HL7 Terminology (THO)
3.0.0 - Publication
HL7 Terminology (THO)
3.0.0 - Publication
This page is part of the HL7 Terminology (v3.0.0: Release) based on FHIR R4. The current version which supercedes this version is 5.2.0. For a full list of available versions, see the Directory of published versions 
<CodeSystem xmlns="http://hl7.org/fhir">
<id value="v3-Ethnicity"/>
<language value="en"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml" xml:lang="en" lang="en"><p><b>Properties</b></p><table class="grid"><tr><td><b>Code</b></td><td><b>URL</b></td><td><b>Description</b></td><td><b>Type</b></td></tr><tr><td>Specializes</td><td/><td>The child code is a more narrow version of the concept represented by the parent code. I.e. Every child concept is also a valid parent concept. Used to allow determination of subsumption. Must be transitive, irreflexive, antisymmetric.</td><td>Coding</td></tr><tr><td>Generalizes</td><td/><td>Inverse of Specializes. Only included as a derived relationship.</td><td>Coding</td></tr><tr><td>internalId</td><td>http://terminology.hl7.org/CodeSystem/utg-concept-properties#v3-internal-id</td><td>The internal identifier for the concept in the HL7 Access database repository.</td><td>code</td></tr><tr><td>status</td><td>http://hl7.org/fhir/concept-properties#status</td><td>Designation of a concept's state. Normally is not populated unless the state is retired.</td><td>code</td></tr></table><p>This code system http://terminology.hl7.org/CodeSystem/v3-Ethnicity defines the following codes:</p><table class="codes"><tr><td><b>Lvl</b></td><td style="white-space:nowrap"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td><td><b>internalId</b></td><td><b>status</b></td></tr><tr><td>1</td><td style="white-space:nowrap">2135-2<a name="v3-Ethnicity-2135-2"> </a></td><td>Hispanic or Latino</td><td/><td>15837</td><td>active</td></tr><tr><td>2</td><td style="white-space:nowrap"> 2137-8<a name="v3-Ethnicity-2137-8"> </a></td><td>Spaniard</td><td/><td>15838</td><td>active</td></tr><tr><td>3</td><td style="white-space:nowrap"> 2138-6<a name="v3-Ethnicity-2138-6"> </a></td><td>Andalusian</td><td/><td>15839</td><td>active</td></tr><tr><td>3</td><td style="white-space:nowrap"> 2139-4<a name="v3-Ethnicity-2139-4"> </a></td><td>Asturian</td><td/><td>15840</td><td>active</td></tr><tr><td>3</td><td style="white-space:nowrap"> 2140-2<a name="v3-Ethnicity-2140-2"> </a></td><td>Castillian</td><td/><td>15841</td><td>active</td></tr><tr><td>3</td><td style="white-space:nowrap"> 2141-0<a name="v3-Ethnicity-2141-0"> </a></td><td>Catalonian</td><td/><td>15842</td><td>active</td></tr><tr><td>3</td><td style="white-space:nowrap"> 2142-8<a name="v3-Ethnicity-2142-8"> </a></td><td>Belearic Islander</td><td/><td>15843</td><td>active</td></tr><tr><td>3</td><td style="white-space:nowrap"> 2143-6<a name="v3-Ethnicity-2143-6"> </a></td><td>Gallego</td><td/><td>15844</td><td>active</td></tr><tr><td>3</td><td style="white-space:nowrap"> 2144-4<a name="v3-Ethnicity-2144-4"> </a></td><td>Valencian</td><td/><td>15845</td><td>active</td></tr><tr><td>3</td><td style="white-space:nowrap"> 2145-1<a name="v3-Ethnicity-2145-1"> </a></td><td>Canarian</td><td/><td>15846</td><td>active</td></tr><tr><td>3</td><td style="white-space:nowrap"> 2146-9<a name="v3-Ethnicity-2146-9"> </a></td><td>Spanish Basque</td><td/><td>15847</td><td>active</td></tr><tr><td>2</td><td style="white-space:nowrap"> 2148-5<a name="v3-Ethnicity-2148-5"> </a></td><td>Mexican</td><td/><td>15848</td><td>active</td></tr><tr><td>3</td><td style="white-space:nowrap"> 2149-3<a name="v3-Ethnicity-2149-3"> </a></td><td>Mexican American</td><td/><td>15849</td><td>active</td></tr><tr><td>3</td><td style="white-space:nowrap"> 2150-1<a name="v3-Ethnicity-2150-1"> </a></td><td>Mexicano</td><td/><td>15850</td><td>active</td></tr><tr><td>3</td><td style="white-space:nowrap"> 2151-9<a name="v3-Ethnicity-2151-9"> </a></td><td>Chicano</td><td/><td>15851</td><td>active</td></tr><tr><td>3</td><td style="white-space:nowrap"> 2152-7<a name="v3-Ethnicity-2152-7"> </a></td><td>La Raza</td><td/><td>15852</td><td>active</td></tr><tr><td>3</td><td style="white-space:nowrap"> 2153-5<a name="v3-Ethnicity-2153-5"> </a></td><td>Mexican American Indian</td><td/><td>15853</td><td>active</td></tr><tr><td>2</td><td style="white-space:nowrap"> 2155-0<a name="v3-Ethnicity-2155-0"> </a></td><td>Central American</td><td/><td>15854</td><td>active</td></tr><tr><td>3</td><td style="white-space:nowrap"> 2156-8<a name="v3-Ethnicity-2156-8"> </a></td><td>Costa Rican</td><td/><td>15855</td><td>active</td></tr><tr><td>3</td><td style="white-space:nowrap"> 2157-6<a name="v3-Ethnicity-2157-6"> </a></td><td>Guatemalan</td><td/><td>15856</td><td>active</td></tr><tr><td>3</td><td style="white-space:nowrap"> 2158-4<a name="v3-Ethnicity-2158-4"> </a></td><td>Honduran</td><td/><td>15857</td><td>active</td></tr><tr><td>3</td><td style="white-space:nowrap"> 2159-2<a name="v3-Ethnicity-2159-2"> </a></td><td>Nicaraguan</td><td/><td>15858</td><td>active</td></tr><tr><td>3</td><td style="white-space:nowrap"> 2160-0<a name="v3-Ethnicity-2160-0"> </a></td><td>Panamanian</td><td/><td>15859</td><td>active</td></tr><tr><td>3</td><td style="white-space:nowrap"> 2161-8<a name="v3-Ethnicity-2161-8"> </a></td><td>Salvadoran</td><td/><td>15860</td><td>active</td></tr><tr><td>3</td><td style="white-space:nowrap"> 2162-6<a name="v3-Ethnicity-2162-6"> </a></td><td>Central American Indian</td><td/><td>15861</td><td>active</td></tr><tr><td>3</td><td style="white-space:nowrap"> 2163-4<a name="v3-Ethnicity-2163-4"> </a></td><td>Canal Zone</td><td/><td>15862</td><td>active</td></tr><tr><td>2</td><td style="white-space:nowrap"> 2165-9<a name="v3-Ethnicity-2165-9"> </a></td><td>South American</td><td/><td>15863</td><td>active</td></tr><tr><td>3</td><td style="white-space:nowrap"> 2166-7<a name="v3-Ethnicity-2166-7"> </a></td><td>Argentinean</td><td/><td>15864</td><td>active</td></tr><tr><td>3</td><td style="white-space:nowrap"> 2167-5<a name="v3-Ethnicity-2167-5"> </a></td><td>Bolivian</td><td/><td>15865</td><td>active</td></tr><tr><td>3</td><td style="white-space:nowrap"> 2168-3<a name="v3-Ethnicity-2168-3"> </a></td><td>Chilean</td><td/><td>15866</td><td>active</td></tr><tr><td>3</td><td style="white-space:nowrap"> 2169-1<a name="v3-Ethnicity-2169-1"> </a></td><td>Colombian</td><td/><td>15867</td><td>active</td></tr><tr><td>3</td><td style="white-space:nowrap"> 2170-9<a name="v3-Ethnicity-2170-9"> </a></td><td>Ecuadorian</td><td/><td>15868</td><td>active</td></tr><tr><td>3</td><td style="white-space:nowrap"> 2171-7<a name="v3-Ethnicity-2171-7"> </a></td><td>Paraguayan</td><td/><td>15869</td><td>active</td></tr><tr><td>3</td><td style="white-space:nowrap"> 2172-5<a name="v3-Ethnicity-2172-5"> </a></td><td>Peruvian</td><td/><td>15870</td><td>active</td></tr><tr><td>3</td><td style="white-space:nowrap"> 2173-3<a name="v3-Ethnicity-2173-3"> </a></td><td>Uruguayan</td><td/><td>15871</td><td>active</td></tr><tr><td>3</td><td style="white-space:nowrap"> 2174-1<a name="v3-Ethnicity-2174-1"> </a></td><td>Venezuelan</td><td/><td>15872</td><td>active</td></tr><tr><td>3</td><td style="white-space:nowrap"> 2175-8<a name="v3-Ethnicity-2175-8"> </a></td><td>South American Indian</td><td/><td>15873</td><td>active</td></tr><tr><td>3</td><td style="white-space:nowrap"> 2176-6<a name="v3-Ethnicity-2176-6"> </a></td><td>Criollo</td><td/><td>15874</td><td>active</td></tr><tr><td>2</td><td style="white-space:nowrap"> 2178-2<a name="v3-Ethnicity-2178-2"> </a></td><td>Latin American</td><td/><td>15875</td><td>active</td></tr><tr><td>2</td><td style="white-space:nowrap"> 2180-8<a name="v3-Ethnicity-2180-8"> </a></td><td>Puerto Rican</td><td/><td>15876</td><td>active</td></tr><tr><td>2</td><td style="white-space:nowrap"> 2182-4<a name="v3-Ethnicity-2182-4"> </a></td><td>Cuban</td><td/><td>15877</td><td>active</td></tr><tr><td>2</td><td style="white-space:nowrap"> 2184-0<a name="v3-Ethnicity-2184-0"> </a></td><td>Dominican</td><td/><td>15878</td><td>active</td></tr><tr><td>1</td><td style="white-space:nowrap">2186-5<a name="v3-Ethnicity-2186-5"> </a></td><td>Not Hispanic or Latino</td><td>Note that this term remains in the table for completeness, even though within HL7, the notion of "not otherwise coded" term is deprecated.</td><td>15879</td><td>active</td></tr></table></div>
</text>
<url value="http://terminology.hl7.org/CodeSystem/v3-Ethnicity"/>
<identifier>
<system value="urn:ietf:rfc:3986"/>
<value value="urn:oid:2.16.840.1.113883.5.50"/>
</identifier>
<version value="2.0.0"/>
<name value="Ethnicity"/>
<title value="Ethnicity"/>
<status value="active"/>
<date value="2019-03-20"/>
<publisher value="Health Level 7"/>
<contact>
<name value="Health Level Seven"/>
</contact>
<description
value="In the United States, federal standards for classifying data on ethnicity determine the categories used by federal agencies and exert a strong influence on categorization by state and local agencies and private sector organizations. The federal standards do not conceptually define ethnicity, and they recognize the absence of an anthropological or scientific basis for ethnicity classification. Instead, the federal standards acknowledge that ethnicity is a social-political construct in which an individual's own identification with a particular ethnicity is preferred to observer identification. The standards specify two minimum ethnicity categories: Hispanic or Latino, and Not Hispanic or Latino. The standards define a Hispanic or Latino as a person of "Mexican, Puerto Rican, Cuban, South or Central America, or other Spanish culture or origin, regardless of race." The standards stipulate that ethnicity data need not be limited to the two minimum categories, but any expansion must be collapsible to those categories. In addition, the standards stipulate that an individual can be Hispanic or Latino or can be Not Hispanic or Latino, but cannot be both."/>
<hierarchyMeaning value="is-a"/>
<content value="complete"/>
<property>
<extension
url="http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-symmetry">
<valueCode value="antisymmetric"/>
</extension>
<extension
url="http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-transitivity">
<valueCode value="transitive"/>
</extension>
<extension
url="http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-reflexivity">
<valueCode value="irreflexive"/>
</extension>
<extension
url="http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-isNavigable">
<valueBoolean value="true"/>
</extension>
<extension
url="http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-relationshipKind">
<valueCode value="Specializes"/>
</extension>
<extension
url="http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-inverseName">
<valueString value="Generalizes"/>
</extension>
<code value="Specializes"/>
<description
value="The child code is a more narrow version of the concept represented by the parent code. I.e. Every child concept is also a valid parent concept. Used to allow determination of subsumption. Must be transitive, irreflexive, antisymmetric."/>
<type value="Coding"/>
</property>
<property>
<extension
url="http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-symmetry">
<valueCode value="antisymmetric"/>
</extension>
<extension
url="http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-transitivity">
<valueCode value="transitive"/>
</extension>
<extension
url="http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-reflexivity">
<valueCode value="irreflexive"/>
</extension>
<extension
url="http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-isNavigable">
<valueBoolean value="true"/>
</extension>
<extension
url="http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-relationshipKind">
<valueCode value="Generalizes"/>
</extension>
<extension
url="http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-inverseName">
<valueString value="Specializes"/>
</extension>
<code value="Generalizes"/>
<description
value="Inverse of Specializes. Only included as a derived relationship."/>
<type value="Coding"/>
</property>
<property>
<code value="internalId"/>
<uri
value="http://terminology.hl7.org/CodeSystem/utg-concept-properties#v3-internal-id"/>
<description
value="The internal identifier for the concept in the HL7 Access database repository."/>
<type value="code"/>
</property>
<property>
<code value="status"/>
<uri value="http://hl7.org/fhir/concept-properties#status"/>
<description
value="Designation of a concept's state. Normally is not populated unless the state is retired."/>
<type value="code"/>
</property>
<concept>
<code value="2135-2"/>
<display value="Hispanic or Latino"/>
<property>
<code value="status"/>
<valueCode value="active"/>
</property>
<property>
<code value="internalId"/>
<valueCode value="15837"/>
</property>
<concept>
<code value="2137-8"/>
<display value="Spaniard"/>
<property>
<code value="status"/>
<valueCode value="active"/>
</property>
<property>
<code value="internalId"/>
<valueCode value="15838"/>
</property>
<concept>
<code value="2138-6"/>
<display value="Andalusian"/>
<property>
<code value="status"/>
<valueCode value="active"/>
</property>
<property>
<code value="internalId"/>
<valueCode value="15839"/>
</property>
</concept>
<concept>
<code value="2139-4"/>
<display value="Asturian"/>
<property>
<code value="status"/>
<valueCode value="active"/>
</property>
<property>
<code value="internalId"/>
<valueCode value="15840"/>
</property>
</concept>
<concept>
<code value="2140-2"/>
<display value="Castillian"/>
<property>
<code value="status"/>
<valueCode value="active"/>
</property>
<property>
<code value="internalId"/>
<valueCode value="15841"/>
</property>
</concept>
<concept>
<code value="2141-0"/>
<display value="Catalonian"/>
<property>
<code value="status"/>
<valueCode value="active"/>
</property>
<property>
<code value="internalId"/>
<valueCode value="15842"/>
</property>
</concept>
<concept>
<code value="2142-8"/>
<display value="Belearic Islander"/>
<property>
<code value="status"/>
<valueCode value="active"/>
</property>
<property>
<code value="internalId"/>
<valueCode value="15843"/>
</property>
</concept>
<concept>
<code value="2143-6"/>
<display value="Gallego"/>
<property>
<code value="status"/>
<valueCode value="active"/>
</property>
<property>
<code value="internalId"/>
<valueCode value="15844"/>
</property>
</concept>
<concept>
<code value="2144-4"/>
<display value="Valencian"/>
<property>
<code value="status"/>
<valueCode value="active"/>
</property>
<property>
<code value="internalId"/>
<valueCode value="15845"/>
</property>
</concept>
<concept>
<code value="2145-1"/>
<display value="Canarian"/>
<property>
<code value="status"/>
<valueCode value="active"/>
</property>
<property>
<code value="internalId"/>
<valueCode value="15846"/>
</property>
</concept>
<concept>
<code value="2146-9"/>
<display value="Spanish Basque"/>
<property>
<code value="status"/>
<valueCode value="active"/>
</property>
<property>
<code value="internalId"/>
<valueCode value="15847"/>
</property>
</concept>
</concept>
<concept>
<code value="2148-5"/>
<display value="Mexican"/>
<property>
<code value="status"/>
<valueCode value="active"/>
</property>
<property>
<code value="internalId"/>
<valueCode value="15848"/>
</property>
<concept>
<code value="2149-3"/>
<display value="Mexican American"/>
<property>
<code value="status"/>
<valueCode value="active"/>
</property>
<property>
<code value="internalId"/>
<valueCode value="15849"/>
</property>
</concept>
<concept>
<code value="2150-1"/>
<display value="Mexicano"/>
<property>
<code value="status"/>
<valueCode value="active"/>
</property>
<property>
<code value="internalId"/>
<valueCode value="15850"/>
</property>
</concept>
<concept>
<code value="2151-9"/>
<display value="Chicano"/>
<property>
<code value="status"/>
<valueCode value="active"/>
</property>
<property>
<code value="internalId"/>
<valueCode value="15851"/>
</property>
</concept>
<concept>
<code value="2152-7"/>
<display value="La Raza"/>
<property>
<code value="status"/>
<valueCode value="active"/>
</property>
<property>
<code value="internalId"/>
<valueCode value="15852"/>
</property>
</concept>
<concept>
<code value="2153-5"/>
<display value="Mexican American Indian"/>
<property>
<code value="status"/>
<valueCode value="active"/>
</property>
<property>
<code value="internalId"/>
<valueCode value="15853"/>
</property>
</concept>
</concept>
<concept>
<code value="2155-0"/>
<display value="Central American"/>
<property>
<code value="status"/>
<valueCode value="active"/>
</property>
<property>
<code value="internalId"/>
<valueCode value="15854"/>
</property>
<concept>
<code value="2156-8"/>
<display value="Costa Rican"/>
<property>
<code value="status"/>
<valueCode value="active"/>
</property>
<property>
<code value="internalId"/>
<valueCode value="15855"/>
</property>
</concept>
<concept>
<code value="2157-6"/>
<display value="Guatemalan"/>
<property>
<code value="status"/>
<valueCode value="active"/>
</property>
<property>
<code value="internalId"/>
<valueCode value="15856"/>
</property>
</concept>
<concept>
<code value="2158-4"/>
<display value="Honduran"/>
<property>
<code value="status"/>
<valueCode value="active"/>
</property>
<property>
<code value="internalId"/>
<valueCode value="15857"/>
</property>
</concept>
<concept>
<code value="2159-2"/>
<display value="Nicaraguan"/>
<property>
<code value="status"/>
<valueCode value="active"/>
</property>
<property>
<code value="internalId"/>
<valueCode value="15858"/>
</property>
</concept>
<concept>
<code value="2160-0"/>
<display value="Panamanian"/>
<property>
<code value="status"/>
<valueCode value="active"/>
</property>
<property>
<code value="internalId"/>
<valueCode value="15859"/>
</property>
</concept>
<concept>
<code value="2161-8"/>
<display value="Salvadoran"/>
<property>
<code value="status"/>
<valueCode value="active"/>
</property>
<property>
<code value="internalId"/>
<valueCode value="15860"/>
</property>
</concept>
<concept>
<code value="2162-6"/>
<display value="Central American Indian"/>
<property>
<code value="status"/>
<valueCode value="active"/>
</property>
<property>
<code value="internalId"/>
<valueCode value="15861"/>
</property>
</concept>
<concept>
<code value="2163-4"/>
<display value="Canal Zone"/>
<property>
<code value="status"/>
<valueCode value="active"/>
</property>
<property>
<code value="internalId"/>
<valueCode value="15862"/>
</property>
</concept>
</concept>
<concept>
<code value="2165-9"/>
<display value="South American"/>
<property>
<code value="status"/>
<valueCode value="active"/>
</property>
<property>
<code value="internalId"/>
<valueCode value="15863"/>
</property>
<concept>
<code value="2166-7"/>
<display value="Argentinean"/>
<property>
<code value="status"/>
<valueCode value="active"/>
</property>
<property>
<code value="internalId"/>
<valueCode value="15864"/>
</property>
</concept>
<concept>
<code value="2167-5"/>
<display value="Bolivian"/>
<property>
<code value="status"/>
<valueCode value="active"/>
</property>
<property>
<code value="internalId"/>
<valueCode value="15865"/>
</property>
</concept>
<concept>
<code value="2168-3"/>
<display value="Chilean"/>
<property>
<code value="status"/>
<valueCode value="active"/>
</property>
<property>
<code value="internalId"/>
<valueCode value="15866"/>
</property>
</concept>
<concept>
<code value="2169-1"/>
<display value="Colombian"/>
<property>
<code value="status"/>
<valueCode value="active"/>
</property>
<property>
<code value="internalId"/>
<valueCode value="15867"/>
</property>
</concept>
<concept>
<code value="2170-9"/>
<display value="Ecuadorian"/>
<property>
<code value="status"/>
<valueCode value="active"/>
</property>
<property>
<code value="internalId"/>
<valueCode value="15868"/>
</property>
</concept>
<concept>
<code value="2171-7"/>
<display value="Paraguayan"/>
<property>
<code value="status"/>
<valueCode value="active"/>
</property>
<property>
<code value="internalId"/>
<valueCode value="15869"/>
</property>
</concept>
<concept>
<code value="2172-5"/>
<display value="Peruvian"/>
<property>
<code value="status"/>
<valueCode value="active"/>
</property>
<property>
<code value="internalId"/>
<valueCode value="15870"/>
</property>
</concept>
<concept>
<code value="2173-3"/>
<display value="Uruguayan"/>
<property>
<code value="status"/>
<valueCode value="active"/>
</property>
<property>
<code value="internalId"/>
<valueCode value="15871"/>
</property>
</concept>
<concept>
<code value="2174-1"/>
<display value="Venezuelan"/>
<property>
<code value="status"/>
<valueCode value="active"/>
</property>
<property>
<code value="internalId"/>
<valueCode value="15872"/>
</property>
</concept>
<concept>
<code value="2175-8"/>
<display value="South American Indian"/>
<property>
<code value="status"/>
<valueCode value="active"/>
</property>
<property>
<code value="internalId"/>
<valueCode value="15873"/>
</property>
</concept>
<concept>
<code value="2176-6"/>
<display value="Criollo"/>
<property>
<code value="status"/>
<valueCode value="active"/>
</property>
<property>
<code value="internalId"/>
<valueCode value="15874"/>
</property>
</concept>
</concept>
<concept>
<code value="2178-2"/>
<display value="Latin American"/>
<property>
<code value="status"/>
<valueCode value="active"/>
</property>
<property>
<code value="internalId"/>
<valueCode value="15875"/>
</property>
</concept>
<concept>
<code value="2180-8"/>
<display value="Puerto Rican"/>
<property>
<code value="status"/>
<valueCode value="active"/>
</property>
<property>
<code value="internalId"/>
<valueCode value="15876"/>
</property>
</concept>
<concept>
<code value="2182-4"/>
<display value="Cuban"/>
<property>
<code value="status"/>
<valueCode value="active"/>
</property>
<property>
<code value="internalId"/>
<valueCode value="15877"/>
</property>
</concept>
<concept>
<code value="2184-0"/>
<display value="Dominican"/>
<property>
<code value="status"/>
<valueCode value="active"/>
</property>
<property>
<code value="internalId"/>
<valueCode value="15878"/>
</property>
</concept>
</concept>
<concept>
<code value="2186-5"/>
<display value="Not Hispanic or Latino"/>
<definition
value="Note that this term remains in the table for completeness, even though within HL7, the notion of "not otherwise coded" term is deprecated."/>
<property>
<code value="status"/>
<valueCode value="active"/>
</property>
<property>
<code value="internalId"/>
<valueCode value="15879"/>
</property>
</concept>
</CodeSystem>
IG © 2020+ HL7 International - Vocabulary Work Group. Package hl7.terminology#3.0.0 based on FHIR 4.0.1. Generated 2021-12-02
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