc.html\">Generated Summary: language: en; url: http://loinc.org; id: urn:oid:2.16.840.1.113883.6.1; version: 3.0.0; name: LOINC; title: Logical Observation Identifiers, Names and Codes (LOINC); status: active; date: 2020-11-03; publisher: LOINC and Health Data Standards, Regenstrief Institute, Inc.; LOINC and Health Data Standards, Regenstrief Institute, Inc.: ; description: LOINC provides a set of universal names and ID codes for identifying laboratory and clinical test results.1,2 LOINC facilitates the exchange and pooling of results, such as blood hemoglobin, serum potassium, or vital signs, for clinical care, outcomes management, and research. LOINC's universal identifiers (names and codes) can be used in the context of order and observation exchanges between information systems that use syntax standards such as HL73, CEN TC251, ISO TC215, ASTM4, and DICOM. Specifically, the identifier can be used as the coded value for an observation in any other standard that uses the observation/observation value paradigm, whether messages, documents, application programming interface (API), etc. For example, LOINC codes are used widely in the OBX segment Observation Identifier field (OBX-3) of an ORU HL7 (HL7 version 2.x or ASTM 1238-9410) message that may be sent between a Clinical Laboratory Information Management Systems (LIMS) and Electronic Health Record Systems (EHR).5, 6 In this way, LOINC codes provide universal identifiers that allow the exchange of clinical data between heterogeneous computing environments.; copyright: Per the LOINC License \"Permission is hereby granted in perpetuity, without payment of license fees or royalties, to use, copy, or distribute the Licensed Materials for any commercial or non-commercial purpose, subject to the following terms and conditions\" Please also note that some content (for example some of the assessment scale content) within LOINC is subject to copyright from third parties and is present in LOINC with permission or under the applicable terms of use from the third party.  Some included third party content requires attribution specific to a particular LOINC code or codes. Such third party content is identified in the LOINC Table and LOINC Table Core by the applicable copyright notice stored in the EXTERNAL_COPYRIGHT_NOTICE field. For further information and for details of how implementers should manage use of third party content (including license obligations) please see https://loinc.org/kb/license/; content: not-present</a></p><p><b>occurred</b>: ?? --&gt; 2020-11-03</p><p><b>recorded</b>: Nov 3, 2020, 4:00:00 AM</p><p><b>reason</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v3-ActReason METAMGT}\">Added LOINC entry aligned with the HTA.</span></p><p><b>activity</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v3-DataOperation CREATE}\">create</span></p><blockquote><p><b>agent</b></p><p><b>type</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/provenance-participant-type author}\">Author</span></p><p><b>who</b>: <span>Reuben Daniels</span></p></blockquote><blockquote><p><b>agent</b></p><p><b>type</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/provenance-participant-type custodian}\">Custodian</span></p><p><b>who</b>: <span>HL7 Terminology Authority (HTA)</span></p></blockquote></div>"
  ];
  fhir:Provenance.target [
     fhir:index 0;
     fhir:Reference.reference [ fhir:value "CodeSystem/v3-loinc" ]
  ];
  fhir:Provenance.occurredPeriod [
     fhir:Period.end [ fhir:value "2020-11-03"^^xsd:date ]
  ];
  fhir:Provenance.recorded [ fhir:value "2020-11-03T21:00:00+10:00"^^xsd:dateTime];
  fhir:Provenance.reason [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ActReason" ];
       fhir:Coding.code [ fhir:value "METAMGT" ]     ];
     fhir:CodeableConcept.text [ fhir:value "Added LOINC entry aligned with the HTA." ]
  ];
  fhir:Provenance.activity [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-DataOperation" ];
       fhir:Coding.code [ fhir:value "CREATE" ]     ]
  ];
  fhir:Provenance.agent [
     fhir:index 0;
     fhir:Provenance.agent.type [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/provenance-participant-type" ];
         fhir:Coding.code [ fhir:value "author" ]       ]     ];
     fhir:Provenance.agent.who [
       fhir:Reference.display [ fhir:value "Reuben Daniels" ]     ]
  ], [
     fhir:index 1;
     fhir:Provenance.agent.type [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/provenance-participant-type" ];
         fhir:Coding.code [ fhir:value "custodian" ]       ]     ];
     fhir:Provenance.agent.who [
       fhir:Reference.display [ fhir:value "HL7 Terminology Authority (HTA)" ]     ]
  ].

<http://terminology.hl7.org/fhir/Provenance/rxNorm-cs-1-0-66> a fhir:Provenance;
  fhir:Resource.id [ fhir:value "hx1i-rxNorm-cs-1-0-66"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>target</b>: <a href=\"CodeSystem-v3-rxNorm.html\">Generated Summary: language: en; url: http://www.nlm.nih.gov/research/umls/rxnorm; id: urn:oid:2.16.840.1.113883.6.88; version: 3.0.0; name: RxNorm; title: RxNorm; status: active; date: 2020-11-03; publisher: National Library of Medicine (NLM); National Library of Medicine (NLM): rxnorminfo@nlm.nih.gov; description: RxNorm provides normalized names for clinical drugs and links its names to many of the drug vocabularies commonly used in pharmacy management and drug interaction software, including those of First Databank, Micromedex, and Gold Standard Drug Database. By providing links between these vocabularies, RxNorm can mediate messages between systems not using the same software and vocabulary. RxNorm now includes the United States Pharmacopeia (USP) Compendial Nomenclature from the United States Pharmacopeial Convention. USP is a cumulative data set of all Active Pharmaceutical Ingredients (API).; copyright: Using RxNorm codes of type SAB=RXNORM as this specification describes does not require  a UMLS license. Access to the full set of RxNorm definitions, and/or additional use of other RxNorm structures and information requires a UMLS license. The use of RxNorm in this specification is pursuant to HL7's status as a licensee of the NLM UMLS. HL7's license does not convey the right to use RxNorm to any users of this specification; implementers must acquire a license to use RxNorm in their own right.; content: not-present</a></p><p><b>occurred</b>: ?? --&gt; 2020-11-03</p><p><b>recorded</b>: Nov 3, 2020, 4:00:00 AM</p><p><b>reason</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v3-ActReason METAMGT}\">Added RxNorm entry.</span></p><p><b>activity</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v3-DataOperation CREATE}\">create</span></p><blockquote><p><b>agent</b></p><p><b>type</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/provenance-participant-type author}\">Author</span></p><p><b>who</b>: <span>Reuben Daniels</span></p></blockquote><blockquote><p><b>agent</b></p><p><b>type</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/provenance-participant-type custodian}\">Custodian</span></p><p><b>who</b>: <span>HL7 Terminology Authority (HTA)</span></p></blockquote></div>"
  ];
  fhir:Provenance.target [
     fhir:index 0;
     fhir:Reference.reference [ fhir:value "CodeSystem/v3-rxNorm" ]
  ];
  fhir:Provenance.occurredPeriod [
     fhir:Period.end [ fhir:value "2020-11-03"^^xsd:date ]
  ];
  fhir:Provenance.recorded [ fhir:value "2020-11-03T21:00:00+10:00"^^xsd:dateTime];
  fhir:Provenance.reason [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ActReason" ];
       fhir:Coding.code [ fhir:value "METAMGT" ]     ];
     fhir:CodeableConcept.text [ fhir:value "Added RxNorm entry." ]
  ];
  fhir:Provenance.activity [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-DataOperation" ];
       fhir:Coding.code [ fhir:value "CREATE" ]     ]
  ];
  fhir:Provenance.agent [
     fhir:index 0;
     fhir:Provenance.agent.type [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/provenance-participant-type" ];
         fhir:Coding.code [ fhir:value "author" ]       ]     ];
     fhir:Provenance.agent.who [
       fhir:Reference.display [ fhir:value "Reuben Daniels" ]     ]
  ], [
     fhir:index 1;
     fhir:Provenance.agent.type [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/provenance-participant-type" ];
         fhir:Coding.code [ fhir:value "custodian" ]       ]     ];
     fhir:Provenance.agent.who [
       fhir:Reference.display [ fhir:value "HL7 Terminology Authority (HTA)" ]     ]
  ].

<http://terminology.hl7.org/fhir/Provenance/ucum-cs-1-0-66> a fhir:Provenance;
  fhir:Resource.id [ fhir:value "hx1i-ucum-cs-1-0-66"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>target</b>: <a href=\"CodeSystem-v3-ucum.html\">Generated Summary: language: en; url: http://unitsofmeasure.org; id: urn:oid:2.16.840.1.113883.6.8; version: 3.0.0; name: UCUM; title: Unified Code for Units of Measure (UCUM); status: active; date: 2020-11-03; publisher: LOINC and Health Data Standards, Regenstrief Institute, Inc.; LOINC and Health Data Standards, Regenstrief Institute, Inc.: ; description: The Unified Code for Units of Measure (UCUM) is a code system intended to include all units of measures being contemporarily used in international science, engineering, and business. The purpose is to facilitate unambiguous electronic communication of quantities together with their units. The focus is on electronic communication, as opposed to communication between humans. A typical application of The Unified Code for Units of Measure are electronic data interchange (EDI) protocols, but there is nothing that prevents it from being used in other types of machine communication.; copyright: The UCUM codes, UCUM table (regardless of format), and UCUM Specification are copyright 1999-2009, Regenstrief Institute, Inc. and the Unified Codes for Units of Measures (UCUM) Organization. All rights reserved. https://ucum.org/trac/wiki/TermsOfUse; content: not-present</a></p><p><b>occurred</b>: ?? --&gt; 2020-11-03</p><p><b>recorded</b>: Nov 3, 2020, 4:00:00 AM</p><p><b>reason</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v3-ActReason METAMGT}\">Added Unified Code for Units of Measure (UCUM) entry aligned with the HTA.</span></p><p><b>activity</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v3-DataOperation CREATE}\">create</span></p><blockquote><p><b>agent</b></p><p><b>type</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/provenance-participant-type author}\">Author</span></p><p><b>who</b>: <span>Reuben Daniels</span></p></blockquote><blockquote><p><b>agent</b></p><p><b>type</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/provenance-participant-type custodian}\">Custodian</span></p><p><b>who</b>: <span>HL7 Terminology Authority (HTA)</span></p></blockquote></div>"
  ];
  fhir:Provenance.target [
     fhir:index 0;
     fhir:Reference.reference [ fhir:value "CodeSystem/v3-ucum" ]
  ];
  fhir:Provenance.occurredPeriod [
     fhir:Period.end [ fhir:value "2020-11-03"^^xsd:date ]
  ];
  fhir:Provenance.recorded [ fhir:value "2020-11-03T21:00:00+10:00"^^xsd:dateTime];
  fhir:Provenance.reason [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ActReason" ];
       fhir:Coding.code [ fhir:value "METAMGT" ]     ];
     fhir:CodeableConcept.text [ fhir:value "Added Unified Code for Units of Measure (UCUM) entry aligned with the HTA." ]
  ];
  fhir:Provenance.activity [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-DataOperation" ];
       fhir:Coding.code [ fhir:value "CREATE" ]     ]
  ];
  fhir:Provenance.agent [
     fhir:index 0;
     fhir:Provenance.agent.type [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/provenance-participant-type" ];
         fhir:Coding.code [ fhir:value "author" ]       ]     ];
     fhir:Provenance.agent.who [
       fhir:Reference.display [ fhir:value "Reuben Daniels" ]     ]
  ], [
     fhir:index 1;
     fhir:Provenance.agent.type [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/provenance-participant-type" ];
         fhir:Coding.code [ fhir:value "custodian" ]       ]     ];
     fhir:Provenance.agent.who [
       fhir:Reference.display [ fhir:value "HL7 Terminology Authority (HTA)" ]     ]
  ].

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

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