HL7 Terminology (THO)
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This page is part of the HL7 Terminology (v5.3.0: Release) based on FHIR R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

: AmericanIndianAlaskaNativeLanguages - XML Representation

Active as of 2019-03-20

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<CodeSystem xmlns="http://hl7.org/fhir">
  <id value="v3-AmericanIndianAlaskaNativeLanguages"/>
  <language value="en"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">Placeholder</div>
  </text>
  <url
       value="http://terminology.hl7.org/CodeSystem/v3-AmericanIndianAlaskaNativeLanguages"/>
  <identifier>
    <system value="urn:ietf:rfc:3986"/>
    <value value="urn:oid:2.16.840.1.113883.5.1054"/>
  </identifier>
  <version value="2.1.0"/>
  <name value="AmericanIndianAlaskaNativeLanguages"/>
  <title value="AmericanIndianAlaskaNativeLanguages"/>
  <status value="active"/>
  <experimental value="false"/>
  <date value="2019-03-20"/>
  <publisher value="Health Level 7"/>
  <contact>
    <name value="Health Level Seven"/>
  </contact>
  <description
               value="American Indian and Alaska Native languages currently being used in the United States."/>
  <caseSensitive value="true"/>
  <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="notSelectable"/>
    <uri value="http://hl7.org/fhir/concept-properties#notSelectable"/>
    <description
                 value="Indicates that the code is abstract - only intended to be used as a selector for other concepts"/>
    <type value="boolean"/>
  </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="_Algic"/>
    <display value="Algic"/>
    <property>
      <code value="notSelectable"/>
      <valueBoolean value="true"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="internalId"/>
      <valueCode value="20952"/>
    </property>
    <concept>
      <code value="_Algonquian"/>
      <display value="Algonquian"/>
      <property>
        <code value="notSelectable"/>
        <valueBoolean value="true"/>
      </property>
      <property>
        <code value="status"/>
        <valueCode value="active"/>
      </property>
      <property>
        <code value="internalId"/>
        <valueCode value="20953"/>
      </property>
      <concept>
        <code value="_Arapahoan"/>
        <display value="Arapahoan"/>
        <property>
          <code value="notSelectable"/>
          <valueBoolean value="true"/>
        </property>
        <property>
          <code value="status"/>
          <valueCode value="active"/>
        </property>
        <property>
          <code value="internalId"/>
          <valueCode value="20955"/>
        </property>
        <concept>
          <code value="_ArapahoGrosVentre"/>
          <display value="ArapahoGrosVentre"/>
          <property>
            <code value="notSelectable"/>
            <valueBoolean value="true"/>
          </property>
          <property>
            <code value="status"/>
            <valueCode value="active"/>
          </property>
          <property>
            <code value="internalId"/>
            <valueCode value="20956"/>
          </property>
          <concept>
            <code value="x-ARP"/>
            <display value="Arapaho"/>
            <designation>
              <language value="en"/>
              <use>
                <system value="http://snomed.info/sct"/>
                <code value="900000000000013009"/>
              </use>
              <value value="Arrapahoe"/>
            </designation>
            <property>
              <code value="status"/>
              <valueCode value="active"/>
            </property>
            <property>
              <code value="internalId"/>
              <valueCode value="18151"/>
            </property>
          </concept>
          <concept>
            <code value="x-ATS"/>
            <display value="Gros Ventre"/>
            <designation>
              <language value="en"/>
              <use>
                <system value="http://snomed.info/sct"/>
                <code value="900000000000013009"/>
              </use>
              <value value="A'ananin"/>
            </designation>
            <designation>
              <language value="en"/>
              <use>
                <system value="http://snomed.info/sct"/>
                <code value="900000000000013009"/>
              </use>
              <value value="Ahahnelin"/>
            </designation>
            <designation>
              <language value="en"/>
              <use>
                <system value="http://snomed.info/sct"/>
                <code value="900000000000013009"/>
              </use>
              <value value="Ahe"/>
            </designation>
            <designation>
              <language value="en"/>
              <use>
                <system value="http://snomed.info/sct"/>
                <code value="900000000000013009"/>
              </use>
              <value value="Atsina"/>
            </designation>
            <designation>
              <language value="en"/>
              <use>
                <system value="http://snomed.info/sct"/>
                <code value="900000000000013009"/>
              </use>
              <value value="Fall Indians"/>
            </designation>
            <designation>
              <language value="en"/>
              <use>
                <system value="http://snomed.info/sct"/>
                <code value="900000000000013009"/>
              </use>
              <value value="White Clay People"/>
            </designation>
            <property>
              <code value="status"/>
              <valueCode value="active"/>
            </property>
            <property>
              <code value="internalId"/>
              <valueCode value="18144"/>
            </property>
          </concept>
        </concept>
      </concept>
      <concept>
        <code value="_CreeMontagnais"/>
        <display value="CreeMontagnais"/>
        <property>
          <code value="notSelectable"/>
          <valueBoolean value="true"/>
        </property>
        <property>
          <code value="status"/>
          <valueCode value="active"/>
        </property>
        <property>
          <code value="internalId"/>
          <valueCode value="20972"/>
        </property>
        <concept>
          <code value="_Cree"/>
          <display value="Cree"/>
          <property>
            <code value="notSelectable"/>
            <valueBoolean value="true"/>
          </property>
          <property>
            <code value="status"/>
            <valueCode value="active"/>
          </property>
          <property>
            <code value="internalId"/>
            <valueCode value="20971"/>
          </property>
          <concept>
            <code value="x-CRP"/>
            <display value="Western Cree"/>
            <designation>
              <language value="en"/>
              <use>
                <system value="http://snomed.info/sct"/>
                <code value="900000000000013009"/>
              </use>
              <value value="Mitchif"/>
            </designation>
            <designation>
              <language value="en"/>
              <use>
                <system value="http://snomed.info/sct"/>
                <code value="900000000000013009"/>
              </use>
              <value value="Plains Cree"/>
            </designation>
            <designation>
              <language value="en"/>
              <use>
                <system value="http://snomed.info/sct"/>
                <code value="900000000000013009"/>
              </use>
              <value value="Western Swampy Cree"/>
            </designation>
            <designation>
              <language value="en"/>
              <use>
                <system value="http://snomed.info/sct"/>
                <code value="900000000000013009"/>
              </use>
              <value value="Woods Cree"/>
            </designation>
            <property>
              <code value="status"/>
              <valueCode value="active"/>
            </property>
            <property>
              <code value="internalId"/>
              <valueCode value="18137"/>
            </property>
          </concept>
        </concept>
      </concept>
      <concept>
        <code value="_EasternAlgonquin"/>
        <display value="EasternAlgonquin"/>
        <property>
          <code value="notSelectable"/>
          <valueBoolean value="true"/>
        </property>
        <property>
          <code value="status"/>
          <valueCode value="active"/>
        </property>
        <property>
          <code value="internalId"/>
          <valueCode value="20979"/>
        </property>
        <concept>
          <code value="_Abenakian"/>
          <display value="Abenakian"/>
          <property>
            <code value="notSelectable"/>
            <valueBoolean value="true"/>
          </property>
          <property>
            <code value="status"/>
            <valueCode value="active"/>
          </property>
          <property>
            <code value="internalId"/>
            <valueCode value="20950"/>
          </property>
          <concept>
            <code value="x-AAQ"/>
            <display value="Eastern Abenaki"/>
            <designation>
              <language value="en"/>
              <use>
                <system value="http://snomed.info/sct"/>
                <code value="900000000000013009"/>
              </use>
              <value value="Eastern Abnaki"/>
            </designation>
            <designation>
              <language value="en"/>
              <use>
                <system value="http://snomed.info/sct"/>
                <code value="900000000000013009"/>
              </use>
              <value value="Penobscot"/>
            </designation>
            <property>
              <code value="status"/>
              <valueCode value="active"/>
            </property>
            <property>
              <code value="internalId"/>
              <valueCode value="18177"/>
            </property>
          </concept>
          <concept>
            <code value="x-ABE"/>
            <display value="Western Abenaki"/>
            <designation>
              <language value="en"/>
              <use>
                <system value="http://snomed.info/sct"/>
                <code value="900000000000013009"/>
              </use>
              <value value="Abenaki"/>
            </designation>
            <designation>
              <language value="en"/>
              <use>
                <system value="http://snomed.info/sct"/>
                <code value="900000000000013009"/>
              </use>
              <value value="Abenaqui"/>
            </designation>
            <designation>
              <language value="en"/>
              <use>
                <system value="http://snomed.info/sct"/>
                <code value="900000000000013009"/>
              </use>
              <value value="St. Francis"/>
            </designation>
            <property>
              <code value="status"/>
              <valueCode value="active"/>
            </property>
            <property>
              <code value="internalId"/>
              <valueCode value="18180"/>
            </property>
          </concept>
          <concept>
            <code value="x-MAC"/>
            <display value="Maliseet-Passamaquoddy"/>
            <designation>
              <language value="en"/>
              <use>
                <system value="http://snomed.info/sct"/>
                <code value="900000000000013009"/>
              </use>
              <value value="Malecite-Passamaquoddy"/>
            </designation>
            <property>
              <code value="status"/>
              <valueCode value="active"/>
            </property>
            <property>
              <code value="internalId"/>
              <valueCode value="18175"/>
            </property>
          </concept>
        </concept>
        <concept>
          <code value="_Delawaran"/>
          <display value="Delawaran"/>
          <property>
            <code value="notSelectable"/>
            <valueBoolean value="true"/>
          </property>
          <property>
            <code value="status"/>
            <valueCode value="active"/>
          </property>
          <property>
            <code value="internalId"/>
            <valueCode value="20975"/>
          </property>
          <concept>
            <code value="x-DEL"/>
            <display value="Unami Delaware"/>
            <designation>
              <language value="en"/>
              <use>
                <system value="http://snomed.info/sct"/>
                <code value="900000000000013009"/>
              </use>
              <value value="Delaware"/>
            </designation>
            <designation>
              <language value="en"/>
              <use>
                <system value="http://snomed.info/sct"/>
                <code value="900000000000013009"/>
              </use>
              <value value="Lenape"/>
            </designation>
            <designation>
              <language value="en"/>
              <use>
                <system value="http://snomed.info/sct"/>
                <code value="900000000000013009"/>
              </use>
              <value value="Lenni-Lenape"/>
            </designation>
            <property>
              <code value="status"/>
              <valueCode value="active"/>
            </property>
            <property>
              <code value="internalId"/>
              <valueCode value="18185"/>
            </property>
          </concept>
        </concept>
        <concept>
          <code value="x-MIC"/>
          <display value="Micmac"/>
          <designation>
            <language value="en"/>
            <use>
              <system value="http://snomed.info/sct"/>
              <code value="900000000000013009"/>
            </use>
            <value value="Restigouche"/>
          </designation>
          <property>
            <code value="status"/>
            <valueCode value="active"/>
          </property>
          <property>
            <code value="internalId"/>
            <valueCode value="18172"/>
          </property>
        </concept>
      </concept>
      <concept>
        <code value="_Ojibwayan"/>
        <display value="Ojibwayan"/>
        <property>
          <code value="notSelectable"/>
          <valueBoolean value="true"/>
        </property>
        <property>
          <code value="status"/>
          <valueCode value="active"/>
        </property>
        <property>
          <code value="internalId"/>
          <valueCode value="21003"/>
        </property>
        <concept>
          <code value="x-OJB"/>
          <display value="Southern Ojibwa"/>
          <designation>
            <language value="en"/>
            <use>
              <system value="http://snomed.info/sct"/>
              <code value="900000000000013009"/>
            </use>
            <value value="Chippewa"/>
          </designation>
          <designation>
            <language value="en"/>
            <use>
              <system value="http://snomed.info/sct"/>
              <code value="900000000000013009"/>
            </use>
            <value value="Mississippi Ojibwa"/>
          </designation>
          <designation>
            <language value="en"/>
            <use>
              <system value="http://snomed.info/sct"/>
              <code value="900000000000013009"/>
            </use>
            <value value="Saulteaux"/>
          </designation>
          <designation>
            <language value="en"/>
            <use>
              <system value="http://snomed.info/sct"/>
              <code value="900000000000013009"/>
            </use>
            <value value="Western Ojibwa"/>
          </designation>
          <property>
            <code value="status"/>
            <valueCode value="active"/>
          </property>
          <property>
            <code value="internalId"/>
            <valueCode value="18157"/>
          </property>
        </concept>
        <concept>
          <code value="x-POT"/>
          <display value="Potawatami"/>
          <designation>
            <language value="en"/>
            <use>
              <system value="http://snomed.info/sct"/>
              <code value="900000000000013009"/>
            </use>
            <value value="Pottawotomi"/>
          </designation>
          <property>
            <code value="status"/>
            <valueCode value="active"/>
          </property>
          <property>
            <code value="internalId"/>
            <valueCode value="18162"/>
          </property>
        </concept>
      </concept>
      <concept>
        <code value="_SaukFoxKickapoo"/>
        <display value="SaukFoxKickapoo"/>
        <property>
          <code value="notSelectable"/>
          <valueBoolean value="true"/>
        </property>
        <property>
          <code value="status"/>
          <valueCode value="active"/>
        </property>
        <property>
          <code value="internalId"/>
          <valueCode value="21016"/>
        </property>
        <concept>
          <code value="x-KIC"/>
          <display value="Kickapoo"/>
          <designation>
            <language value="en"/>
            <use>
              <system value="http://snomed.info/sct"/>
              <code value="900000000000013009"/>
            </use>
            <value value="Kikapu"/>
          </designation>
          <property>
            <code value="status"/>
            <valueCode value="active"/>
          </property>
          <property>
            <code value="internalId"/>
            <valueCode value="18168"/>
          </property>
        </concept>
        <concept>
          <code value="x-SAC"/>
          <display value="Mesquakie"/>
          <designation>
            <language value="en"/>
            <use>
              <system value="http://snomed.info/sct"/>
              <code value="900000000000013009"/>
            </use>
            <value value="Sac and Fox"/>
          </designation>
          <designation>
            <language value="en"/>
            <use>
              <system value="http://snomed.info/sct"/>
              <code value="900000000000013009"/>
            </use>
            <value value="Sauk-Fox"/>
          </designation>
          <property>
            <code value="status"/>
            <valueCode value="active"/>
          </property>
          <property>
            <code value="internalId"/>
            <valueCode value="18165"/>
          </property>
        </concept>
        <concept>
          <code value="x-SJW"/>
          <display value="Shawnee"/>
          <property>
            <code value="status"/>
            <valueCode value="active"/>
          </property>
          <property>
            <code value="internalId"/>
            <valueCode value="18170"/>
          </property>
        </concept>
      </concept>
      <concept>
        <code value="x-BLC"/>
        <display value="Blackfoot"/>
        <designation>
          <language value="en"/>
          <use>
            <system value="http://snomed.info/sct"/>
            <code value="900000000000013009"/>
          </use>
          <value value="Pikanii"/>
        </designation>
        <property>
          <code value="status"/>
          <valueCode value="active"/>
        </property>
        <property>
          <code value="internalId"/>
          <valueCode value="18133"/>
        </property>
      </concept>
      <concept>
        <code value="x-CHY"/>
        <display value="Cheyenne"/>
        <property>
          <code value="status"/>
          <valueCode value="active"/>
        </property>
        <property>
          <code value="internalId"/>
          <valueCode value="18153"/>
        </property>
      </concept>
      <concept>
        <code value="x-MEZ"/>
        <display value="Menominee"/>
        <designation>
          <language value="en"/>
          <use>
            <system value="http://snomed.info/sct"/>
            <code value="900000000000013009"/>
          </use>
          <value value="Menomini"/>
        </designation>
        <property>
          <code value="status"/>
          <valueCode value="active"/>
        </property>
        <property>
          <code value="internalId"/>
          <valueCode value="18154"/>
        </property>
      </concept>
    </concept>
    <concept>
      <code value="_Ritwan"/>
      <display value="Ritwan"/>
      <property>
        <code value="notSelectable"/>
        <valueBoolean value="true"/>
      </property>
      <property>
        <code value="status"/>
        <valueCode value="active"/>
      </property>
      <property>
        <code value="internalId"/>
        <valueCode value="21012"/>
      </property>
      <concept>
        <code value="x-YUR"/>
        <display value="Yurok"/>
        <property>
          <code value="status"/>
          <valueCode value="active"/>
        </property>
        <property>
          <code value="internalId"/>
          <valueCode value="18190"/>
        </property>
      </concept>
    </concept>
  </concept>
  <concept>
    <code value="_Caddoan"/>
    <display value="Caddoan"/>
    <property>
      <code value="notSelectable"/>
      <valueBoolean value="true"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="internalId"/>
      <valueCode value="20959"/>
    </property>
    <concept>
      <code value="_NorthernCaddoan"/>
      <display value="NorthernCaddoan"/>
      <property>
        <code value="notSelectable"/>
        <valueBoolean value="true"/>
      </property>
      <property>
        <code value="status"/>
        <valueCode value="active"/>
      </property>
      <property>
        <code value="internalId"/>
        <valueCode value="21000"/>
      </property>
      <concept>
        <code value="x-ARI"/>
        <display value="Arikara"/>
        <designation>
          <language value="en"/>
          <use>
            <system value="http://snomed.info/sct"/>
            <code value="900000000000013009"/>
          </use>
          <value value="Arikaree"/>
        </designation>
        <designation>
          <language value="en"/>
          <use>
            <system value="http://snomed.info/sct"/>
            <code value="900000000000013009"/>
          </use>
          <value value="Arikari"/>
        </designation>
        <designation>
          <language value="en"/>
          <use>
            <system value="http://snomed.info/sct"/>
            <code value="900000000000013009"/>
          </use>
          <value value="Arikaris"/>
        </designation>
        <designation>
          <language value="en"/>
          <use>
            <system value="http://snomed.info/sct"/>
            <code value="900000000000013009"/>
          </use>
          <value value="Ree"/>
        </designation>
        <designation>
          <language value="en"/>
          <use>
            <system value="http://snomed.info/sct"/>
            <code value="900000000000013009"/>
          </use>
          <value value="Ris"/>
        </designation>
        <property>
          <code value="status"/>
          <valueCode value="active"/>
        </property>
        <property>
          <code value="internalId"/>
          <valueCode value="18225"/>
        </property>
      </concept>
      <concept>
        <code value="x-PAW"/>
        <display value="Pawnee"/>
        <property>
          <code value="status"/>
          <valueCode value="active"/>
        </property>
        <property>
          <code value="internalId"/>
          <valueCode value="18231"/>
        </property>
      </concept>
      <concept>
        <code value="x-WIC"/>
        <display value="Wichita"/>
        <property>
          <code value="status"/>
          <valueCode value="active"/>
        </property>
        <property>
          <code value="internalId"/>
          <valueCode value="18232"/>
        </property>
      </concept>
    </concept>
    <concept>
      <code value="_SouthernCaddoan"/>
      <display value="SouthernCaddoan"/>
      <property>
        <code value="notSelectable"/>
        <valueBoolean value="true"/>
      </property>
      <property>
        <code value="status"/>
        <valueCode value="active"/>
      </property>
      <property>
        <code value="internalId"/>
        <valueCode value="21023"/>
      </property>
      <concept>
        <code value="x-CAD"/>
        <display value="Caddo"/>
        <designation>
          <language value="en"/>
          <use>
            <system value="http://snomed.info/sct"/>
            <code value="900000000000013009"/>
          </use>
          <value value="Caddoe"/>
        </designation>
        <designation>
          <language value="en"/>
          <use>
            <system value="http://snomed.info/sct"/>
            <code value="900000000000013009"/>
          </use>
          <value value="Kado"/>
        </designation>
        <designation>
          <language value="en"/>
          <use>
            <system value="http://snomed.info/sct"/>
            <code value="900000000000013009"/>
          </use>
          <value value="Kadohadacho"/>
        </designation>
        <property>
          <code value="status"/>
          <valueCode value="active"/>
        </property>
        <property>
          <code value="internalId"/>
          <valueCode value="18234"/>
        </property>
      </concept>
    </concept>
  </concept>
  <concept>
    <code value="_Chimakuan"/>
    <display value="Chimakuan"/>
    <property>
      <code value="notSelectable"/>
      <valueBoolean value="true"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="internalId"/>
      <valueCode value="20966"/>
    </property>
    <concept>
      <code value="x-QUI"/>
      <display value="Quileute"/>
      <property>
        <code value="status"/>
        <valueCode value="active"/>
      </property>
      <property>
        <code value="internalId"/>
        <valueCode value="18239"/>
      </property>
    </concept>
  </concept>
  <concept>
    <code value="_EskimoAleut"/>
    <display value="EskimoAleut"/>
    <property>
      <code value="notSelectable"/>
      <valueBoolean value="true"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="internalId"/>
      <valueCode value="20982"/>
    </property>
    <concept>
      <code value="_Aleut"/>
      <display value="Aleut"/>
      <property>
        <code value="notSelectable"/>
        <valueBoolean value="true"/>
      </property>
      <property>
        <code value="status"/>
        <valueCode value="active"/>
      </property>
      <property>
        <code value="internalId"/>
        <valueCode value="20951"/>
      </property>
      <concept>
        <code value="x-ALW"/>
        <display value="Aleut"/>
        <property>
          <code value="status"/>
          <valueCode value="active"/>
        </property>
        <property>
          <code value="internalId"/>
          <valueCode value="18222"/>
        </property>
      </concept>
    </concept>
    <concept>
      <code value="_Eskimoan"/>
      <display value="Eskimoan"/>
      <property>
        <code value="notSelectable"/>
        <valueBoolean value="true"/>
      </property>
      <property>
        <code value="status"/>
        <valueCode value="active"/>
      </property>
      <property>
        <code value="internalId"/>
        <valueCode value="20983"/>
      </property>
      <concept>
        <code value="_InuitInupiaq"/>
        <display value="InuitInupiaq"/>
        <property>
          <code value="notSelectable"/>
          <valueBoolean value="true"/>
        </property>
        <property>
          <code value="status"/>
          <valueCode value="active"/>
        </property>
        <property>
          <code value="internalId"/>
          <valueCode value="20986"/>
        </property>
        <concept>
          <code value="x-ESI"/>
          <display value="North Alaskan Inuktitut"/>
          <designation>
            <language value="en"/>
            <use>
              <system value="http://snomed.info/sct"/>
              <code value="900000000000013009"/>
            </use>
            <value value="Inupiaq"/>
          </designation>
          <designation>
            <language value="en"/>
            <use>
              <system value="http://snomed.info/sct"/>
              <code value="900000000000013009"/>
            </use>
            <value value="Inupiat Eskimo"/>
          </designation>
          <designation>
            <language value="en"/>
            <use>
              <system value="http://snomed.info/sct"/>
              <code value="900000000000013009"/>
            </use>
            <value value="Inupik"/>
          </designation>
          <designation>
            <language value="en"/>
            <use>
              <system value="http://snomed.info/sct"/>
              <code value="900000000000013009"/>
            </use>
            <value value="North Alaskan Eskimo"/>
          </designation>
          <designation>
            <language value="en"/>
            <use>
              <system value="http://snomed.info/sct"/>
              <code value="900000000000013009"/>
            </use>
            <value value="North Alaskan Inupiaq"/>
          </designation>
          <property>
            <code value="status"/>
            <valueCode value="active"/>
          </property>
          <property>
            <code value="internalId"/>
            <valueCode value="18211"/>
          </property>
        </concept>
        <concept>
          <code value="x-ESK"/>
          <display value="Northwest Alaska Inuktitut"/>
          <designation>
            <language value="en"/>
            <use>
              <system value="http://snomed.info/sct"/>
              <code value="900000000000013009"/>
            </use>
            <value value="Inupiatun"/>
          </designation>
          <designation>
            <language value="en"/>
            <use>
              <system value="http://snomed.info/sct"/>
              <code value="900000000000013009"/>
            </use>
            <value value="Northwest Alaska Inupiat Eskimo"/>
          </designation>
          <designation>
            <language value="en"/>
            <use>
              <system value="http://snomed.info/sct"/>
              <code value="900000000000013009"/>
            </use>
            <value value="Seward Peninsula Inupiaq"/>
          </designation>
          <property>
            <code value="status"/>
            <valueCode value="active"/>
          </property>
          <property>
            <code value="internalId"/>
            <valueCode value="18217"/>
          </property>
        </concept>
      </concept>
      <concept>
        <code value="_SirenikskiYupik"/>
        <display value="SirenikskiYupik"/>
        <property>
          <code value="notSelectable"/>
          <valueBoolean value="true"/>
        </property>
        <property>
          <code value="status"/>
          <valueCode value="active"/>
        </property>
        <property>
          <code value="internalId"/>
          <valueCode value="21021"/>
        </property>
        <concept>
          <code value="x-EMS"/>
          <display value="Pacific Yupik Gulf"/>
          <designation>
            <language value="en"/>
            <use>
              <system value="http://snomed.info/sct"/>
              <code value="900000000000013009"/>
            </use>
            <value value="Aleut"/>
          </designation>
          <designation>
            <language value="en"/>
            <use>
              <system value="http://snomed.info/sct"/>
              <code value="900000000000013009"/>
            </use>
            <value value="Alutiiq"/>
          </designation>
          <designation>
            <language value="en"/>
            <use>
              <system value="http://snomed.info/sct"/>
              <code value="900000000000013009"/>
            </use>
            <value value="Chugach Eskimo"/>
          </designation>
          <designation>
            <language value="en"/>
            <use>
              <system value="http://snomed.info/sct"/>
              <code value="900000000000013009"/>
            </use>
            <value value="Koniag-Chugach"/>
          </designation>
          <designation>
            <language value="en"/>
            <use>
              <system value="http://snomed.info/sct"/>
              <code value="900000000000013009"/>
            </use>
            <value value="Pacific Yupik"/>
          </designation>
          <designation>
            <language value="en"/>
            <use>
              <system value="http://snomed.info/sct"/>
              <code value="900000000000013009"/>
            </use>
            <value value="South Alaska Eskimo"/>
          </designation>
          <designation>
            <language value="en"/>
            <use>
              <system value="http://snomed.info/sct"/>
              <code value="900000000000013009"/>
            </use>
            <value value="Sugcestun"/>
          </designation>
          <designation>
            <language value="en"/>
            <use>
              <system value="http://snomed.info/sct"/>
              <code value="900000000000013009"/>
            </use>
            <value value="Sugpiak Eskimo"/>
          </designation>
          <designation>
            <language value="en"/>
            <use>
              <system value="http://snomed.info/sct"/>
              <code value="900000000000013009"/>
            </use>
            <value value="Sugpiaq Eskimo"/>
          </designation>
          <designation>
            <language value="en"/>
            <use>
              <system value="http://snomed.info/sct"/>
              <code value="900000000000013009"/>
            </use>
            <value value="Suk"/>
          </designation>
          <property>
            <code value="status"/>
            <valueCode value="active"/>
          </property>
          <property>
            <code value="internalId"/>
            <valueCode value="18199"/>
          </property>
        </concept>
        <concept>
          <code value="x-ESS"/>
          <display value="Central Siberian Yupik"/>
          <designation>
            <language value="en"/>
            <use>
              <system value="http://snomed.info/sct"/>
              <code value="900000000000013009"/>
            </use>
            <value value="St. Lawrence Island Eskimo"/>
          </designation>
          <property>
            <code value="status"/>
            <valueCode value="active"/>
          </property>
          <property>
            <code value="internalId"/>
            <valueCode value="18194"/>
          </property>
        </concept>
        <concept>
          <code value="x-ESU"/>
          <display value="Central Alaskan Yupik"/>
          <designation>
            <language value="en"/>
            <use>
              <system value="http://snomed.info/sct"/>
              <code value="900000000000013009"/>
            </use>
            <value value="Central Yupik"/>
          </designation>
          <designation>
            <language value="en"/>
            <use>
              <system value="http://snomed.info/sct"/>
              <code value="900000000000013009"/>
            </use>
            <value value="West Alaska Eskimo"/>
          </designation>
          <property>
            <code value="status"/>
            <valueCode value="active"/>
          </property>
          <property>
            <code value="internalId"/>
            <valueCode value="18196"/>
          </property>
        </concept>
      </concept>
    </concept>
  </concept>
  <concept>
    <code value="_Hokan"/>
    <display value="Hokan"/>
    <property>
      <code value="notSelectable"/>
      <valueBoolean value="true"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="internalId"/>
      <valueCode value="20984"/>
    </property>
    <concept>
      <code value="_CochimiYuman"/>
      <display value="CochimiYuman"/>
      <property>
        <code value="notSelectable"/>
        <valueBoolean value="true"/>
      </property>
      <property>
        <code value="status"/>
        <valueCode value="active"/>
      </property>
      <property>
        <code value="internalId"/>
        <valueCode value="20969"/>
      </property>
      <concept>
        <code value="_Yuman"/>
        <display value="Yuman"/>
        <property>
          <code value="notSelectable"/>
          <valueBoolean value="true"/>
        </property>
        <property>
          <code value="status"/>
          <valueCode value="active"/>
        </property>
        <property>
          <code value="internalId"/>
          <valueCode value="21045"/>
        </property>
        <concept>
          <code value="_DeltaCalifornia"/>
          <display value="DeltaCalifornia"/>
          <property>
            <code value="notSelectable"/>
            <valueBoolean value="true"/>
          </property>
          <property>
            <code value="status"/>
            <valueCode value="active"/>
          </property>
          <property>
            <code value="internalId"/>
            <valueCode value="20976"/>
          </property>
          <concept>
            <code value="_Diegueno"/>
            <display value="Diegueno"/>
            <property>
              <code value="notSelectable"/>
              <valueBoolean value="true"/>
            </property>
            <property>
              <code value="status"/>
              <valueCode value="active"/>
            </property>
            <property>
              <code value="internalId"/>
              <valueCode value="20978"/>
            </property>
            <concept>
              <code value="x-DIH"/>
              <display value="Kumeyaay"/>
              <designation>
                <language value="en"/>
                <use>
                  <system value="http://snomed.info/sct"/>
                  <code value="900000000000013009"/>
                </use>
                <value value="Campo"/>
              </designation>
              <designation>
                <language value="en"/>
                <use>
                  <system value="http://snomed.info/sct"/>
                  <code value="900000000000013009"/>
                </use>
                <value value="Diegueño"/>
              </designation>
              <designation>
                <language value="en"/>
                <use>
                  <system value="http://snomed.info/sct"/>
                  <code value="900000000000013009"/>
                </use>
                <value value="Kamia"/>
              </designation>
              <designation>
                <language value="en"/>
                <use>
                  <system value="http://snomed.info/sct"/>
                  <code value="900000000000013009"/>
                </use>
                <value value="Kumiái"/>
              </designation>
              <property>
                <code value="status"/>
                <valueCode value="active"/>
              </property>
              <property>
                <code value="internalId"/>
                <valueCode value="18293"/>
              </property>
            </concept>
          </concept>
          <concept>
            <code value="x-COC"/>
            <display value="Cocopa"/>
            <designation>
              <language value="en"/>
              <use>
                <system value="http://snomed.info/sct"/>
                <code value="900000000000013009"/>
              </use>
              <value value="Cocopah"/>
            </designation>
            <designation>
              <language value="en"/>
              <use>
                <system value="http://snomed.info/sct"/>
                <code value="900000000000013009"/>
              </use>
              <value value="Cucapá"/>
            </designation>
            <designation>
              <language value="en"/>
              <use>
                <system value="http://snomed.info/sct"/>
                <code value="900000000000013009"/>
              </use>
              <value value="Delta River Yuman"/>
            </designation>
            <designation>
              <language value="en"/>
              <use>
                <system value="http://snomed.info/sct"/>
                <code value="900000000000013009"/>
              </use>
              <value value="Kikima"/>
            </designation>
            <designation>
              <language value="en"/>
              <use>
                <system value="http://snomed.info/sct"/>
                <code value="900000000000013009"/>
              </use>
              <value value="Kwikapa"/>
            </designation>
            <property>
              <code value="status"/>
              <valueCode value="active"/>
            </property>
            <property>
              <code value="internalId"/>
              <valueCode value="18298"/>
            </property>
          </concept>
        </concept>
        <concept>
          <code value="_Pai"/>
          <display value="Pai"/>
          <property>
            <code value="notSelectable"/>
            <valueBoolean value="true"/>
          </property>
          <property>
            <code value="status"/>
            <valueCode value="active"/>
          </property>
          <property>
            <code value="internalId"/>
            <valueCode value="21006"/>
          </property>
          <concept>
            <code value="x-YUF"/>
            <display value="Havasupai"/>
            <designation>
              <language value="en"/>
              <use>
                <system value="http://snomed.info/sct"/>
                <code value="900000000000013009"/>
              </use>
              <value value="Upland Yuman"/>
            </designation>
            <designation>
              <language value="en"/>
              <use>
                <system value="http://snomed.info/sct"/>
                <code value="900000000000013009"/>
              </use>
              <value value="Upper Colorado River Yuman"/>
            </designation>
            <designation>
              <language value="en"/>
              <use>
                <system value="http://snomed.info/sct"/>
                <code value="900000000000013009"/>
              </use>
              <value value="Walapai"/>
            </designation>
            <designation>
              <language value="en"/>
              <use>
                <system value="http://snomed.info/sct"/>
                <code value="900000000000013009"/>
              </use>
              <value value="Yavapai"/>
            </designation>
            <property>
              <code value="status"/>
              <valueCode value="active"/>
            </property>
            <property>
              <code value="internalId"/>
              <valueCode value="18277"/>
            </property>
          </concept>
        </concept>
        <concept>
          <code value="_River"/>
          <display value="River"/>
          <property>
            <code value="notSelectable"/>
            <valueBoolean value="true"/>
          </property>
          <property>
            <code value="status"/>
            <valueCode value="active"/>
          </property>
          <property>
            <code value="internalId"/>
            <valueCode value="21013"/>
          </property>
          <concept>
            <code value="x-MOV"/>
            <display value="Mohave"/>
            <designation>
              <language value="en"/>
              <use>
                <system value="http://snomed.info/sct"/>
                <code value="900000000000013009"/>
              </use>
              <value value="Mojave"/>
            </designation>
            <property>
              <code value="status"/>
              <valueCode value="active"/>
            </property>
            <property>
              <code value="internalId"/>
              <valueCode value="18289"/>
            </property>
          </concept>
          <concept>
            <code value="x-MRC"/>
            <display value="Maricopa"/>
            <designation>
              <language value="en"/>
              <use>
                <system value="http://snomed.info/sct"/>
                <code value="900000000000013009"/>
              </use>
              <value value="Cocomaricopa"/>
            </designation>
            <property>
              <code value="status"/>
              <valueCode value="active"/>
            </property>
            <property>
              <code value="internalId"/>
              <valueCode value="18287"/>
            </property>
          </concept>
          <concept>
            <code value="x-YUM"/>
            <display value="Quechan"/>
            <designation>
              <language value="en"/>
              <use>
                <system value="http://snomed.info/sct"/>
                <code value="900000000000013009"/>
              </use>
              <value value="Kechan"/>
            </designation>
            <designation>
              <language value="en"/>
              <use>
                <system value="http://snomed.info/sct"/>
                <code value="900000000000013009"/>
              </use>
              <value value="Quecl"/>
            </designation>
            <designation>
              <language value="en"/>
              <use>
                <system value="http://snomed.info/sct"/>
                <code value="900000000000013009"/>
              </use>
              <value value="Yuma"/>
            </designation>
            <property>
              <code value="status"/>
              <valueCode value="active"/>
            </property>
            <property>
              <code value="internalId"/>
              <valueCode value="18283"/>
            </property>
          </concept>
        </concept>
      </concept>
    </concept>
    <concept>
      <code value="_Palaihnihan"/>
      <display value="Palaihnihan"/>
      <property>
        <code value="notSelectable"/>
        <valueBoolean value="true"/>
      </property>
      <property>
        <code value="status"/>
        <valueCode value="active"/>
      </property>
      <property>
        <code value="internalId"/>
        <valueCode value="21007"/>
      </property>
      <concept>
        <code value="x-ACH"/>
        <display value="Achumawi"/>
        <designation>
          <language value="en"/>
          <use>
            <system value="http://snomed.info/sct"/>
            <code value="900000000000013009"/>
          </use>
          <value value="Achomawi"/>
        </designation>
        <designation>
          <language value="en"/>
          <use>
            <system value="http://snomed.info/sct"/>
            <code value="900000000000013009"/>
          </use>
          <value value="Pitt River"/>
        </designation>
        <property>
          <code value="status"/>
          <valueCode value="active"/>
        </property>
        <property>
          <code value="internalId"/>
          <valueCode value="18249"/>
        </property>
      </concept>
      <concept>
        <code value="x-ATW"/>
        <display value="Atsugewi"/>
        <property>
          <code value="status"/>
          <valueCode value="active"/>
        </property>
        <property>
          <code value="internalId"/>
          <valueCode value="18252"/>
        </property>
      </concept>
    </concept>
    <concept>
      <code value="_Pomoan"/>
      <display value="Pomoan"/>
      <property>
        <code value="notSelectable"/>
        <valueBoolean value="true"/>
      </property>
      <property>
        <code value="status"/>
        <valueCode value="active"/>
      </property>
      <property>
        <code value="internalId"/>
        <valueCode value="21011"/>
      </property>
      <concept>
        <code value="x-KJU"/>
        <display value="Kashaya"/>
        <designation>
          <language value="en"/>
          <use>
            <system value="http://snomed.info/sct"/>
            <code value="900000000000013009"/>
          </use>
          <value value="Southwestern Pomo"/>
        </designation>
        <property>
          <code value="status"/>
          <valueCode value="active"/>
        </property>
        <property>
          <code value="internalId"/>
          <valueCode value="18272"/>
        </property>
      </concept>
      <concept>
        <code value="x-PEF"/>
        <display value="Northeastern Pomo"/>
        <designation>
          <language value="en"/>
          <use>
            <system value="http://snomed.info/sct"/>
            <code value="900000000000013009"/>
          </use>
          <value value="Salt Pomo"/>
        </designation>
        <property>
          <code value="status"/>
          <valueCode value="active"/>
        </property>
        <property>
          <code value="internalId"/>
          <valueCode value="18254"/>
        </property>
      </concept>
      <concept>
        <code value="x-PEO"/>
        <display value="Southeastern Pomo"/>
        <property>
          <code value="status"/>
          <valueCode value="active"/>
        </property>
        <property>
          <code value="internalId"/>
          <valueCode value="18256"/>
        </property>
      </concept>
      <concept>
        <code value="x-PEQ"/>
        <display value="Southern Pomo"/>
        <designation>
          <language value="en"/>
          <use>
            <system value="http://snomed.info/sct"/>
            <code value="900000000000013009"/>
          </use>
          <value value="Lower Lake Pomo"/>
        </designation>
        <property>
          <code value="status"/>
          <valueCode value="active"/>
        </property>
        <property>
          <code value="internalId"/>
          <valueCode value="18270"/>
        </property>
      </concept>
      <concept>
        <code value="x-POO"/>
        <display value="Central Pomo"/>
        <designation>
          <language value="en"/>
          <use>
            <system value="http://snomed.info/sct"/>
            <code value="900000000000013009"/>
          </use>
          <value value="Ballo-Kai-Pomo"/>
        </designation>
        <designation>
          <language value="en"/>
          <use>
            <system value="http://snomed.info/sct"/>
            <code value="900000000000013009"/>
          </use>
          <value value="Cabanapo"/>
        </designation>
        <designation>
          <language value="en"/>
          <use>
            <system value="http://snomed.info/sct"/>
            <code value="900000000000013009"/>
          </use>
          <value value="Habenapo"/>
        </designation>
        <designation>
          <language value="en"/>
          <use>
            <system value="http://snomed.info/sct"/>
            <code value="900000000000013009"/>
          </use>
          <value value="H'hana"/>
        </designation>
        <designation>
          <language value="en"/>
          <use>
            <system value="http://snomed.info/sct"/>
            <code value="900000000000013009"/>
          </use>
          <value value="Kábinapek"/>
        </designation>
        <designation>
          <language value="en"/>
          <use>
            <system value="http://snomed.info/sct"/>
            <code value="900000000000013009"/>
          </use>
          <value value="Khabenapo"/>
        </designation>
        <designation>
          <language value="en"/>
          <use>
            <system value="http://snomed.info/sct"/>
            <code value="900000000000013009"/>
          </use>
          <value value="Khana"/>
        </designation>
        <designation>
          <language value="en"/>
          <use>
            <system value="http://snomed.info/sct"/>
            <code value="900000000000013009"/>
          </use>
          <value value="Kulanapan"/>
        </designation>
        <designation>
          <language value="en"/>
          <use>
            <system value="http://snomed.info/sct"/>
            <code value="900000000000013009"/>
          </use>
          <value value="Kulanapo"/>
        </designation>
        <designation>
          <language value="en"/>
          <use>
            <system value="http://snomed.info/sct"/>
            <code value="900000000000013009"/>
          </use>
          <value value="Venaambakaia"/>
        </designation>
        <designation>
          <language value="en"/>
          <use>
            <system value="http://snomed.info/sct"/>
            <code value="900000000000013009"/>
          </use>
          <value value="Venambakaiia"/>
        </designation>
        <designation>
          <language value="en"/>
          <use>
            <system value="http://snomed.info/sct"/>
            <code value="900000000000013009"/>
          </use>
          <value value="Yokaia"/>
        </designation>
        <property>
          <code value="status"/>
          <valueCode value="active"/>
        </property>
        <property>
          <code value="internalId"/>
          <valueCode value="18257"/>
        </property>
      </concept>
    </concept>
    <concept>
      <code value="_Shasta"/>
      <display value="Shasta"/>
      <property>
        <code value="notSelectable"/>
        <valueBoolean value="true"/>
      </property>
      <property>
        <code value="status"/>
        <valueCode value="active"/>
      </property>
      <property>
        <code value="internalId"/>
        <valueCode value="21018"/>
      </property>
      <concept>
        <code value="x-SHT"/>
        <display value="Shasta"/>
        <designation>
          <language value="en"/>
          <use>
            <system value="http://snomed.info/sct"/>
            <code value="900000000000013009"/>
          </use>
          <value value="Sastean"/>
        </designation>
        <designation>
          <language value="en"/>
          <use>
            <system value="http://snomed.info/sct"/>
            <code value="900000000000013009"/>
          </use>
          <value value="Shastan"/>
        </designation>
        <property>
          <code value="status"/>
          <valueCode value="active"/>
        </property>
        <property>
          <code value="internalId"/>
          <valueCode value="18245"/>
        </property>
      </concept>
    </concept>
    <concept>
      <code value="x-KYH"/>
      <display value="Karok"/>
      <designation>
        <language value="en"/>
        <use>
          <system value="http://snomed.info/sct"/>
          <code value="900000000000013009"/>
        </use>
        <value value="Karuk"/>
      </designation>
      <property>
        <code value="status"/>
        <valueCode value="active"/>
      </property>
      <property>
        <code value="internalId"/>
        <valueCode value="18242"/>
      </property>
    </concept>
    <concept>
      <code value="x-WAS"/>
      <display value="Washoe"/>
      <designation>
        <language value="en"/>
        <use>
          <system value="http://snomed.info/sct"/>
          <code value="900000000000013009"/>
        </use>
        <value value="Washo"/>
      </designation>
      <property>
        <code value="status"/>
        <valueCode value="active"/>
      </property>
      <property>
        <code value="internalId"/>
        <valueCode value="18304"/>
      </property>
    </concept>
  </concept>
  <concept>
    <code value="_Iroquoian"/>
    <display value="Iroquoian"/>
    <property>
      <code value="notSelectable"/>
      <valueBoolean value="true"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="internalId"/>
      <valueCode value="20987"/>
    </property>
    <concept>
      <code value="_NorthernIroquoian"/>
      <display value="NorthernIroquoian"/>
      <property>
        <code value="notSelectable"/>
        <valueBoolean value="true"/>
      </property>
      <property>
        <code value="status"/>
        <valueCode value="active"/>
      </property>
      <property>
        <code value="internalId"/>
        <valueCode value="21001"/>
      </property>
      <concept>
        <code value="x-CAY"/>
        <display value="Cayuga"/>
        <property>
          <code value="status"/>
          <valueCode value="active"/>
        </property>
        <property>
          <code value="internalId"/>
          <valueCode value="18310"/>
        </property>
      </concept>
      <concept>
        <code value="x-MOH"/>
        <display value="Mohawk"/>
        <designation>
          <language value="en"/>
          <use>
            <system value="http://snomed.info/sct"/>
            <code value="900000000000013009"/>
          </use>
          <value value="Kanien'kehaka"/>
        </designation>
        <property>
          <code value="status"/>
          <valueCode value="active"/>
        </property>
        <property>
          <code value="internalId"/>
          <valueCode value="18313"/>
        </property>
      </concept>
      <concept>
        <code value="x-ONE"/>
        <display value="Oneida"/>
        <property>
          <code value="status"/>
          <valueCode value="active"/>
        </property>
        <property>
          <code value="internalId"/>
          <valueCode value="18315"/>
        </property>
      </concept>
      <concept>
        <code value="x-ONO"/>
        <display value="Onondaga"/>
        <designation>
          <language value="en"/>
          <use>
            <system value="http://snomed.info/sct"/>
            <code value="900000000000013009"/>
          </use>
          <value value="Onandaga"/>
        </designation>
        <property>
          <code value="status"/>
          <valueCode value="active"/>
        </property>
        <property>
          <code value="internalId"/>
          <valueCode value="18311"/>
        </property>
      </concept>
      <concept>
        <code value="x-SEE"/>
        <display value="Seneca"/>
        <property>
          <code value="status"/>
          <valueCode value="active"/>
        </property>
        <property>
          <code value="internalId"/>
          <valueCode value="18309"/>
        </property>
      </concept>
      <concept>
        <code value="x-TUS"/>
        <display value="Tuscarora"/>
        <property>
          <code value="status"/>
          <valueCode value="active"/>
        </property>
        <property>
          <code value="internalId"/>
          <valueCode value="18308"/>
        </property>
      </concept>
    </concept>
    <concept>
      <code value="x-CER"/>
      <display value="Cherokee"/>
      <designation>
        <language value="en"/>
        <use>
          <system value="http://snomed.info/sct"/>
          <code value="900000000000013009"/>
        </use>
        <value value="Tsalagi"/>
      </designation>
      <designation>
        <language value="en"/>
        <use>
          <system value="http://snomed.info/sct"/>
          <code value="900000000000013009"/>
        </use>
        <value value="Tslagi"/>
      </designation>
      <property>
        <code value="status"/>
        <valueCode value="active"/>
      </property>
      <property>
        <code value="internalId"/>
        <valueCode value="18316"/>
      </property>
    </concept>
  </concept>
  <concept>
    <code value="_Keresan"/>
    <display value="Keresan"/>
    <property>
      <code value="notSelectable"/>
      <valueBoolean value="true"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="internalId"/>
      <valueCode value="20989"/>
    </property>
    <concept>
      <code value="x-KEE"/>
      <display value="Rio Grande Keresan"/>
      <designation>
        <language value="en"/>
        <use>
          <system value="http://snomed.info/sct"/>
          <code value="900000000000013009"/>
        </use>
        <value value="Eastern Keres Pueblo"/>
      </designation>
      <designation>
        <language value="en"/>
        <use>
          <system value="http://snomed.info/sct"/>
          <code value="900000000000013009"/>
        </use>
        <value value="Eastern Keresan"/>
      </designation>
      <property>
        <code value="status"/>
        <valueCode value="active"/>
      </property>
      <property>
        <code value="internalId"/>
        <valueCode value="18324"/>
      </property>
    </concept>
    <concept>
      <code value="x-KJQ"/>
      <display value="Acoma-Laguna"/>
      <designation>
        <language value="en"/>
        <use>
          <system value="http://snomed.info/sct"/>
          <code value="900000000000013009"/>
        </use>
        <value value="Western Keres"/>
      </designation>
      <designation>
        <language value="en"/>
        <use>
          <system value="http://snomed.info/sct"/>
          <code value="900000000000013009"/>
        </use>
        <value value="Western Keres Pueblo"/>
      </designation>
      <designation>
        <language value="en"/>
        <use>
          <system value="http://snomed.info/sct"/>
          <code value="900000000000013009"/>
        </use>
        <value value="Western Keresan"/>
      </designation>
      <property>
        <code value="status"/>
        <valueCode value="active"/>
      </property>
      <property>
        <code value="internalId"/>
        <valueCode value="18320"/>
      </property>
    </concept>
  </concept>
  <concept>
    <code value="_KiowaTanoan"/>
    <display value="KiowaTanoan"/>
    <property>
      <code value="notSelectable"/>
      <valueBoolean value="true"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="internalId"/>
      <valueCode value="20990"/>
    </property>
    <concept>
      <code value="_Tiwa"/>
      <display value="Tiwa"/>
      <property>
        <code value="notSelectable"/>
        <valueBoolean value="true"/>
      </property>
      <property>
        <code value="status"/>
        <valueCode value="active"/>
      </property>
      <property>
        <code value="internalId"/>
        <valueCode value="21031"/>
      </property>
      <concept>
        <code value="x-TAO"/>
        <display value="Northern Tiwa"/>
        <property>
          <code value="status"/>
          <valueCode value="active"/>
        </property>
        <property>
          <code value="internalId"/>
          <valueCode value="18332"/>
        </property>
      </concept>
      <concept>
        <code value="x-TIX"/>
        <display value="Southern Tiwa"/>
        <property>
          <code value="status"/>
          <valueCode value="active"/>
        </property>
        <property>
          <code value="internalId"/>
          <valueCode value="18333"/>
        </property>
      </concept>
    </concept>
    <concept>
      <code value="x-KIO"/>
      <display value="Kiowa"/>
      <property>
        <code value="status"/>
        <valueCode value="active"/>
      </property>
      <property>
        <code value="internalId"/>
        <valueCode value="18328"/>
      </property>
    </concept>
    <concept>
      <code value="x-TEW"/>
      <display value="Tewa"/>
      <property>
        <code value="status"/>
        <valueCode value="active"/>
      </property>
      <property>
        <code value="internalId"/>
        <valueCode value="18334"/>
      </property>
    </concept>
    <concept>
      <code value="x-TOW"/>
      <display value="Jemez"/>
      <designation>
        <language value="en"/>
        <use>
          <system value="http://snomed.info/sct"/>
          <code value="900000000000013009"/>
        </use>
        <value value="Towa"/>
      </designation>
      <property>
        <code value="status"/>
        <valueCode value="active"/>
      </property>
      <property>
        <code value="internalId"/>
        <valueCode value="18329"/>
      </property>
    </concept>
  </concept>
  <concept>
    <code value="_Muskogean"/>
    <display value="Muskogean"/>
    <property>
      <code value="notSelectable"/>
      <valueBoolean value="true"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="internalId"/>
      <valueCode value="20997"/>
    </property>
    <concept>
      <code value="_CentralMuskogean"/>
      <display value="CentralMuskogean"/>
      <property>
        <code value="notSelectable"/>
        <valueBoolean value="true"/>
      </property>
      <property>
        <code value="status"/>
        <valueCode value="active"/>
      </property>
      <property>
        <code value="internalId"/>
        <valueCode value="20963"/>
      </property>
      <concept>
        <code value="x-AKZ"/>
        <display value="Alabama"/>
        <property>
          <code value="status"/>
          <valueCode value="active"/>
        </property>
        <property>
          <code value="internalId"/>
          <valueCode value="18343"/>
        </property>
      </concept>
      <concept>
        <code value="x-CKU"/>
        <display value="Koasati"/>
        <designation>
          <language value="en"/>
          <use>
            <system value="http://snomed.info/sct"/>
            <code value="900000000000013009"/>
          </use>
          <value value="Coushatta"/>
        </designation>
        <property>
          <code value="status"/>
          <valueCode value="active"/>
        </property>
        <property>
          <code value="internalId"/>
          <valueCode value="18348"/>
        </property>
      </concept>
      <concept>
        <code value="x-MIK"/>
        <display value="Mikasuki"/>
        <designation>
          <language value="en"/>
          <use>
            <system value="http://snomed.info/sct"/>
            <code value="900000000000013009"/>
          </use>
          <value value="Hitchiti"/>
        </designation>
        <designation>
          <language value="en"/>
          <use>
            <system value="http://snomed.info/sct"/>
            <code value="900000000000013009"/>
          </use>
          <value value="Miccosukee"/>
        </designation>
        <designation>
          <language value="en"/>
          <use>
            <system value="http://snomed.info/sct"/>
            <code value="900000000000013009"/>
          </use>
          <value value="Mikasuki Seminole"/>
        </designation>
        <property>
          <code value="status"/>
          <valueCode value="active"/>
        </property>
        <property>
          <code value="internalId"/>
          <valueCode value="18344"/>
        </property>
      </concept>
    </concept>
    <concept>
      <code value="_WesternMuskogean"/>
      <display value="WesternMuskogean"/>
      <property>
        <code value="notSelectable"/>
        <valueBoolean value="true"/>
      </property>
      <property>
        <code value="status"/>
        <valueCode value="active"/>
      </property>
      <property>
        <code value="internalId"/>
        <valueCode value="21040"/>
      </property>
      <concept>
        <code value="x-CCT"/>
        <display value="Choctaw"/>
        <property>
          <code value="status"/>
          <valueCode value="active"/>
        </property>
        <property>
          <code value="internalId"/>
          <valueCode value="18341"/>
        </property>
      </concept>
      <concept>
        <code value="x-CIC"/>
        <display value="Chickasaw"/>
        <property>
          <code value="status"/>
          <valueCode value="active"/>
        </property>
        <property>
          <code value="internalId"/>
          <valueCode value="18340"/>
        </property>
      </concept>
    </concept>
    <concept>
      <code value="x-CRK"/>
      <display value="Creek"/>
      <designation>
        <language value="en"/>
        <use>
          <system value="http://snomed.info/sct"/>
          <code value="900000000000013009"/>
        </use>
        <value value="Muskogee"/>
      </designation>
      <property>
        <code value="status"/>
        <valueCode value="active"/>
      </property>
      <property>
        <code value="internalId"/>
        <valueCode value="18350"/>
      </property>
    </concept>
  </concept>
  <concept>
    <code value="_Nadene"/>
    <display value="Nadene"/>
    <property>
      <code value="notSelectable"/>
      <valueBoolean value="true"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="internalId"/>
      <valueCode value="20998"/>
    </property>
    <concept>
      <code value="_AthapaskanEyak"/>
      <display value="AthapaskanEyak"/>
      <property>
        <code value="notSelectable"/>
        <valueBoolean value="true"/>
      </property>
      <property>
        <code value="status"/>
        <valueCode value="active"/>
      </property>
      <property>
        <code value="internalId"/>
        <valueCode value="20958"/>
      </property>
      <concept>
        <code value="_Athapaskan"/>
        <display value="Athapaskan"/>
        <property>
          <code value="notSelectable"/>
          <valueBoolean value="true"/>
        </property>
        <property>
          <code value="status"/>
          <valueCode value="active"/>
        </property>
        <property>
          <code value="internalId"/>
          <valueCode value="20957"/>
        </property>
        <concept>
          <code value="_Apachean"/>
          <display value="Apachean"/>
          <property>
            <code value="notSelectable"/>
            <valueBoolean value="true"/>
          </property>
          <property>
            <code value="status"/>
            <valueCode value="active"/>
          </property>
          <property>
            <code value="internalId"/>
            <valueCode value="20954"/>
          </property>
          <concept>
            <code value="_EasternApachean"/>
            <display value="EasternApachean"/>
            <property>
              <code value="notSelectable"/>
              <valueBoolean value="true"/>
            </property>
            <property>
              <code value="status"/>
              <valueCode value="active"/>
            </property>
            <property>
              <code value="internalId"/>
              <valueCode value="20980"/>
            </property>
            <concept>
              <code value="x-APJ"/>
              <display value="Jicarilla"/>
              <designation>
                <language value="en"/>
                <use>
                  <system value="http://snomed.info/sct"/>
                  <code value="900000000000013009"/>
                </use>
                <value value="Jicarilla Apache"/>
              </designation>
              <property>
                <code value="status"/>
                <valueCode value="active"/>
              </property>
              <property>
                <code value="internalId"/>
                <valueCode value="18408"/>
              </property>
            </concept>
            <concept>
              <code value="x-APL"/>
              <display value="Lipan"/>
              <designation>
                <language value="en"/>
                <use>
                  <system value="http://snomed.info/sct"/>
                  <code value="900000000000013009"/>
                </use>
                <value value="Lipan Apache"/>
              </designation>
              <property>
                <code value="status"/>
                <valueCode value="active"/>
              </property>
              <property>
                <code value="internalId"/>
                <valueCode value="18410"/>
              </property>
            </concept>
          </concept>
          <concept>
            <code value="_WesternApachean"/>
            <display value="WesternApachean"/>
            <property>
              <code value="notSelectable"/>
              <valueBoolean value="true"/>
            </property>
            <property>
              <code value="status"/>
              <valueCode value="active"/>
            </property>
            <property>
              <code value="internalId"/>
              <valueCode value="21038"/>
            </property>
            <concept>
              <code value="x-APM"/>
              <display value="Mescalero-Chiricahua"/>
              <property>
                <code value="status"/>
                <valueCode value="active"/>
              </property>
              <property>
                <code value="internalId"/>
                <valueCode value="18406"/>
              </property>
            </concept>
            <concept>
              <code value="x-APW"/>
              <display value="Western Apache"/>
              <designation>
                <language value="en"/>
                <use>
                  <system value="http://snomed.info/sct"/>
                  <code value="900000000000013009"/>
                </use>
                <value value="Coyotero"/>
              </designation>
              <property>
                <code value="status"/>
                <valueCode value="active"/>
              </property>
              <property>
                <code value="internalId"/>
                <valueCode value="18404"/>
              </property>
            </concept>
            <concept>
              <code value="x-NAV"/>
              <display value="Dine"/>
              <designation>
                <language value="en"/>
                <use>
                  <system value="http://snomed.info/sct"/>
                  <code value="900000000000013009"/>
                </use>
                <value value="Navajo"/>
              </designation>
              <property>
                <code value="status"/>
                <valueCode value="active"/>
              </property>
              <property>
                <code value="internalId"/>
                <valueCode value="18401"/>
              </property>
            </concept>
          </concept>
          <concept>
            <code value="x-APK"/>
            <display value="Kiowa Apache"/>
            <property>
              <code value="status"/>
              <valueCode value="active"/>
            </property>
            <property>
              <code value="internalId"/>
              <valueCode value="18412"/>
            </property>
          </concept>
        </concept>
        <concept>
          <code value="_CentralAlaskaYukon"/>
          <display value="CentralAlaskaYukon"/>
          <property>
            <code value="notSelectable"/>
            <valueBoolean value="true"/>
          </property>
          <property>
            <code value="status"/>
            <valueCode value="active"/>
          </property>
          <property>
            <code value="internalId"/>
            <valueCode value="20962"/>
          </property>
          <concept>
            <code value="_KoyukonIngalik"/>
            <display value="KoyukonIngalik"/>
            <property>
              <code value="notSelectable"/>
              <valueBoolean value="true"/>
            </property>
            <property>
              <code value="status"/>
              <valueCode value="active"/>
            </property>
            <property>
              <code value="internalId"/>
              <valueCode value="20991"/>
            </property>
            <concept>
              <code value="x-HOI"/>
              <display value="Holikachuk"/>
              <property>
                <code value="status"/>
                <valueCode value="active"/>
              </property>
              <property>
                <code value="internalId"/>
                <valueCode value="18368"/>
              </property>
            </concept>
            <concept>
              <code value="x-ING"/>
              <display value="Degexit'an"/>
              <property>
                <code value="status"/>
                <valueCode value="active"/>
              </property>
              <property>
                <code value="internalId"/>
                <valueCode value="18367"/>
              </property>
            </concept>
            <concept>
              <code value="x-KOY"/>
              <display value="Koyukon"/>
              <property>
                <code value="status"/>
                <valueCode value="active"/>
              </property>
              <property>
                <code value="internalId"/>
                <valueCode value="18369"/>
              </property>
            </concept>
          </concept>
          <concept>
            <code value="_KutchinHan"/>
            <display value="KutchinHan"/>
            <property>
              <code value="notSelectable"/>
              <valueBoolean value="true"/>
            </property>
            <property>
              <code value="status"/>
              <valueCode value="active"/>
            </property>
            <property>
              <code value="internalId"/>
              <valueCode value="20992"/>
            </property>
            <concept>
              <code value="x-HAA"/>
              <display value="Han"/>
              <designation>
                <language value="en"/>
                <use>
                  <system value="http://snomed.info/sct"/>
                  <code value="900000000000013009"/>
                </use>
                <value value="Dawson"/>
              </designation>
              <designation>
                <language value="en"/>
                <use>
                  <system value="http://snomed.info/sct"/>
                  <code value="900000000000013009"/>
                </use>
                <value value="Han-Kutchin"/>
              </designation>
              <designation>
                <language value="en"/>
                <use>
                  <system value="http://snomed.info/sct"/>
                  <code value="900000000000013009"/>
                </use>
                <value value="Moosehide"/>
              </designation>
              <property>
                <code value="status"/>
                <valueCode value="active"/>
              </property>
              <property>
                <code value="internalId"/>
                <valueCode value="18382"/>
              </property>
            </concept>
            <concept>
              <code value="x-KUC"/>
              <display value="Kutchin"/>
              <designation>
                <language value="en"/>
                <use>
                  <system value="http://snomed.info/sct"/>
                  <code value="900000000000013009"/>
                </use>
                <value value="Gwich'in"/>
              </designation>
              <property>
                <code value="status"/>
                <valueCode value="active"/>
              </property>
              <property>
                <code value="internalId"/>
                <valueCode value="18380"/>
              </property>
            </concept>
          </concept>
          <concept>
            <code value="_TananaTutchone"/>
            <display value="TananaTutchone"/>
            <property>
              <code value="notSelectable"/>
              <valueBoolean value="true"/>
            </property>
            <property>
              <code value="status"/>
              <valueCode value="active"/>
            </property>
            <property>
              <code value="internalId"/>
              <valueCode value="21028"/>
            </property>
            <concept>
              <code value="_Tanana"/>
              <display value="Tanana"/>
              <property>
                <code value="notSelectable"/>
                <valueBoolean value="true"/>
              </property>
              <property>
                <code value="status"/>
                <valueCode value="active"/>
              </property>
              <property>
                <code value="internalId"/>
                <valueCode value="21027"/>
              </property>
              <concept>
                <code value="x-TAA"/>
                <display value="Lower Tanana"/>
                <property>
                  <code value="status"/>
                  <valueCode value="active"/>
                </property>
                <property>
                  <code value="internalId"/>
                  <valueCode value="18375"/>
                </property>
              </concept>
              <concept>
                <code value="x-TAU"/>
                <display value="Upper Tanana"/>
                <designation>
                  <language value="en"/>
                  <use>
                    <system value="http://snomed.info/sct"/>
                    <code value="900000000000013009"/>
                  </use>
                  <value value="Nabesna"/>
                </designation>
                <property>
                  <code value="status"/>
                  <valueCode value="active"/>
                </property>
                <property>
                  <code value="internalId"/>
                  <valueCode value="18377"/>
                </property>
              </concept>
              <concept>
                <code value="x-TCB"/>
                <display value="Tanacross"/>
                <property>
                  <code value="status"/>
                  <valueCode value="active"/>
                </property>
                <property>
                  <code value="internalId"/>
                  <valueCode value="18376"/>
                </property>
              </concept>
            </concept>
            <concept>
              <code value="x-KUU"/>
              <display value="Upper Kuskokwim"/>
              <designation>
                <language value="en"/>
                <use>
                  <system value="http://snomed.info/sct"/>
                  <code value="900000000000013009"/>
                </use>
                <value value="Mcgrath Ingalik"/>
              </designation>
              <property>
                <code value="status"/>
                <valueCode value="active"/>
              </property>
              <property>
                <code value="internalId"/>
                <valueCode value="18372"/>
              </property>
            </concept>
          </concept>
        </concept>
        <concept>
          <code value="_PacificCoastAthapaskan"/>
          <display value="PacificCoastAthapaskan"/>
          <property>
            <code value="notSelectable"/>
            <valueBoolean value="true"/>
          </property>
          <property>
            <code value="status"/>
            <valueCode value="active"/>
          </property>
          <property>
            <code value="internalId"/>
            <valueCode value="21005"/>
          </property>
          <concept>
            <code value="_CaliforniaAthapaskan"/>
            <display value="CaliforniaAthapaskan"/>
            <property>
              <code value="notSelectable"/>
              <valueBoolean value="true"/>
            </property>
            <property>
              <code value="status"/>
              <valueCode value="active"/>
            </property>
            <property>
              <code value="internalId"/>
              <valueCode value="20961"/>
            </property>
            <concept>
              <code value="x-HUP"/>
              <display value="Hupa"/>
              <designation>
                <language value="en"/>
                <use>
                  <system value="http://snomed.info/sct"/>
                  <code value="900000000000013009"/>
                </use>
                <value value="Hoopa"/>
              </designation>
              <property>
                <code value="status"/>
                <valueCode value="active"/>
              </property>
              <property>
                <code value="internalId"/>
                <valueCode value="18392"/>
              </property>
            </concept>
            <concept>
              <code value="x-KTW"/>
              <display value="Cahto"/>
              <designation>
                <language value="en"/>
                <use>
                  <system value="http://snomed.info/sct"/>
                  <code value="900000000000013009"/>
                </use>
                <value value="Batem-da-kai-ee"/>
              </designation>
              <designation>
                <language value="en"/>
                <use>
                  <system value="http://snomed.info/sct"/>
                  <code value="900000000000013009"/>
                </use>
                <value value="Kai Po-mo"/>
              </designation>
              <designation>
                <language value="en"/>
                <use>
                  <system value="http://snomed.info/sct"/>
                  <code value="900000000000013009"/>
                </use>
                <value value="Kato"/>
              </designation>
              <designation>
                <language value="en"/>
                <use>
                  <system value="http://snomed.info/sct"/>
                  <code value="900000000000013009"/>
                </use>
                <value value="Tlokeang"/>
              </designation>
              <property>
                <code value="status"/>
                <valueCode value="active"/>
              </property>
              <property>
                <code value="internalId"/>
                <valueCode value="18394"/>
              </property>
            </concept>
          </concept>
          <concept>
            <code value="_OregonAthapaskan"/>
            <display value="OregonAthapaskan"/>
            <property>
              <code value="notSelectable"/>
              <valueBoolean value="true"/>
            </property>
            <property>
              <code value="status"/>
              <valueCode value="active"/>
            </property>
            <property>
              <code value="internalId"/>
              <valueCode value="21004"/>
            </property>
            <concept>
              <code value="x-TOL"/>
              <display value="Tolowa"/>
              <designation>
                <language value="en"/>
                <use>
                  <system value="http://snomed.info/sct"/>
                  <code value="900000000000013009"/>
                </use>
                <value value="Smith River"/>
              </designation>
              <property>
                <code value="status"/>
                <valueCode value="active"/>
              </property>
              <property>
                <code value="internalId"/>
                <valueCode value="18389"/>
              </property>
            </concept>
            <concept>
              <code value="x-TUU"/>
              <display value="Tututni"/>
              <property>
                <code value="status"/>
                <valueCode value="active"/>
              </property>
              <property>
                <code value="internalId"/>
                <valueCode value="18388"/>
              </property>
            </concept>
          </concept>
        </concept>
        <concept>
          <code value="_SouthernAlaska"/>
          <display value="SouthernAlaska"/>
          <property>
            <code value="notSelectable"/>
            <valueBoolean value="true"/>
          </property>
          <property>
            <code value="status"/>
            <valueCode value="active"/>
          </property>
          <property>
            <code value="internalId"/>
            <valueCode value="21022"/>
          </property>
          <concept>
            <code value="x-AHT"/>
            <display value="Ahtna"/>
            <designation>
              <language value="en"/>
              <use>
                <system value="http://snomed.info/sct"/>
                <code value="900000000000013009"/>
              </use>
              <value value="Ahtena"/>
            </designation>
            <designation>
              <language value="en"/>
              <use>
                <system value="http://snomed.info/sct"/>
                <code value="900000000000013009"/>
              </use>
              <value value="Atna"/>
            </designation>
            <designation>
              <language value="en"/>
              <use>
                <system value="http://snomed.info/sct"/>
                <code value="900000000000013009"/>
              </use>
              <value value="Copper River"/>
            </designation>
            <property>
              <code value="status"/>
              <valueCode value="active"/>
            </property>
            <property>
              <code value="internalId"/>
              <valueCode value="18360"/>
            </property>
          </concept>
          <concept>
            <code value="x-TFN"/>
            <display value="Tanaina"/>
            <property>
              <code value="status"/>
              <valueCode value="active"/>
            </property>
            <property>
              <code value="internalId"/>
              <valueCode value="18364"/>
            </property>
          </concept>
        </concept>
      </concept>
      <concept>
        <code value="x-EYA"/>
        <display value="Eyak"/>
        <property>
          <code value="status"/>
          <valueCode value="active"/>
        </property>
        <property>
          <code value="internalId"/>
          <valueCode value="18357"/>
        </property>
      </concept>
    </concept>
    <concept>
      <code value="x-TLI"/>
      <display value="Tlingit"/>
      <designation>
        <language value="en"/>
        <use>
          <system value="http://snomed.info/sct"/>
          <code value="900000000000013009"/>
        </use>
        <value value="Thlinget"/>
      </designation>
      <designation>
        <language value="en"/>
        <use>
          <system value="http://snomed.info/sct"/>
          <code value="900000000000013009"/>
        </use>
        <value value="Tlinkit"/>
      </designation>
      <property>
        <code value="status"/>
        <valueCode value="active"/>
      </property>
      <property>
        <code value="internalId"/>
        <valueCode value="18353"/>
      </property>
    </concept>
  </concept>
  <concept>
    <code value="_Penutian"/>
    <display value="Penutian"/>
    <property>
      <code value="notSelectable"/>
      <valueBoolean value="true"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="internalId"/>
      <valueCode value="21008"/>
    </property>
    <concept>
      <code value="_Chinookan"/>
      <display value="Chinookan"/>
      <property>
        <code value="notSelectable"/>
        <valueBoolean value="true"/>
      </property>
      <property>
        <code value="status"/>
        <valueCode value="active"/>
      </property>
      <property>
        <code value="internalId"/>
        <valueCode value="20967"/>
      </property>
      <concept>
        <code value="_UpperChinook"/>
        <display value="UpperChinook"/>
        <property>
          <code value="notSelectable"/>
          <valueBoolean value="true"/>
        </property>
        <property>
          <code value="status"/>
          <valueCode value="active"/>
        </property>
        <property>
          <code value="internalId"/>
          <valueCode value="21034"/>
        </property>
        <concept>
          <code value="x-WAC"/>
          <display value="Kiksht"/>
          <designation>
            <language value="en"/>
            <use>
              <system value="http://snomed.info/sct"/>
              <code value="900000000000013009"/>
            </use>
            <value value="Cascades-Wasco-Wishram"/>
          </designation>
          <designation>
            <language value="en"/>
            <use>
              <system value="http://snomed.info/sct"/>
              <code value="900000000000013009"/>
            </use>
            <value value="Multnomah-Clackamas"/>
          </designation>
          <designation>
            <language value="en"/>
            <use>
              <system value="http://snomed.info/sct"/>
              <code value="900000000000013009"/>
            </use>
            <value value="Upper Chinook"/>
          </designation>
          <designation>
            <language value="en"/>
            <use>
              <system value="http://snomed.info/sct"/>
              <code value="900000000000013009"/>
            </use>
            <value value="Wasco-Wishram"/>
          </designation>
          <property>
            <code value="status"/>
            <valueCode value="active"/>
          </property>
          <property>
            <code value="internalId"/>
            <valueCode value="18416"/>
          </property>
        </concept>
      </concept>
    </concept>
    <concept>
      <code value="_Coosan"/>
      <display value="Coosan"/>
      <property>
        <code value="notSelectable"/>
        <valueBoolean value="true"/>
      </property>
      <property>
        <code value="status"/>
        <valueCode value="active"/>
      </property>
      <property>
        <code value="internalId"/>
        <valueCode value="20970"/>
      </property>
      <concept>
        <code value="x-COS"/>
        <display value="Hanis"/>
        <designation>
          <language value="en"/>
          <use>
            <system value="http://snomed.info/sct"/>
            <code value="900000000000013009"/>
          </use>
          <value value="Coos"/>
        </designation>
        <property>
          <code value="status"/>
          <valueCode value="active"/>
        </property>
        <property>
          <code value="internalId"/>
          <valueCode value="18422"/>
        </property>
      </concept>
    </concept>
    <concept>
      <code value="_Maiduan"/>
      <display value="Maiduan"/>
      <property>
        <code value="notSelectable"/>
        <valueBoolean value="true"/>
      </property>
      <property>
        <code value="status"/>
        <valueCode value="active"/>
      </property>
      <property>
        <code value="internalId"/>
        <valueCode value="20993"/>
      </property>
      <concept>
        <code value="x-MAI"/>
        <display value="Northwest Maidu"/>
        <designation>
          <language value="en"/>
          <use>
            <system value="http://snomed.info/sct"/>
            <code value="900000000000013009"/>
          </use>
          <value value="Concow"/>
        </designation>
        <designation>
          <language value="en"/>
          <use>
            <system value="http://snomed.info/sct"/>
            <code value="900000000000013009"/>
          </use>
          <value value="Digger"/>
        </designation>
        <designation>
          <language value="en"/>
          <use>
            <system value="http://snomed.info/sct"/>
            <code value="900000000000013009"/>
          </use>
          <value value="Holólupai"/>
        </designation>
        <designation>
          <language value="en"/>
          <use>
            <system value="http://snomed.info/sct"/>
            <code value="900000000000013009"/>
          </use>
          <value value="Konkau"/>
        </designation>
        <designation>
          <language value="en"/>
          <use>
            <system value="http://snomed.info/sct"/>
            <code value="900000000000013009"/>
          </use>
          <value value="Konkow"/>
        </designation>
        <designation>
          <language value="en"/>
          <use>
            <system value="http://snomed.info/sct"/>
            <code value="900000000000013009"/>
          </use>
          <value value="Maiduan"/>
        </designation>
        <designation>
          <language value="en"/>
          <use>
            <system value="http://snomed.info/sct"/>
            <code value="900000000000013009"/>
          </use>
          <value value="Meidoo"/>
        </designation>
        <designation>
          <language value="en"/>
          <use>
            <system value="http://snomed.info/sct"/>
            <code value="900000000000013009"/>
          </use>
          <value value="Michopdo"/>
        </designation>
        <designation>
          <language value="en"/>
          <use>
            <system value="http://snomed.info/sct"/>
            <code value="900000000000013009"/>
          </use>
          <value value="Nákum"/>
        </designation>
        <designation>
          <language value="en"/>
          <use>
            <system value="http://snomed.info/sct"/>
            <code value="900000000000013009"/>
          </use>
          <value value="Secumne"/>
        </designation>
        <designation>
          <language value="en"/>
          <use>
            <system value="http://snomed.info/sct"/>
            <code value="900000000000013009"/>
          </use>
          <value value="Sekumne"/>
        </designation>
        <designation>
          <language value="en"/>
          <use>
            <system value="http://snomed.info/sct"/>
            <code value="900000000000013009"/>
          </use>
          <value value="Tsamak"/>
        </designation>
        <designation>
          <language value="en"/>
          <use>
            <system value="http://snomed.info/sct"/>
            <code value="900000000000013009"/>
          </use>
          <value value="Yuba"/>
        </designation>
        <property>
          <code value="status"/>
          <valueCode value="active"/>
        </property>
        <property>
          <code value="internalId"/>
          <valueCode value="18438"/>
        </property>
      </concept>
      <concept>
        <code value="x-NMU"/>
        <display value="Northeast Maidu"/>
        <designation>
          <language value="en"/>
          <use>
            <system value="http://snomed.info/sct"/>
            <code value="900000000000013009"/>
          </use>
          <value value="Mountain Maidu"/>
        </designation>
        <property>
          <code value="status"/>
          <valueCode value="active"/>
        </property>
        <property>
          <code value="internalId"/>
          <valueCode value="18436"/>
        </property>
      </concept>
      <concept>
        <code value="x-NSZ"/>
        <display value="Nisenan"/>
        <designation>
          <language value="en"/>
          <use>
            <system value="http://snomed.info/sct"/>
            <code value="900000000000013009"/>
          </use>
          <value value="Neeshenam"/>
        </designation>
        <designation>
          <language value="en"/>
          <use>
            <system value="http://snomed.info/sct"/>
            <code value="900000000000013009"/>
          </use>
          <value value="Nishinam"/>
        </designation>
        <designation>
          <language value="en"/>
          <use>
            <system value="http://snomed.info/sct"/>
            <code value="900000000000013009"/>
          </use>
          <value value="Pujuni"/>
        </designation>
        <designation>
          <language value="en"/>
          <use>
            <system value="http://snomed.info/sct"/>
            <code value="900000000000013009"/>
          </use>
          <value value="Southern Maidu"/>
        </designation>
        <designation>
          <language value="en"/>
          <use>
            <system value="http://snomed.info/sct"/>
            <code value="900000000000013009"/>
          </use>
          <value value="Wapumni"/>
        </designation>
        <property>
          <code value="status"/>
          <valueCode value="active"/>
        </property>
        <property>
          <code value="internalId"/>
          <valueCode value="18452"/>
        </property>
      </concept>
    </concept>
    <concept>
      <code value="_PlateauPenutian"/>
      <display value="PlateauPenutian"/>
      <property>
        <code value="notSelectable"/>
        <valueBoolean value="true"/>
      </property>
      <property>
        <code value="status"/>
        <valueCode value="active"/>
      </property>
      <property>
        <code value="internalId"/>
        <valueCode value="21010"/>
      </property>
      <concept>
        <code value="_Sahaptian"/>
        <display value="Sahaptian"/>
        <property>
          <code value="notSelectable"/>
          <valueBoolean value="true"/>
        </property>
        <property>
          <code value="status"/>
          <valueCode value="active"/>
        </property>
        <property>
          <code value="internalId"/>
          <valueCode value="21014"/>
        </property>
        <concept>
          <code value="x-UMA"/>
          <display value="Umatilla"/>
          <designation>
            <language value="en"/>
            <use>
              <system value="http://snomed.info/sct"/>
              <code value="900000000000013009"/>
            </use>
            <value value="Columbia River Sahaptin"/>
          </designation>
          <property>
            <code value="status"/>
            <valueCode value="active"/>
          </property>
          <property>
            <code value="internalId"/>
            <valueCode value="18503"/>
          </property>
        </concept>
        <concept>
          <code value="x-WAA"/>
          <display value="Walla Walla"/>
          <designation>
            <language value="en"/>
            <use>
              <system value="http://snomed.info/sct"/>
              <code value="900000000000013009"/>
            </use>
            <value value="Northeast Sahaptin"/>
          </designation>
          <property>
            <code value="status"/>
            <valueCode value="active"/>
          </property>
          <property>
            <code value="internalId"/>
            <valueCode value="18505"/>
          </property>
        </concept>
        <concept>
          <code value="x-WAR"/>
          <display value="Tenino"/>
          <designation>
            <language value="en"/>
            <use>
              <system value="http://snomed.info/sct"/>
              <code value="900000000000013009"/>
            </use>
            <value value="Warm Springs"/>
          </designation>
          <property>
            <code value="status"/>
            <valueCode value="active"/>
          </property>
          <property>
            <code value="internalId"/>
            <valueCode value="18501"/>
          </property>
        </concept>
        <concept>
          <code value="x-YAK"/>
          <display value="Yakima"/>
          <designation>
            <language value="en"/>
            <use>
              <system value="http://snomed.info/sct"/>
              <code value="900000000000013009"/>
            </use>
            <value value="Northwest Sahaptin"/>
          </designation>
          <designation>
            <language value="en"/>
            <use>
              <system value="http://snomed.info/sct"/>
              <code value="900000000000013009"/>
            </use>
            <value value="Yakima And Klikitat"/>
          </designation>
          <property>
            <code value="status"/>
            <valueCode value="active"/>
          </property>
          <property>
            <code value="internalId"/>
            <valueCode value="18507"/>
          </property>
        </concept>
      </concept>
      <concept>
        <code value="x-KLA"/>
        <display value="Klamath-Modoc"/>
        <property>
          <code value="status"/>
          <valueCode value="active"/>
        </property>
        <property>
          <code value="internalId"/>
          <valueCode value="18499"/>
        </property>
      </concept>
      <concept>
        <code value="x-NEZ"/>
        <display value="Nez Perce"/>
        <property>
          <code value="status"/>
          <valueCode value="active"/>
        </property>
        <property>
          <code value="internalId"/>
          <valueCode value="18510"/>
        </property>
      </concept>
    </concept>
    <concept>
      <code value="_Takelman"/>
      <display value="Takelman"/>
      <property>
        <code value="notSelectable"/>
        <valueBoolean value="true"/>
      </property>
      <property>
        <code value="status"/>
        <valueCode value="active"/>
      </property>
      <property>
        <code value="internalId"/>
        <valueCode value="21025"/>
      </property>
      <concept>
        <code value="_Kalapuyan"/>
        <display value="Kalapuyan"/>
        <property>
          <code value="notSelectable"/>
          <valueBoolean value="true"/>
        </property>
        <property>
          <code value="status"/>
          <valueCode value="active"/>
        </property>
        <property>
          <code value="internalId"/>
          <valueCode value="20988"/>
        </property>
        <concept>
          <code value="x-KAL"/>
          <display value="Central Kalapuyan"/>
          <designation>
            <language value="en"/>
            <use>
              <system value="http://snomed.info/sct"/>
              <code value="900000000000013009"/>
            </use>
            <value value="Kalapuya"/>
          </designation>
          <designation>
            <language value="en"/>
            <use>
              <system value="http://snomed.info/sct"/>
              <code value="900000000000013009"/>
            </use>
            <value value="Lukamiute"/>
          </designation>
          <designation>
            <language value="en"/>
            <use>
              <system value="http://snomed.info/sct"/>
              <code value="900000000000013009"/>
            </use>
            <value value="Santiam"/>
          </designation>
          <designation>
            <language value="en"/>
            <use>
              <system value="http://snomed.info/sct"/>
              <code value="900000000000013009"/>
            </use>
            <value value="Wapatu"/>
          </designation>
          <property>
            <code value="status"/>
            <valueCode value="active"/>
          </property>
          <property>
            <code value="internalId"/>
            <valueCode value="18426"/>
          </property>
        </concept>
      </concept>
    </concept>
    <concept>
      <code value="_Tsimshianic"/>
      <display value="Tsimshianic"/>
      <property>
        <code value="notSelectable"/>
        <valueBoolean value="true"/>
      </property>
      <property>
        <code value="status"/>
        <valueCode value="active"/>
      </property>
      <property>
        <code value="internalId"/>
        <valueCode value="21033"/>
      </property>
      <concept>
        <code value="x-TSI"/>
        <display value="Coast Tsimshain"/>
        <designation>
          <language value="en"/>
          <use>
            <system value="http://snomed.info/sct"/>
            <code value="900000000000013009"/>
          </use>
          <value value="Chimmezyan"/>
        </designation>
        <designation>
          <language value="en"/>
          <use>
            <system value="http://snomed.info/sct"/>
            <code value="900000000000013009"/>
          </use>
          <value value="Coast And Southern Tsimshian"/>
        </designation>
        <designation>
          <language value="en"/>
          <use>
            <system value="http://snomed.info/sct"/>
            <code value="900000000000013009"/>
          </use>
          <value value="Sm'algyax"/>
        </designation>
        <designation>
          <language value="en"/>
          <use>
            <system value="http://snomed.info/sct"/>
            <code value="900000000000013009"/>
          </use>
          <value value="Tsimpshean"/>
        </designation>
        <designation>
          <language value="en"/>
          <use>
            <system value="http://snomed.info/sct"/>
            <code value="900000000000013009"/>
          </use>
          <value value="Zimshian"/>
        </designation>
        <property>
          <code value="status"/>
          <valueCode value="active"/>
        </property>
        <property>
          <code value="internalId"/>
          <valueCode value="18512"/>
        </property>
      </concept>
    </concept>
    <concept>
      <code value="_Utian"/>
      <display value="Utian"/>
      <property>
        <code value="notSelectable"/>
        <valueBoolean value="true"/>
      </property>
      <property>
        <code value="status"/>
        <valueCode value="active"/>
      </property>
      <property>
        <code value="internalId"/>
        <valueCode value="21035"/>
      </property>
      <concept>
        <code value="_Miwokan"/>
        <display value="Miwokan"/>
        <property>
          <code value="notSelectable"/>
          <valueBoolean value="true"/>
        </property>
        <property>
          <code value="status"/>
          <valueCode value="active"/>
        </property>
        <property>
          <code value="internalId"/>
          <valueCode value="20996"/>
        </property>
        <concept>
          <code value="_EasternMiwok"/>
          <display value="EasternMiwok"/>
          <property>
            <code value="notSelectable"/>
            <valueBoolean value="true"/>
          </property>
          <property>
            <code value="status"/>
            <valueCode value="active"/>
          </property>
          <property>
            <code value="internalId"/>
            <valueCode value="20981"/>
          </property>
          <concept>
            <code value="x-CSM"/>
            <display value="Central Sierra Miwok"/>
            <property>
              <code value="status"/>
              <valueCode value="active"/>
            </property>
            <property>
              <code value="internalId"/>
              <valueCode value="18467"/>
            </property>
          </concept>
          <concept>
            <code value="x-NSQ"/>
            <display value="Northern Sierra Miwok"/>
            <property>
              <code value="status"/>
              <valueCode value="active"/>
            </property>
            <property>
              <code value="internalId"/>
              <valueCode value="18466"/>
            </property>
          </concept>
          <concept>
            <code value="x-PMW"/>
            <display value="Plains Miwok"/>
            <designation>
              <language value="en"/>
              <use>
                <system value="http://snomed.info/sct"/>
                <code value="900000000000013009"/>
              </use>
              <value value="Valley Miwok"/>
            </designation>
            <property>
              <code value="status"/>
              <valueCode value="active"/>
            </property>
            <property>
              <code value="internalId"/>
              <valueCode value="18464"/>
            </property>
          </concept>
          <concept>
            <code value="x-SKD"/>
            <display value="Southern Sierra Miwok"/>
            <designation>
              <language value="en"/>
              <use>
                <system value="http://snomed.info/sct"/>
                <code value="900000000000013009"/>
              </use>
              <value value="Meewoc"/>
            </designation>
            <designation>
              <language value="en"/>
              <use>
                <system value="http://snomed.info/sct"/>
                <code value="900000000000013009"/>
              </use>
              <value value="Mewoc"/>
            </designation>
            <designation>
              <language value="en"/>
              <use>
                <system value="http://snomed.info/sct"/>
                <code value="900000000000013009"/>
              </use>
              <value value="Me-Wuk"/>
            </designation>
            <designation>
              <language value="en"/>
              <use>
                <system value="http://snomed.info/sct"/>
                <code value="900000000000013009"/>
              </use>
              <value value="Miwoc"/>
            </designation>
            <designation>
              <language value="en"/>
              <use>
                <system value="http://snomed.info/sct"/>
                <code value="900000000000013009"/>
              </use>
              <value value="Miwokan"/>
            </designation>
            <designation>
              <language value="en"/>
              <use>
                <system value="http://snomed.info/sct"/>
                <code value="900000000000013009"/>
              </use>
              <value value="Mokélumne"/>
            </designation>
            <designation>
              <language value="en"/>
              <use>
                <system value="http://snomed.info/sct"/>
                <code value="900000000000013009"/>
              </use>
              <value value="Moquelumnan"/>
            </designation>
            <designation>
              <language value="en"/>
              <use>
                <system value="http://snomed.info/sct"/>
                <code value="900000000000013009"/>
              </use>
              <value value="San Raphael"/>
            </designation>
            <designation>
              <language value="en"/>
              <use>
                <system value="http://snomed.info/sct"/>
                <code value="900000000000013009"/>
              </use>
              <value value="Talatui"/>
            </designation>
            <designation>
              <language value="en"/>
              <use>
                <system value="http://snomed.info/sct"/>
                <code value="900000000000013009"/>
              </use>
              <value value="Talutui"/>
            </designation>
            <property>
              <code value="status"/>
              <valueCode value="active"/>
            </property>
            <property>
              <code value="internalId"/>
              <valueCode value="18468"/>
            </property>
          </concept>
        </concept>
        <concept>
          <code value="_WesternMiwok"/>
          <display value="WesternMiwok"/>
          <property>
            <code value="notSelectable"/>
            <valueBoolean value="true"/>
          </property>
          <property>
            <code value="status"/>
            <valueCode value="active"/>
          </property>
          <property>
            <code value="internalId"/>
            <valueCode value="21039"/>
          </property>
          <concept>
            <code value="x-CSI"/>
            <display value="Coast Miwok"/>
            <property>
              <code value="status"/>
              <valueCode value="active"/>
            </property>
            <property>
              <code value="internalId"/>
              <valueCode value="18461"/>
            </property>
          </concept>
          <concept>
            <code value="x-LMW"/>
            <display value="Lake Miwok"/>
            <property>
              <code value="status"/>
              <valueCode value="active"/>
            </property>
            <property>
              <code value="internalId"/>
              <valueCode value="18462"/>
            </property>
          </concept>
        </concept>
      </concept>
    </concept>
    <concept>
      <code value="_Wintuan"/>
      <display value="Wintuan"/>
      <property>
        <code value="notSelectable"/>
        <valueBoolean value="true"/>
      </property>
      <property>
        <code value="status"/>
        <valueCode value="active"/>
      </property>
      <property>
        <code value="internalId"/>
        <valueCode value="21042"/>
      </property>
      <concept>
        <code value="x-WIT"/>
        <display value="Wintu-Nomlaki"/>
        <designation>
          <language value="en"/>
          <use>
            <system value="http://snomed.info/sct"/>
            <code value="900000000000013009"/>
          </use>
          <value value="Wintu"/>
        </designation>
        <designation>
          <language value="en"/>
          <use>
            <system value="http://snomed.info/sct"/>
            <code value="900000000000013009"/>
          </use>
          <value value="Wintun"/>
        </designation>
        <property>
          <code value="status"/>
          <valueCode value="active"/>
        </property>
        <property>
          <code value="internalId"/>
          <valueCode value="18432"/>
        </property>
      </concept>
    </concept>
    <concept>
      <code value="_Yokutsan"/>
      <display value="Yokutsan"/>
      <property>
        <code value="notSelectable"/>
        <valueBoolean value="true"/>
      </property>
      <property>
        <code value="status"/>
        <valueCode value="active"/>
      </property>
      <property>
        <code value="internalId"/>
        <valueCode value="21043"/>
      </property>
      <concept>
        <code value="x-ENH"/>
        <display value="Kings River"/>
        <designation>
          <language value="en"/>
          <use>
            <system value="http://snomed.info/sct"/>
            <code value="900000000000013009"/>
          </use>
          <value value="Aiticha"/>
        </designation>
        <designation>
          <language value="en"/>
          <use>
            <system value="http://snomed.info/sct"/>
            <code value="900000000000013009"/>
          </use>
          <value value="Choinimni"/>
        </designation>
        <designation>
          <language value="en"/>
          <use>
            <system value="http://snomed.info/sct"/>
            <code value="900000000000013009"/>
          </use>
          <value value="Chukaimina"/>
        </designation>
        <designation>
          <language value="en"/>
          <use>
            <system value="http://snomed.info/sct"/>
            <code value="900000000000013009"/>
          </use>
          <value value="Entimbich"/>
        </designation>
        <designation>
          <language value="en"/>
          <use>
            <system value="http://snomed.info/sct"/>
            <code value="900000000000013009"/>
          </use>
          <value value="Kocheyali"/>
        </designation>
        <property>
          <code value="status"/>
          <valueCode value="active"/>
        </property>
        <property>
          <code value="internalId"/>
          <valueCode value="18489"/>
        </property>
      </concept>
      <concept>
        <code value="x-GSH"/>
        <display value="Gashowu"/>
        <designation>
          <language value="en"/>
          <use>
            <system value="http://snomed.info/sct"/>
            <code value="900000000000013009"/>
          </use>
          <value value="Goshowi"/>
        </designation>
        <property>
          <code value="status"/>
          <valueCode value="active"/>
        </property>
        <property>
          <code value="internalId"/>
          <valueCode value="18480"/>
        </property>
      </concept>
      <concept>
        <code value="x-PYL"/>
        <display value="Poso Creek"/>
        <designation>
          <language value="en"/>
          <use>
            <system value="http://snomed.info/sct"/>
            <code value="900000000000013009"/>
          </use>
          <value value="Kumachisi"/>
        </designation>
        <designation>
          <language value="en"/>
          <use>
            <system value="http://snomed.info/sct"/>
            <code value="900000000000013009"/>
          </use>
          <value value="Paleuyami"/>
        </designation>
        <property>
          <code value="status"/>
          <valueCode value="active"/>
        </property>
        <property>
          <code value="internalId"/>
          <valueCode value="18495"/>
        </property>
      </concept>
      <concept>
        <code value="x-TKH"/>
        <display value="Tule-Kaweah"/>
        <designation>
          <language value="en"/>
          <use>
            <system value="http://snomed.info/sct"/>
            <code value="900000000000013009"/>
          </use>
          <value value="Bokninuwad"/>
        </designation>
        <designation>
          <language value="en"/>
          <use>
            <system value="http://snomed.info/sct"/>
            <code value="900000000000013009"/>
          </use>
          <value value="Kawia"/>
        </designation>
        <designation>
          <language value="en"/>
          <use>
            <system value="http://snomed.info/sct"/>
            <code value="900000000000013009"/>
          </use>
          <value value="Wükchamni"/>
        </designation>
        <designation>
          <language value="en"/>
          <use>
            <system value="http://snomed.info/sct"/>
            <code value="900000000000013009"/>
          </use>
          <value value="Yawdanchi"/>
        </designation>
        <designation>
          <language value="en"/>
          <use>
            <system value="http://snomed.info/sct"/>
            <code value="900000000000013009"/>
          </use>
          <value value="Yokod"/>
        </designation>
        <property>
          <code value="status"/>
          <valueCode value="active"/>
        </property>
        <property>
          <code value="internalId"/>
          <valueCode value="18483"/>
        </property>
      </concept>
    </concept>
  </concept>
  <concept>
    <code value="_Pidgin"/>
    <display value="Pidgin"/>
    <property>
      <code value="notSelectable"/>
      <valueBoolean value="true"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="internalId"/>
      <valueCode value="21009"/>
    </property>
    <concept>
      <code value="x-CHH"/>
      <display value="Chinook Wawa"/>
      <designation>
        <language value="en"/>
        <use>
          <system value="http://snomed.info/sct"/>
          <code value="900000000000013009"/>
        </use>
        <value value="Chinook Jargon"/>
      </designation>
      <designation>
        <language value="en"/>
        <use>
          <system value="http://snomed.info/sct"/>
          <code value="900000000000013009"/>
        </use>
        <value value="Chinook Pidgin"/>
      </designation>
      <designation>
        <language value="en"/>
        <use>
          <system value="http://snomed.info/sct"/>
          <code value="900000000000013009"/>
        </use>
        <value value="Tshinuk Wawa"/>
      </designation>
      <property>
        <code value="status"/>
        <valueCode value="active"/>
      </property>
      <property>
        <code value="internalId"/>
        <valueCode value="18519"/>
      </property>
    </concept>
  </concept>
  <concept>
    <code value="_Salishan"/>
    <display value="Salishan"/>
    <property>
      <code value="notSelectable"/>
      <valueBoolean value="true"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="internalId"/>
      <valueCode value="21015"/>
    </property>
    <concept>
      <code value="_CentralSalish"/>
      <display value="CentralSalish"/>
      <property>
        <code value="notSelectable"/>
        <valueBoolean value="true"/>
      </property>
      <property>
        <code value="status"/>
        <valueCode value="active"/>
      </property>
      <property>
        <code value="internalId"/>
        <valueCode value="20965"/>
      </property>
      <concept>
        <code value="x-CLM"/>
        <display value="Clallam"/>
        <designation>
          <language value="en"/>
          <use>
            <system value="http://snomed.info/sct"/>
            <code value="900000000000013009"/>
          </use>
          <value value="Klallam"/>
        </designation>
        <designation>
          <language value="en"/>
          <use>
            <system value="http://snomed.info/sct"/>
            <code value="900000000000013009"/>
          </use>
          <value value="Na'klallam"/>
        </designation>
        <designation>
          <language value="en"/>
          <use>
            <system value="http://snomed.info/sct"/>
            <code value="900000000000013009"/>
          </use>
          <value value="S'klallam"/>
        </designation>
        <property>
          <code value="status"/>
          <valueCode value="active"/>
        </property>
        <property>
          <code value="internalId"/>
          <valueCode value="18528"/>
        </property>
      </concept>
      <concept>
        <code value="x-LUT"/>
        <display value="Lushootseed"/>
        <property>
          <code value="status"/>
          <valueCode value="active"/>
        </property>
        <property>
          <code value="internalId"/>
          <valueCode value="18532"/>
        </property>
      </concept>
      <concept>
        <code value="x-STR"/>
        <display value="Northern Straits"/>
        <designation>
          <language value="en"/>
          <use>
            <system value="http://snomed.info/sct"/>
            <code value="900000000000013009"/>
          </use>
          <value value="Straits"/>
        </designation>
        <designation>
          <language value="en"/>
          <use>
            <system value="http://snomed.info/sct"/>
            <code value="900000000000013009"/>
          </use>
          <value value="Straits Salish"/>
        </designation>
        <property>
          <code value="status"/>
          <valueCode value="active"/>
        </property>
        <property>
          <code value="internalId"/>
          <valueCode value="18525"/>
        </property>
      </concept>
    </concept>
    <concept>
      <code value="_InteriorSalish"/>
      <display value="InteriorSalish"/>
      <property>
        <code value="notSelectable"/>
        <valueBoolean value="true"/>
      </property>
      <property>
        <code value="status"/>
        <valueCode value="active"/>
      </property>
      <property>
        <code value="internalId"/>
        <valueCode value="20985"/>
      </property>
      <concept>
        <code value="x-COL"/>
        <display value="Columbian"/>
        <designation>
          <language value="en"/>
          <use>
            <system value="http://snomed.info/sct"/>
            <code value="900000000000013009"/>
          </use>
          <value value="Columbia-Wenatchi"/>
        </designation>
        <designation>
          <language value="en"/>
          <use>
            <system value="http://snomed.info/sct"/>
            <code value="900000000000013009"/>
          </use>
          <value value="Wenatchee-Columbia"/>
        </designation>
        <property>
          <code value="status"/>
          <valueCode value="active"/>
        </property>
        <property>
          <code value="internalId"/>
          <valueCode value="18545"/>
        </property>
      </concept>
      <concept>
        <code value="x-CRD"/>
        <display value="Coeur D'alene"/>
        <property>
          <code value="status"/>
          <valueCode value="active"/>
        </property>
        <property>
          <code value="internalId"/>
          <valueCode value="18544"/>
        </property>
      </concept>
      <concept>
        <code value="x-FLA"/>
        <display value="Kalispel"/>
        <designation>
          <language value="en"/>
          <use>
            <system value="http://snomed.info/sct"/>
            <code value="900000000000013009"/>
          </use>
          <value value="Flathead-Kalispel"/>
        </designation>
        <designation>
          <language value="en"/>
          <use>
            <system value="http://snomed.info/sct"/>
            <code value="900000000000013009"/>
          </use>
          <value value="Kalispel-Flathead"/>
        </designation>
        <property>
          <code value="status"/>
          <valueCode value="active"/>
        </property>
        <property>
          <code value="internalId"/>
          <valueCode value="18541"/>
        </property>
      </concept>
      <concept>
        <code value="x-OKA"/>
        <display value="Okanagan"/>
        <designation>
          <language value="en"/>
          <use>
            <system value="http://snomed.info/sct"/>
            <code value="900000000000013009"/>
          </use>
          <value value="Okanagan-Colville"/>
        </designation>
        <designation>
          <language value="en"/>
          <use>
            <system value="http://snomed.info/sct"/>
            <code value="900000000000013009"/>
          </use>
          <value value="Okanagon"/>
        </designation>
        <designation>
          <language value="en"/>
          <use>
            <system value="http://snomed.info/sct"/>
            <code value="900000000000013009"/>
          </use>
          <value value="Okanogan"/>
        </designation>
        <property>
          <code value="status"/>
          <valueCode value="active"/>
        </property>
        <property>
          <code value="internalId"/>
          <valueCode value="18548"/>
        </property>
      </concept>
    </concept>
    <concept>
      <code value="_Tsamosan"/>
      <display value="Tsamosan"/>
      <property>
        <code value="notSelectable"/>
        <valueBoolean value="true"/>
      </property>
      <property>
        <code value="status"/>
        <valueCode value="active"/>
      </property>
      <property>
        <code value="internalId"/>
        <valueCode value="21032"/>
      </property>
      <concept>
        <code value="x-CEA"/>
        <display value="Lower Chehalis"/>
        <property>
          <code value="status"/>
          <valueCode value="active"/>
        </property>
        <property>
          <code value="internalId"/>
          <valueCode value="18535"/>
        </property>
      </concept>
      <concept>
        <code value="x-CJH"/>
        <display value="Upper Chehalis"/>
        <designation>
          <language value="en"/>
          <use>
            <system value="http://snomed.info/sct"/>
            <code value="900000000000013009"/>
          </use>
          <value value="Chehalis"/>
        </designation>
        <property>
          <code value="status"/>
          <valueCode value="active"/>
        </property>
        <property>
          <code value="internalId"/>
          <valueCode value="18536"/>
        </property>
      </concept>
      <concept>
        <code value="x-COW"/>
        <display value="Cowlitz"/>
        <designation>
          <language value="en"/>
          <use>
            <system value="http://snomed.info/sct"/>
            <code value="900000000000013009"/>
          </use>
          <value value="Lower Cowlitz"/>
        </designation>
        <property>
          <code value="status"/>
          <valueCode value="active"/>
        </property>
        <property>
          <code value="internalId"/>
          <valueCode value="18538"/>
        </property>
      </concept>
      <concept>
        <code value="x-QUN"/>
        <display value="Quinault"/>
        <property>
          <code value="status"/>
          <valueCode value="active"/>
        </property>
        <property>
          <code value="internalId"/>
          <valueCode value="18534"/>
        </property>
      </concept>
    </concept>
  </concept>
  <concept>
    <code value="_SiouanCatawba"/>
    <display value="SiouanCatawba"/>
    <property>
      <code value="notSelectable"/>
      <valueBoolean value="true"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="internalId"/>
      <valueCode value="21020"/>
    </property>
    <concept>
      <code value="_Siouan"/>
      <display value="Siouan"/>
      <property>
        <code value="notSelectable"/>
        <valueBoolean value="true"/>
      </property>
      <property>
        <code value="status"/>
        <valueCode value="active"/>
      </property>
      <property>
        <code value="internalId"/>
        <valueCode value="21019"/>
      </property>
      <concept>
        <code value="_MississippiValley"/>
        <display value="MississippiValley"/>
        <property>
          <code value="notSelectable"/>
          <valueBoolean value="true"/>
        </property>
        <property>
          <code value="status"/>
          <valueCode value="active"/>
        </property>
        <property>
          <code value="internalId"/>
          <valueCode value="20994"/>
        </property>
        <concept>
          <code value="_ChiwereWinnebago"/>
          <display value="ChiwereWinnebago"/>
          <property>
            <code value="notSelectable"/>
            <valueBoolean value="true"/>
          </property>
          <property>
            <code value="status"/>
            <valueCode value="active"/>
          </property>
          <property>
            <code value="internalId"/>
            <valueCode value="20968"/>
          </property>
          <concept>
            <code value="x-IOW"/>
            <display value="Chiwere"/>
            <designation>
              <language value="en"/>
              <use>
                <system value="http://snomed.info/sct"/>
                <code value="900000000000013009"/>
              </use>
              <value value="Iowa-Oto"/>
            </designation>
            <designation>
              <language value="en"/>
              <use>
                <system value="http://snomed.info/sct"/>
                <code value="900000000000013009"/>
              </use>
              <value value="Iowa-Otoe"/>
            </designation>
            <property>
              <code value="status"/>
              <valueCode value="active"/>
            </property>
            <property>
              <code value="internalId"/>
              <valueCode value="18594"/>
            </property>
          </concept>
          <concept>
            <code value="x-WIN"/>
            <display value="Hocak"/>
            <designation>
              <language value="en"/>
              <use>
                <system value="http://snomed.info/sct"/>
                <code value="900000000000013009"/>
              </use>
              <value value="Hocak Wazijaci"/>
            </designation>
            <designation>
              <language value="en"/>
              <use>
                <system value="http://snomed.info/sct"/>
                <code value="900000000000013009"/>
              </use>
              <value value="Hocank"/>
            </designation>
            <designation>
              <language value="en"/>
              <use>
                <system value="http://snomed.info/sct"/>
                <code value="900000000000013009"/>
              </use>
              <value value="Hochank"/>
            </designation>
            <designation>
              <language value="en"/>
              <use>
                <system value="http://snomed.info/sct"/>
                <code value="900000000000013009"/>
              </use>
              <value value="Hochunk"/>
            </designation>
            <designation>
              <language value="en"/>
              <use>
                <system value="http://snomed.info/sct"/>
                <code value="900000000000013009"/>
              </use>
              <value value="Winnebago"/>
            </designation>
            <property>
              <code value="status"/>
              <valueCode value="active"/>
            </property>
            <property>
              <code value="internalId"/>
              <valueCode value="18597"/>
            </property>
          </concept>
        </concept>
        <concept>
          <code value="_Dakotan"/>
          <display value="Dakotan"/>
          <property>
            <code value="notSelectable"/>
            <valueBoolean value="true"/>
          </property>
          <property>
            <code value="status"/>
            <valueCode value="active"/>
          </property>
          <property>
            <code value="internalId"/>
            <valueCode value="20974"/>
          </property>
          <concept>
            <code value="x-ASB"/>
            <display value="Assiniboine"/>
            <designation>
              <language value="en"/>
              <use>
                <system value="http://snomed.info/sct"/>
                <code value="900000000000013009"/>
              </use>
              <value value="Assiniboin"/>
            </designation>
            <designation>
              <language value="en"/>
              <use>
                <system value="http://snomed.info/sct"/>
                <code value="900000000000013009"/>
              </use>
              <value value="Hohe"/>
            </designation>
            <property>
              <code value="status"/>
              <valueCode value="active"/>
            </property>
            <property>
              <code value="internalId"/>
              <valueCode value="18577"/>
            </property>
          </concept>
          <concept>
            <code value="x-DHG"/>
            <display value="Dakota"/>
            <designation>
              <language value="en"/>
              <use>
                <system value="http://snomed.info/sct"/>
                <code value="900000000000013009"/>
              </use>
              <value value="Dakhota"/>
            </designation>
            <designation>
              <language value="en"/>
              <use>
                <system value="http://snomed.info/sct"/>
                <code value="900000000000013009"/>
              </use>
              <value value="Santee"/>
            </designation>
            <designation>
              <language value="en"/>
              <use>
                <system value="http://snomed.info/sct"/>
                <code value="900000000000013009"/>
              </use>
              <value value="Santee-Sisseton"/>
            </designation>
            <designation>
              <language value="en"/>
              <use>
                <system value="http://snomed.info/sct"/>
                <code value="900000000000013009"/>
              </use>
              <value value="Sioux"/>
            </designation>
            <property>
              <code value="status"/>
              <valueCode value="active"/>
            </property>
            <property>
              <code value="internalId"/>
              <valueCode value="18568"/>
            </property>
          </concept>
          <concept>
            <code value="x-LKT"/>
            <display value="Lakota"/>
            <designation>
              <language value="en"/>
              <use>
                <system value="http://snomed.info/sct"/>
                <code value="900000000000013009"/>
              </use>
              <value value="Teton"/>
            </designation>
            <designation>
              <language value="en"/>
              <use>
                <system value="http://snomed.info/sct"/>
                <code value="900000000000013009"/>
              </use>
              <value value="Lakhota"/>
            </designation>
            <property>
              <code value="status"/>
              <valueCode value="active"/>
            </property>
            <property>
              <code value="internalId"/>
              <valueCode value="18564"/>
            </property>
          </concept>
          <concept>
            <code value="x-NKT"/>
            <display value="Nakota"/>
            <designation>
              <language value="en"/>
              <use>
                <system value="http://snomed.info/sct"/>
                <code value="900000000000013009"/>
              </use>
              <value value="Nakoda"/>
            </designation>
            <designation>
              <language value="en"/>
              <use>
                <system value="http://snomed.info/sct"/>
                <code value="900000000000013009"/>
              </use>
              <value value="Yankton"/>
            </designation>
            <designation>
              <language value="en"/>
              <use>
                <system value="http://snomed.info/sct"/>
                <code value="900000000000013009"/>
              </use>
              <value value="Yankton-Yanktonais"/>
            </designation>
            <property>
              <code value="status"/>
              <valueCode value="active"/>
            </property>
            <property>
              <code value="internalId"/>
              <valueCode value="18573"/>
            </property>
          </concept>
        </concept>
        <concept>
          <code value="_Dhegiha"/>
          <display value="Dhegiha"/>
          <property>
            <code value="notSelectable"/>
            <valueBoolean value="true"/>
          </property>
          <property>
            <code value="status"/>
            <valueCode value="active"/>
          </property>
          <property>
            <code value="internalId"/>
            <valueCode value="20977"/>
          </property>
          <concept>
            <code value="x-KAA"/>
            <display value="Kansa"/>
            <designation>
              <language value="en"/>
              <use>
                <system value="http://snomed.info/sct"/>
                <code value="900000000000013009"/>
              </use>
              <value value="Kanze"/>
            </designation>
            <designation>
              <language value="en"/>
              <use>
                <system value="http://snomed.info/sct"/>
                <code value="900000000000013009"/>
              </use>
              <value value="Kaw"/>
            </designation>
            <designation>
              <language value="en"/>
              <use>
                <system value="http://snomed.info/sct"/>
                <code value="900000000000013009"/>
              </use>
              <value value="Konze"/>
            </designation>
            <property>
              <code value="status"/>
              <valueCode value="active"/>
            </property>
            <property>
              <code value="internalId"/>
              <valueCode value="18584"/>
            </property>
          </concept>
          <concept>
            <code value="x-OMA"/>
            <display value="Omaha-Ponca"/>
            <property>
              <code value="status"/>
              <valueCode value="active"/>
            </property>
            <property>
              <code value="internalId"/>
              <valueCode value="18581"/>
            </property>
          </concept>
          <concept>
            <code value="x-OSA"/>
            <display value="Osage"/>
            <designation>
              <language value="en"/>
              <use>
                <system value="http://snomed.info/sct"/>
                <code value="900000000000013009"/>
              </use>
              <value value="Wazhazhe"/>
            </designation>
            <property>
              <code value="status"/>
              <valueCode value="active"/>
            </property>
            <property>
              <code value="internalId"/>
              <valueCode value="18582"/>
            </property>
          </concept>
          <concept>
            <code value="x-QUA"/>
            <display value="Quapaw"/>
            <designation>
              <language value="en"/>
              <use>
                <system value="http://snomed.info/sct"/>
                <code value="900000000000013009"/>
              </use>
              <value value="Alkansea"/>
            </designation>
            <designation>
              <language value="en"/>
              <use>
                <system value="http://snomed.info/sct"/>
                <code value="900000000000013009"/>
              </use>
              <value value="Arkansas"/>
            </designation>
            <designation>
              <language value="en"/>
              <use>
                <system value="http://snomed.info/sct"/>
                <code value="900000000000013009"/>
              </use>
              <value value="Capa"/>
            </designation>
            <designation>
              <language value="en"/>
              <use>
                <system value="http://snomed.info/sct"/>
                <code value="900000000000013009"/>
              </use>
              <value value="Ogaxpa"/>
            </designation>
            <property>
              <code value="status"/>
              <valueCode value="active"/>
            </property>
            <property>
              <code value="internalId"/>
              <valueCode value="18588"/>
            </property>
          </concept>
        </concept>
      </concept>
      <concept>
        <code value="_MissouriRiver"/>
        <display value="MissouriRiver"/>
        <property>
          <code value="notSelectable"/>
          <valueBoolean value="true"/>
        </property>
        <property>
          <code value="status"/>
          <valueCode value="active"/>
        </property>
        <property>
          <code value="internalId"/>
          <valueCode value="20995"/>
        </property>
        <concept>
          <code value="x-CRO"/>
          <display value="Crow"/>
          <designation>
            <language value="en"/>
            <use>
              <system value="http://snomed.info/sct"/>
              <code value="900000000000013009"/>
            </use>
            <value value="Apsaaloke"/>
          </designation>
          <property>
            <code value="status"/>
            <valueCode value="active"/>
          </property>
          <property>
            <code value="internalId"/>
            <valueCode value="18559"/>
          </property>
        </concept>
        <concept>
          <code value="x-HID"/>
          <display value="Hidatsa"/>
          <designation>
            <language value="en"/>
            <use>
              <system value="http://snomed.info/sct"/>
              <code value="900000000000013009"/>
            </use>
            <value value="Hinatsa"/>
          </designation>
          <designation>
            <language value="en"/>
            <use>
              <system value="http://snomed.info/sct"/>
              <code value="900000000000013009"/>
            </use>
            <value value="Hiraca"/>
          </designation>
          <designation>
            <language value="en"/>
            <use>
              <system value="http://snomed.info/sct"/>
              <code value="900000000000013009"/>
            </use>
            <value value="Minitari"/>
          </designation>
          <property>
            <code value="status"/>
            <valueCode value="active"/>
          </property>
          <property>
            <code value="internalId"/>
            <valueCode value="18555"/>
          </property>
        </concept>
      </concept>
      <concept>
        <code value="x-MHQ"/>
        <display value="Mandan"/>
        <property>
          <code value="status"/>
          <valueCode value="active"/>
        </property>
        <property>
          <code value="internalId"/>
          <valueCode value="18561"/>
        </property>
      </concept>
    </concept>
  </concept>
  <concept>
    <code value="_UtoAztecan"/>
    <display value="UtoAztecan"/>
    <property>
      <code value="notSelectable"/>
      <valueBoolean value="true"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="internalId"/>
      <valueCode value="21036"/>
    </property>
    <concept>
      <code value="_Numic"/>
      <display value="Numic"/>
      <property>
        <code value="notSelectable"/>
        <valueBoolean value="true"/>
      </property>
      <property>
        <code value="status"/>
        <valueCode value="active"/>
      </property>
      <property>
        <code value="internalId"/>
        <valueCode value="21002"/>
      </property>
      <concept>
        <code value="_CentralNumic"/>
        <display value="CentralNumic"/>
        <property>
          <code value="notSelectable"/>
          <valueBoolean value="true"/>
        </property>
        <property>
          <code value="status"/>
          <valueCode value="active"/>
        </property>
        <property>
          <code value="internalId"/>
          <valueCode value="20964"/>
        </property>
        <concept>
          <code value="x-COM"/>
          <display value="Comanche"/>
          <property>
            <code value="status"/>
            <valueCode value="active"/>
          </property>
          <property>
            <code value="internalId"/>
            <valueCode value="18616"/>
          </property>
        </concept>
        <concept>
          <code value="x-PAR"/>
          <display value="Panamint"/>
          <designation>
            <language value="en"/>
            <use>
              <system value="http://snomed.info/sct"/>
              <code value="900000000000013009"/>
            </use>
            <value value="Koso"/>
          </designation>
          <property>
            <code value="status"/>
            <valueCode value="active"/>
          </property>
          <property>
            <code value="internalId"/>
            <valueCode value="18612"/>
          </property>
        </concept>
        <concept>
          <code value="x-SHH"/>
          <display value="Shoshone"/>
          <designation>
            <language value="en"/>
            <use>
              <system value="http://snomed.info/sct"/>
              <code value="900000000000013009"/>
            </use>
            <value value="Shoshoni"/>
          </designation>
          <property>
            <code value="status"/>
            <valueCode value="active"/>
          </property>
          <property>
            <code value="internalId"/>
            <valueCode value="18614"/>
          </property>
        </concept>
      </concept>
      <concept>
        <code value="_SouthernNumic"/>
        <display value="SouthernNumic"/>
        <property>
          <code value="notSelectable"/>
          <valueBoolean value="true"/>
        </property>
        <property>
          <code value="status"/>
          <valueCode value="active"/>
        </property>
        <property>
          <code value="internalId"/>
          <valueCode value="21024"/>
        </property>
        <concept>
          <code value="x-KAW"/>
          <display value="Kawaiisu"/>
          <property>
            <code value="status"/>
            <valueCode value="active"/>
          </property>
          <property>
            <code value="internalId"/>
            <valueCode value="18618"/>
          </property>
        </concept>
        <concept>
          <code value="x-UTE"/>
          <display value="Ute-Southern Paiute"/>
          <property>
            <code value="status"/>
            <valueCode value="active"/>
          </property>
          <property>
            <code value="internalId"/>
            <valueCode value="18619"/>
          </property>
        </concept>
      </concept>
      <concept>
        <code value="_WesternNumic"/>
        <display value="WesternNumic"/>
        <property>
          <code value="notSelectable"/>
          <valueBoolean value="true"/>
        </property>
        <property>
          <code value="status"/>
          <valueCode value="active"/>
        </property>
        <property>
          <code value="internalId"/>
          <valueCode value="21041"/>
        </property>
        <concept>
          <code value="x-MON"/>
          <display value="Mono"/>
          <designation>
            <language value="en"/>
            <use>
              <system value="http://snomed.info/sct"/>
              <code value="900000000000013009"/>
            </use>
            <value value="Paviotso"/>
          </designation>
          <property>
            <code value="status"/>
            <valueCode value="active"/>
          </property>
          <property>
            <code value="internalId"/>
            <valueCode value="18608"/>
          </property>
        </concept>
        <concept>
          <code value="x-PAO"/>
          <display value="Northern Paiute-Bannock"/>
          <property>
            <code value="status"/>
            <valueCode value="active"/>
          </property>
          <property>
            <code value="internalId"/>
            <valueCode value="18609"/>
          </property>
        </concept>
      </concept>
    </concept>
    <concept>
      <code value="_Takic"/>
      <display value="Takic"/>
      <property>
        <code value="notSelectable"/>
        <valueBoolean value="true"/>
      </property>
      <property>
        <code value="status"/>
        <valueCode value="active"/>
      </property>
      <property>
        <code value="internalId"/>
        <valueCode value="21026"/>
      </property>
      <concept>
        <code value="_Cupan"/>
        <display value="Cupan"/>
        <property>
          <code value="notSelectable"/>
          <valueBoolean value="true"/>
        </property>
        <property>
          <code value="status"/>
          <valueCode value="active"/>
        </property>
        <property>
          <code value="internalId"/>
          <valueCode value="20973"/>
        </property>
        <concept>
          <code value="x-CHL"/>
          <display value="Cahuilla"/>
          <property>
            <code value="status"/>
            <valueCode value="active"/>
          </property>
          <property>
            <code value="internalId"/>
            <valueCode value="18625"/>
          </property>
        </concept>
        <concept>
          <code value="x-CUP"/>
          <display value="Cupeno"/>
          <property>
            <code value="status"/>
            <valueCode value="active"/>
          </property>
          <property>
            <code value="internalId"/>
            <valueCode value="18626"/>
          </property>
        </concept>
        <concept>
          <code value="x-LUI"/>
          <display value="Luiseno"/>
          <property>
            <code value="status"/>
            <valueCode value="active"/>
          </property>
          <property>
            <code value="internalId"/>
            <valueCode value="18627"/>
          </property>
        </concept>
      </concept>
      <concept>
        <code value="_SerranoGabrielino"/>
        <display value="SerranoGabrielino"/>
        <property>
          <code value="notSelectable"/>
          <valueBoolean value="true"/>
        </property>
        <property>
          <code value="status"/>
          <valueCode value="active"/>
        </property>
        <property>
          <code value="internalId"/>
          <valueCode value="21017"/>
        </property>
        <concept>
          <code value="x-SER"/>
          <display value="Serrano"/>
          <property>
            <code value="status"/>
            <valueCode value="active"/>
          </property>
          <property>
            <code value="internalId"/>
            <valueCode value="18623"/>
          </property>
        </concept>
      </concept>
    </concept>
    <concept>
      <code value="_Taracahitan"/>
      <display value="Taracahitan"/>
      <property>
        <code value="notSelectable"/>
        <valueBoolean value="true"/>
      </property>
      <property>
        <code value="status"/>
        <valueCode value="active"/>
      </property>
      <property>
        <code value="internalId"/>
        <valueCode value="21029"/>
      </property>
      <concept>
        <code value="_Cahitan"/>
        <display value="Cahitan"/>
        <property>
          <code value="notSelectable"/>
          <valueBoolean value="true"/>
        </property>
        <property>
          <code value="status"/>
          <valueCode value="active"/>
        </property>
        <property>
          <code value="internalId"/>
          <valueCode value="20960"/>
        </property>
        <concept>
          <code value="x-YAQ"/>
          <display value="Yaqui"/>
          <property>
            <code value="status"/>
            <valueCode value="active"/>
          </property>
          <property>
            <code value="internalId"/>
            <valueCode value="18638"/>
          </property>
        </concept>
      </concept>
    </concept>
    <concept>
      <code value="_Tepiman"/>
      <display value="Tepiman"/>
      <property>
        <code value="notSelectable"/>
        <valueBoolean value="true"/>
      </property>
      <property>
        <code value="status"/>
        <valueCode value="active"/>
      </property>
      <property>
        <code value="internalId"/>
        <valueCode value="21030"/>
      </property>
      <concept>
        <code value="x-PAP"/>
        <display value="Papago-Pima"/>
        <designation>
          <language value="en"/>
          <use>
            <system value="http://snomed.info/sct"/>
            <code value="900000000000013009"/>
          </use>
          <value value="Nebome"/>
        </designation>
        <designation>
          <language value="en"/>
          <use>
            <system value="http://snomed.info/sct"/>
            <code value="900000000000013009"/>
          </use>
          <value value="Nevome"/>
        </designation>
        <designation>
          <language value="en"/>
          <use>
            <system value="http://snomed.info/sct"/>
            <code value="900000000000013009"/>
          </use>
          <value value="O'odham"/>
        </designation>
        <designation>
          <language value="en"/>
          <use>
            <system value="http://snomed.info/sct"/>
            <code value="900000000000013009"/>
          </use>
          <value value="O'othham"/>
        </designation>
        <designation>
          <language value="en"/>
          <use>
            <system value="http://snomed.info/sct"/>
            <code value="900000000000013009"/>
          </use>
          <value value="Upper Piman"/>
        </designation>
        <property>
          <code value="status"/>
          <valueCode value="active"/>
        </property>
        <property>
          <code value="internalId"/>
          <valueCode value="18630"/>
        </property>
      </concept>
    </concept>
    <concept>
      <code value="x-HOP"/>
      <display value="Hopi"/>
      <property>
        <code value="status"/>
        <valueCode value="active"/>
      </property>
      <property>
        <code value="internalId"/>
        <valueCode value="18628"/>
      </property>
    </concept>
    <concept>
      <code value="x-TUB"/>
      <display value="Tubatululabal"/>
      <property>
        <code value="status"/>
        <valueCode value="active"/>
      </property>
      <property>
        <code value="internalId"/>
        <valueCode value="18620"/>
      </property>
    </concept>
  </concept>
  <concept>
    <code value="_Wakashan"/>
    <display value="Wakashan"/>
    <property>
      <code value="notSelectable"/>
      <valueBoolean value="true"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="internalId"/>
      <valueCode value="21037"/>
    </property>
    <concept>
      <code value="_Nootkan"/>
      <display value="Nootkan"/>
      <property>
        <code value="notSelectable"/>
        <valueBoolean value="true"/>
      </property>
      <property>
        <code value="status"/>
        <valueCode value="active"/>
      </property>
      <property>
        <code value="internalId"/>
        <valueCode value="20999"/>
      </property>
      <concept>
        <code value="x-MYH"/>
        <display value="Makah"/>
        <designation>
          <language value="en"/>
          <use>
            <system value="http://snomed.info/sct"/>
            <code value="900000000000013009"/>
          </use>
          <value value="Kweedishchaaht"/>
        </designation>
        <designation>
          <language value="en"/>
          <use>
            <system value="http://snomed.info/sct"/>
            <code value="900000000000013009"/>
          </use>
          <value value="Kwe-Nee-Chee-Aht"/>
        </designation>
        <property>
          <code value="status"/>
          <valueCode value="active"/>
        </property>
        <property>
          <code value="internalId"/>
          <valueCode value="18643"/>
        </property>
      </concept>
    </concept>
  </concept>
  <concept>
    <code value="_Yukian"/>
    <display value="Yukian"/>
    <property>
      <code value="notSelectable"/>
      <valueBoolean value="true"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="internalId"/>
      <valueCode value="21044"/>
    </property>
    <concept>
      <code value="x-WAO"/>
      <display value="Wappo"/>
      <property>
        <code value="status"/>
        <valueCode value="active"/>
      </property>
      <property>
        <code value="internalId"/>
        <valueCode value="18648"/>
      </property>
    </concept>
    <concept>
      <code value="x-YUK"/>
      <display value="Yuki"/>
      <property>
        <code value="status"/>
        <valueCode value="active"/>
      </property>
      <property>
        <code value="internalId"/>
        <valueCode value="18647"/>
      </property>
    </concept>
  </concept>
  <concept>
    <code value="x-HAI"/>
    <display value="Haida"/>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="internalId"/>
      <valueCode value="18240"/>
    </property>
  </concept>
  <concept>
    <code value="x-KUN"/>
    <display value="Kootenai"/>
    <designation>
      <language value="en"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Ktunaxa"/>
    </designation>
    <designation>
      <language value="en"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Kutenai"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="internalId"/>
      <valueCode value="18335"/>
    </property>
  </concept>
  <concept>
    <code value="x-PSD"/>
    <display value="Plains Indian Sign Language"/>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="internalId"/>
      <valueCode value="18651"/>
    </property>
  </concept>
  <concept>
    <code value="x-YUC"/>
    <display value="Yuchi"/>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="internalId"/>
      <valueCode value="18639"/>
    </property>
  </concept>
  <concept>
    <code value="x-ZUN"/>
    <display value="Zuni"/>
    <designation>
      <language value="en"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Zuñi"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="internalId"/>
      <valueCode value="18649"/>
    </property>
  </concept>
</CodeSystem>